Chabad Hebrew School Registration 2024-2025

Child(ren)'s Information

How many children are you registering?*

1. Full Name*

First Name Last Name

Birth Date*

Month Day Year

Grade*

2. Full Name

First Name Last Name

Birth Date

Month Day Year

Grade

3. Full Name

First Name Last Name

Birth Date

Month Day Year

Grade

4. Full Name

First Name Last Name

Birth Date

Month Day Year

Grade

-

Parent's Information

Mother's Full Name*

First Name Last Name

Phone Number*

Area Code Phone Number

E-mail*

I would like to receive news and updates by email

Address*

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

Marital Status

MarriedDivorcedSingleWidowed

Father's Full Name

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

Marital Status

MarriedDivorcedSingleWidowed

Address (If different from above)

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

Notes

Is the natural mother of the child Jewish?*

YesNo

Is the child's maternal grandmother Jewish?*

YesNo

Please Note: Acceptance into Chabad Hebrew School does not confirm Jewish status.*

Noted

-

Grandparent Information

As it is customary we would like to give the grandparents much nachas by keeping them informed/involved in their grandchildren's education by adding them to our mailing list. We would like to provide them with information on school events, Chabad events and any campaigns going on through out the year.

Maternal Grandparents' Names

Maternal Grandparents' Email

Paternal Grandparents' Names

Paternal Grandparents' Email

-

Emergency Information

Emergency Contact #1*

First Name Last Name

Emergency Contact #1 Phone*

Area Code Phone Number

Emergency Contact #2

First Name Last Name

Emergency Contact #2 Phone

Area Code Phone Number

Doctor's Full Name*

First Name Last Name

Doctor's Phone Number*

Area Code Phone Number

Doctor's Address

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

Additional Notable Information:

-

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. Chabad Hebrew School is a project of Chabad of the Crescenta Valley and reserves the right to terminate this registration at any time and refund the balance paid.

*

I Accept

Name*

My e-signature will be legally binding as a printed signature

Initials*

-

Dismissal

I feel my child is old enough and it is safe for him/her to go outside and to meet me.

YesNo

-

Payment

Chabad Hebrew School is every Monday 4:00 pm - 6:00 pm from 9/9/2024 - 5/19/2025.

Chabad Hebrew School is $1000 for an entire year of Hebrew School for the first child, and 10% off for each additional child.

1 Child = $1000
2 Children = $1900 ($1000 for the 1st child, $900 for the 2nd)
3 Children = $2700 ($1000 for the 1st child, $900 for the 2nd, $800 for the 3rd)
4 Children = $3400 ($1000 for the 1st child, $900 for the 2nd, $800 for the 3rd, $700 for the 4th)
(Your 11th child attends Hebrew School for free :) !)

EARLY BIRD SPECIAL: All registrations in before July 1st will receive $50 off per student!

Please Note: Chabad has a "no child turned away" policy for any Jewish child that wishes to learn at our Hebrew School, but is lacking funds.

Please check the box below if you would like to sign up for a scholarship, and we will reach out to you.

Please contact me about your scholorship program

I am signing up:*

One Child = $1000Two Children = $1900Three Children = $2700Four Children = $3400

*A student that is signing up mid-year does not pay the full $1000, but rather tuition will be prorated according to the amount of Hebrew School classes that remain.

I would like to pay the tuition:*

All at once on the first day of Hebrew SchoolWith bi-monthly installments

Please Note:

1) There is a $50 registration fee that will be charged on day of registration.
2) The bi-monthly tuition installments will be processed automatically every two months with the credit card you will provide below. You will receive an email the day before the charge is processed to let you know what the total will be, and so you can always email us if there is any issue whatsoever.

I Accept

Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Questions or Comments:

Chabad Hebrew School Registration 2024-2025

Events and Activities

Adult Education

Hebrew School

Shabbat & Holiday Programming

Women's Events

Children's Programs