Hebrew School - New Student

Hebrew School Registration Form - New Student
We are currently accepting applications for the 2024-2025 school year. Please fill out ALL fields of the form. If you have any questions or concerns you would like to discuss with us, feel free to call out director, Sara Buming at 240-621-0770 or email [email protected]

For RETURNING STUDENTS click here
I am looking to register*
Student Profile - Child 1
Full Name
First Name Last Name
Hebrew Name
Age
Birth Date

Month Day Year
Time of Birth In Judaism the day begins at nightfall, so inorder to determine the exact date of your Jewish birthday we need to know what time of day you were born.
School
Grade Entering
Hebrew Reading Proficiency

NoneSomewhatWell
Previous Jewish Education

YesNo
Where?
Does your child have any learning disabilities? Please specify. (This information will help us better cater to the needs of your child.)
Student Profile - Child 2
Full Name
First Name Last Name
Hebrew Name
Age
Birth Date

Month Day Year
Time of Birth In Judaism the day begins at nightfall, so inorder to determine the exact date of your Jewish birthday we need to know what time of day you were born.
School
Grade Entering
Hebrew Reading Proficiency

NoneSomewhatWell
Previous Jewish Education

YesNo
Where?
Does your child have any learning disabilities? Please specify. (This information will help us better cater to the needs of your child.)
Student Profile - Child 3
Full Name
First Name Last Name
Hebrew Name
Age
Birth Date

Month Day Year
Time of Birth In Judaism the day begins at nightfall, so inorder to determine the exact date of your Jewish birthday we need to know what time of day you were born.
School
Grade Entering
Hebrew Reading Proficiency

NoneSomewhatWell
Previous Jewish Education

YesNo
Where?
Does your child have any learning disabilities? Please specify. (This information will help us better cater to the needs of your child.)
Parent Information

Address

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

Father's Name
First Name Last Name
Father's Occupation
Father's Cell
Father's E-mail
Mother's Name
First Name Last Name
Mother's Occupation
Mother's Cell
Mother's E-mail
Maternal Grandmother born Jewish?

YesNo
Mother born Jewish?

YesNo
Converted by whom? Name of Rabbi & Beit Din*
Upload conversion documentation*
Any adoptions in the family?*

YesNo
In relation any adoptions, please explain
Emergency Information
Emergency Contact 1
First Name Last Name
Phone
Emergency Contact 2
First Name Last Name
Phone
Doctor's Name
Doctor's Phone Number
Medical Insurance Company
Policy Number
Confidential Does your child have any allergies or other medical condition we should be aware of> If yes, please describe them and indicate special precautions or care needed.
Registration Payment Agreement

This registration form is for payment of registration fees only(Registration: $50/child early bird by June 15; $100/child after June 15). Payment for Hebrew School tuition is by check or cash. If you choose to pay by credit card, please use the "Tuition Payment page" which automatically adds the 3.5% credit card fee which we incur. Tuition payment is due in full by September 1, 2024 or half by September 1, 2024 and half by January 15, 2025.

Tuition for the year, per child: $850
Discount: 10% for each additional child.

Security Fee: $300 per family

*The security fee will help cover weekly police protection
Registration Fee $100 per child
Security Fee $300 per family
Total Registration Cost

$300.00

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

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 Date
We look forward to a wonderful year of learning and growth!
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In this Section

● Hebrew School - New Student

● Register Returning Students

● Tuition Payment Page

● JUDA

● Register - CTeen Jr. - Hebrew School

● Hebrew School Shabbat Dinners

● Mezuzah Campaign

Photo Gallery

Updates

Your children deserve nothing but the best. Give them the gift of a Jewish education that will remain with them forever. Call 240-621-0770

Upcoming events

Dec. 11, 2024

Bat Mitzvah Club

The Bat Mitzvah Club is an opportunity to learn about Jewish females, be mentored by a dynamic young woman while sharing ideas, friendship, and fun with girls on the same Bat Mitzvah journey.

Jan. 08, 2025

Bat Mitzvah Club

The Bat Mitzvah Club is an opportunity to learn about Jewish females, be mentored by a dynamic young woman while sharing ideas, friendship, and fun with girls on the same Bat Mitzvah journey.

Feb. 12, 2025

Bat Mitzvah Club

The Bat Mitzvah Club is an opportunity to learn about Jewish females, be mentored by a dynamic young woman while sharing ideas, friendship, and fun with girls on the same Bat Mitzvah journey.

Hebrew School Registration Form - New Student