Hebrew School Registration

We're ready to embark on another year at Chabad Hebrew School of Bellingham. With professionally developed curricula that dive deeply into key Jewish concepts, students have fun learning through interactive activities, art, games, and more!

To find out more about our program tracks, CLICK HERE.
Has your family attended our Hebrew School in the past?*

YesNo
Number of Students Registering*
Student Information
Full Name*
First Name Last Name
Hebrew Name
First Name Last Name
Birth Date*

Month Day Year
School*
Previous Jewish Education
Grade entering*
Full Name Student 2*
First Name Last Name
Hebrew Name Student 2
First Name Last Name
Birth Date Student 2*

Month Day Year
School Student 2*
Previous Jewish Education Student 2
Grade entering Student 2*
Full Name Student 3*
First Name Last Name
Hebrew Name Student 3
First Name Last Name
Birth Date Student 3*

Month Day Year
School Student 3*
Previous Jewish Education Student 3
Grade entering Student 3*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Additional notable Information* Please let us know if there are any allergies or other important information we need to be aware of.
Parents Information
Father's Name*
First Name Last Name
Father Jewish by:*

BirthConversionOther
Paternal Grandfather Jewish by:*

BirthConversionOther
Paternal Grandmother Jewish by:*

BirthConversionOther
Father's Cell*

Area Code Phone Number
Mother's Name*
First Name Last Name
Mother Jewish by:*

BirthConversionOther
Maternal Grandmother Jewish by:*

BirthConversionOther
Maternal Grandfather Jewish by:*

BirthConversionOther
Mother's Cell*

Area Code Phone Number
Best way to send Hebrew School updates:*

SMSEmailHandout
Parent E-mail*
*

I hereby give consent to the administration of the Chabad Hebrew School to take whatever medical measures they deem necessary, at my expense, for my child(ren) in the event of a medical emergency.I hereby give permission for my child(ren) to participate in all school activities, join in class and school trips and beyond school properties. I hereby give permission for Chabad Hebrew School to photograph my child(ren) with the knowledge that the photos may be use the images in website, newsletter and flyers
Emergency Contact #1*
First Name Last Name
Phone Number*

Area Code Phone Number
Emergency Contact #2*
First Name Last Name
Phone Number*

Area Code Phone Number
Payment
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Total

$0.00

Payment

Credit Card Check/Other

Postal / Zip Code

Country

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Student Information

Parents Information

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