RETURNING STUDENTS Register your returning child to Hebrew School. register today RETURNING STUDENT REGISTRATION This year we are offering 3 amazing tracks! Click here for track details.WHICH TRACK ARE YOU CHOOSING?*In-Person TrackVirtual TrackThe Pod TrackFor tuition rates, please click here. How many children are you registering today?*123Child #1Name* First Last Hebrew NameDOB* Date Format: MM slash DD slash YYYY Time of Day Born* : HH MM AM PM Gender*BoyGirlAge*Grade Entering in September*KindergartenFirstSecondThirdFourthFifthSixthSeventhEighthSchool*Previous Jewish Education:*YesNoWhere?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 #2Name* First Last Hebrew NameDOB* Date Format: MM slash DD slash YYYY Gender*BoyGirlTime of Day Born* : HH MM AM PM Age*Grade Entering in September*KindergartenFirstSecondThirdFourthFifthSixthSeventhEighthSchool*Previous Jewish Education:*YesNoWhere?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 #3Name* First Last Hebrew Name*DOB* Date Format: MM slash DD slash YYYY Time of Day Born* : HH MM AM PM GenderBoyGirlAge*School*Grade Entering in September*KindergartenFirstSecondThirdFourthFifthSixthSeventhEighthPrevious Jewish Education:*YesNoWhere?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?*YesNoIs the natural father of the child(ren) Jewish?*YesNoIs the maternal grandmother of the child(ren) Jewish?*YesNoAre there any conversions and/or adoptions in the family?*YesNoPlease provide details*Is the family contact info (address, phone numbers, emails) we have on record still current?*YesNoParent's InformationHome Phone Number*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Father's Name*Father's Hebrew NameFather's Cell Phone Number*Father's Occupation*Mother's Name*Mother's Hebrew NameMother's Cell Phone Number*Mother's Occupation*Mother's Email* Father's Email* Which email would you like used for updates and newsletter*Email UpdatesMother'sFather'sBothMarital Status*Marital StatusMarriedSingleDivorcedWidowedEmergency Contact Name*Relationship to child*Phone Number*GrandparentsWe 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 1Grandparent 1*NamesMaternal/ Paternal*MaternalPaternalAddress* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Grandparent 2Grandparent 2Maternal/ PaternalMaternalPaternalAddress Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Grandparent 3Grandparent 3Maternal/ PaternalMaternalPaternalAddress Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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 PersonPayment Options*Pay in FullMonthly 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 neededFamily Name# of Children Enrolling in CHS (1, 2 or 3)123* 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 InformationMy #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 podSupport CHS EducationThe 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*