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Register Preschool - Grade 6

Register Preschool - Grade 6

Registration is now open for Hebrew School year 2017 - 18

Please fill out ALL fields of this form. If you have
any questions or concerns you'd like to discuss with us, please contact us.

We look forward to a wonderful year of learning and growth!

Click here for returning Student

Student Profile #1
First Name
Last Name
Hebrew Name
Age
DOB
School
Grade Entering
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Where?


Student Profile #2
First Name
Last Name
Hebrew Name
Age
DOB
School
Grade Entering
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Where?



Student Profile #3
First Name
Last Name
Hebrew Name
Age
DOB
School
Grade Entering
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Where?



Family Information
Is the biological mother of the child(ren) Jewish? Yes No

Have there been any conversions or adoptions in the family? Yes No
If yes, who was the Rabbi?

 

Parent Information
Father's Name and Hebrew name
Mobile
Mother's Name and Hebrew name
Mobile
Home Phone
Address
City
Zip
Email*
* Email address allows us to communicate in the most efficient and economical manner. We do not use your address for other puropses.

Emergency Information
Emergency Contact 1
Phone
Relationship
Emergency Contact 2
Phone
Relationship


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.



 Dates and Rates:

Tuesday's 4:00-5:45 pm - Pre K - Grade 6 $1350
Tuesday's 4:00 - 5:15 pm Preschool ages 2 and 3 $950
Tuesday's 3:00 - 3:30 Safateinu - Hebrew Immersion $500

Wednesdays 5:00 - 6:30 PM SPECIAL HEBREW SCHOOL PROGRAM FOR GRADES 7-11

CLICK HERE TO REGISTER FOR HEBREW SCHOOL FOR GRADES 7+


Pick up and drop off one way - $150 both ways $250 My child attends PS

EARLY BIRD SPECIAL ENDS JUNE 14th - 10% off

Discount: There is a 10% discount off of the regular tuition for each additional child of the same family. There is a 5% additional discount off your total tuition for each child of another family you successfully introduce to the Chabad Hebrew School.

You may choose from the following payment methods:

PLAN A: You may pay the entire amount in full with a check, cash or credit card.

PLAN B: You may pay the annual tuition on a monthly basis by submitting 5 checks each dated September through Jan. All checks must be submitted before the first day of Hebrew School.

PLAN C: You may use your credit card to pay the tuition on a monthly basis. Your credit card will be billed monthly September - June. To do so please include your credit card number and expiration date.

Please note: Chabad Hebrew school will not turn anyone away due to a lack of funds for tuition assistants please contact us (confidentially)

Method of payment:

Credit CardCheck in the mail

Credit Card Information
Credit Card Number Billing Address
City State, Zip
Charge Amount Exp Date
CVV    

 

Terms of Agreement

In the event of an emergency, Chabad BPC Hebrew School has my permission to arrange for any necessary first-aid or care by a licensed physician/first-aid worker. Chabad BPC Hebrew School has my permission to use my child's photo in its publicity materials. I have completed the Enrollment Form and agree to pay any balance according to the terms of agreement oulined above.

I Accept

Name: Initials:


We look forward to a wonderful year of learning and growth!

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