We are currently accepting application forms for the 2019-2020 year. Please fill out all fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us.

For new students, please click HERE to begin the application process. 

We look forward to a wonderful year of learning and growth.

Tuition: $500 per child

$50 off if you register by Sunday, August 11th.

Student Profile
First Name
Last Name
Hebrew Name
Parent Information
Email Address
Father's Name
Father's Occupation
Father's Cell
Mother's Name
Mother's Occupation
Mother's Cell
Emergency Information
Emergency Contact 1
Emergency Contact 2
Doctor's Name
Doctor's Phone Number

CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of the "Chabad Hebrew School" to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, the "Chabad Hebrew School" personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all club activities, join in on club trips on and beyond Chabad properties, and allow my child to be photographed while participating in "Chabad Hebrew School" activities and that these pictures may be used for marketing purposes.

I Accept

Name: Initials:

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Payment Option
$500 Tuition
$125-4 Payments (credit card or post-dated checks)

Card Number
Card Type
Exp. Date