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REGISTRATION

Register your child for the new year.

REGISTRATION

We are currently accepting application forms for the 2019-2020 school year at the Jamshid & Miriam Tehrani Chabad Hebrew School. You can apply today!

We would love to meet with you in person so that we can learn what you and your child’s needs are. Please contact us to set up an appointment.

How many children are you registering today?
- 1
- 2
- 3
Child 1 Name*
First Last
Hebrew Name
DOB*
Date Format: MM slash DD slash YYYY
Age*
Gender*
- Boy
- Girl
School*
Grade Entering*
Second Child
Child 2 Name*
First Last
Hebrew Name
DOB*
Date Format: MM slash DD slash YYYY
Age*
Gender*
- Boy
- Girl
School*
Grade Entering*
Third Child
Child 3 Name*
First Last
Hebrew Name
DOB*
Date Format: MM slash DD slash YYYY
Age*
Gender*
- Boy
- Girl
School*
Grade Entering*
Previous Jewish Education?
- Yes
- No
Where?
Is the natural mother of the Child(ren) Jewish?*
- Yes
- No
Were there any conversions or adoptions in the Family?*
- Yes
- No
Please provide details:
Are the child(ren)s parents living together?*
- Yes
- No
Parent Information
Father's Name*
First Last
Hebrew Name
Home Phone
Father's Cell*
Father's Email*
Occupation*
Mother's Name*
First Last
Hebrew Name
Home Phone
Mother's Cell*
Mother's Email*
Occupation*
Address*
Street Address Address Line 2 City State ZIP Code
Persons to be contacted in case of an emergency when parents cannot be reached. Please provide at two contacts.
Name 1*
First Last
Phone*
Relationship to child*
Name 2
First Last
Phone
Relationship to child
Does your child attend any special education program in public school?*
- Yes
- No
Please explain*
Program Options*
- First Taste Program - Grades K, 1 Sunday Morning, 9:30 AM - 12 PM | Fee: $900
- Hebrew School - Grades 2-7 Sunday Morning, 9:30 AM - 12 PM & Wednesday 4:30 - 6 PM | Fee: $1,200
- ADDITIONAL FEE: $150 PER FAMILY SECURITY FEE
Early Bird Special! Receive a $50 discount per child for applications received by July 6, 2020
- Yes, I'm applying by July 6, 2020
Payment Options*
- Full Payment of tuition with this registration form (you will be redirected to the payment page after clicking Submit)
- Provide a $100 deposit per child and post dated checks (last check must be dated before May 1, 2021) with this registration form. (Checks must be sent right away if you select this option)
- Monthly Payment: $100 deposit per child at time of enrollment, followed by monthly payments automatically deducted through April 1, 2021 (you will be redirected to the payment page after clicking Submit)
Please check one option.
Additional Fee: $150 Per Family Security Fee
CONFIDENTIAL: Does your child have any allergies or other medical condition, require medication, or any special abilities or disabilities we should be aware of?*
- Yes
- No
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 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, 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 school activities, join in class and school trips on and beyond school 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*
We look forward to a wonderful year of learning and growth!

Registration

New Student Registration
Returning Student Registration

Contact Us

(215) 591-9310
Devorah@Jewishmc.com

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