Returning Students

This year we are offering 3 amazing tracks! Click here for track details.

WHICH TRACK ARE YOU CHOOSING?*

In-Person Track
Virtual Track
The Pod Track

For tuition rates, please click here.

How many children are you registering today?*

1
2
3

Child #1

Name*

Hebrew Name

DOB*

Time of Day Born*

: HH

MM

Gender*

Boy
Girl

Age*

Grade Entering in September*

School*

Previous Jewish Education:*

Yes
No

Where?

Do any of these apply to your child?

Does your child have any learning difficulties with General Studies?
Does your child have an IEP?
Is there any special medical or other information that we should be aware of?
Does your child have any allergies?
Is your child currently taking any medication?

Please describe*

Child #2

Name*

Hebrew Name

DOB*

Gender*

Boy
Girl

Time of Day Born*

: HH

MM

Age*

Grade Entering in September*

School*

Previous Jewish Education:*

Yes
No

Where?

Do any of these apply to your child?

Does your child have any learning difficulties with General Studies?
Does your child have an IEP?
Is there any special medical or other information that we should be aware of?
Does your child have any allergies?
Is your child currently taking any medication?

Please describe*

Child #3

Name*

First Last

Hebrew Name*

DOB*

Time of Day Born*

: HH

MM

Gender

Boy
Girl

Age*

School*

Grade Entering in September*

Previous Jewish Education:*

Yes
No

Where?

Do any of these apply to your child?

Does your child have any learning difficulties with General Studies?
Does your child have an IEP?
Is there any special medical or other information that we should be aware of?
Does your child have any allergies?
Is your child currently taking any medication?

Please describe*

Is the natural mother of the child(ren) Jewish?*

Yes
No

Is the natural father of the child(ren) Jewish?*

Yes
No

Is the maternal grandmother of the child(ren) Jewish?*

Yes
No

Are there any conversions and/or adoptions in the family?*

Yes
No

Please provide details*

Is the family contact info (address, phone numbers, emails) we have on record still current?*

Yes
No

Parent's Information

Home Phone Number*

Address*

Street Address City State ZIP Code

Father's Name*

Father's Hebrew Name

Father's Cell Phone Number*

Father's Occupation*

Mother's Name*

Mother's Hebrew Name

Mother's Cell Phone Number*

Mother's Occupation*

Mother's Email*

Father's Email*

Which email would you like used for updates and newsletter*

Marital Status*

Emergency Contact Name*

Relationship to child*

Phone Number*

Grandparents

We like to update your child's grandparents throughout the year - whether it's a Nachas report or Pre-Holiday card etc. Please provide information below:

How many grandparents would you like to share?

1 Grandparent
2 Grandparents
3 Grandparents

Grandparent 1

Grandparent 1*

Names

Maternal/ Paternal*

Maternal
Paternal

Address*

Street Address City State ZIP Code

Email

Grandparent 2

Maternal/ Paternal

Maternal
Paternal

Address

Street Address City State ZIP Code

Email

Grandparent 3

Maternal/ Paternal

Maternal
Paternal

Address

Street Address City State ZIP Code

Email

Consent

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 in the event of a medical emergency. I hereby give permission to my child to participate in all school outings and field trips beyond school properties and to use any transportation selected by the Chabad Hebrew School. I grant permission for my child to be photographed in individual or group pictures which may be used by Chabad Hebrew School for P.R.

Virtual / In Person

Payment Options*

Pay in Full
Monthly payments: Pay $300 deposit now and pay balance via 6 monthly automatic credit credit payments on the first of each month, from October through March.
Financial assistance needed

Family Name

# of Children Enrolling in CHS (1, 2 or 3)

1
2
3

*

I/we can afford to pay a total of for my/our child(ren) to attend the Chabad Hebrew School:

How much can you afford?*

Please charge my credit card for $100 per child today and charge the balance in 6 equal monthly payments (from October 1 through March 1).

I would be happy to volunteer at Chabad! Here’s what I can offer (please include times available and any specific talent or idea you may have):

Pod-Classes Information

My #1 choice day of the week (Monday-Thursday):*

My #2 choice day of the week (Monday-Thursday):*

My choice time of day (please give 2 hour window):*

Names of other children to join my pod:*

How many 6-week sessions are you signing up for this year?*

One 6 week session ($240)
Two 6 week sessions ($480)
Three 6 week sessions ($720
Four 6 week sessions ($960)

Payment Options*

Pay in full now for one 6-week session ($240)
Pay $120 now and $120 after the second week of the pod

Support CHS Education

The cost of educating each of our Hebrew School students is approximately $1800. Any amount you can contribute to help cover the cost of your child’s or another child’s tuition is greatly appreciated.

Yes, I’d like to add this amount to help cover costs of CHS education.

Additional contribution*

RETURNING STUDENT REGISTRATION

Child #1

Child #2

Child #3

Parent's Information

Grandparents

Grandparent 1

Grandparent 2

Grandparent 3

Virtual / In Person

Pod-Classes Information

Support CHS Education

Registration

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