Enroll

Number of children to be enrolled:

Child's Name*

First Name Last Name

Hebrew Name*

Exact time of day child was born? (To determine Childs Hebrew Birthday)*

Birth Date*

Month Day Year

School*

Grade entering*

Additional notable Information

Does your child have any allergies or any other medical condition we should be aware of ?

How would you like to receive updates with regards to Hebrew School ?

Were there conversions or adoptions in the family?*

YesNo

Child #2 Name

First Name Last Name

Hebrew Name

Exact time of day child was born? (To determine Childs Hebrew Birthday)

Birth Date

Month Day Year

School

Grade entering

Additional notable Information

Does your child have any allergies or any other medical condition we should be aware of ?

How would you like to receive updates with regards to Hebrew School ?

Were there conversions or adoptions in the family?

YesNo

Child #3 Name

First Name Last Name

Hebrew Name

Exact time of day child was born? (To determine Childs Hebrew Birthday)

Birth Date

Month Day Year

School

Grade entering

Additional notable Information

Does your child have any allergies or any other medical condition we should be aware of ?

How would you like to receive updates with regards to Hebrew School ?

Were there conversions or adoptions in the family?

YesNo

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad JUDA 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 JUDA 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 JUDA activities and that these pictures may be used for marketing purposes

I accept*

Yes

Parent 1 info - Name*

First Name Last Name

Phone number*

E-mail*

Address*

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

Parent 2 info - Name*

First Name Last Name

Phone number*

E-mail*

Address (if Different)

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

Mother Born Jewish?*

YesConvertedNot Jewish

Marital Status*

MarriedDivorcedSeperate

Conversion performed by?

Emergency contact 1*

Phone number*

Emergency contact 2

Phone Number

Doctor name / office

Doctor number

TUITION AND HOW TO SAVE!

Tuition: JUDA $850 per child (all inclusive)

EARLY BIRD DISCOUNT! Sign up before August 21 and save $50!

Sibling discount - 10% OFF OF 2nd Childs Tuition

Kindergarten is FREE!

Referrals: Rebate of $75 for each family that signs up.

* Synagogue membership is NOT required. Please note, that no child will be turned away due to lack of funds. Please contact the office here to discuss any financial considerations.

I understand the rates

I would like more info about..

Private Hebrew LessonsBnei Mitzvah Tutoring/Celebrations

Comments

After you have successfully submitted your application it will be subject to review. A team member will reach out to schedule a follow up call to discuss your application and confirm it's approval. Once approved an invoice will be sent to complete your child's enrollment.

We look forward to providing your children with an outstanding Hebrew and Jewish education!

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Registration for 2024-25 open!

Registration

Parent's Information

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