Security fee Option 1Option 2Option 3 Parent's Name:* First Name Last Name E-mail* Phone Number* Child 1 Name:* First Name Last Name Grade Entering as of 09/2026* KindergartenFirst Second ThirdFourth FifthSixthSeventhEighth 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. I would like to add another child Child 2 Name:* First Name Last Name Grade Entering as of 09/2026* KindergartenFirst Second ThirdFourth FifthSixthSeventhEighth 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. I would like to add another child Child 3 Name:* First Name Last Name Grade Entering as of 09/2026* KindergartenFirst Second ThirdFourth FifthSixthSeventhEighth 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. As the parent(s) or legal guardian of the above child(ren), I/we authorize any adult acting on behalf of the 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, the 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 the Chabad Hebrew School activities and that these pictures may be used for marketing purposes.* I accept Full Name & Initials* Full Name Initials We look forward to a wonderful year of learning and growth! Your form is not complete without a payment plan. Hebrew School Fee: Early rate: $825 (All fees & supplies included) After August 1st: $875 $25 sibling discount Security Fee $150 (per family) Payment plans available. See below. *No child is ever turned away due to lack of funds. Payment For your convenience, you may pay for Hebrew School online. This page uses a secure connection and your information will not be shared with anyone. Please select all that apply:* Child 1 - $825 ($875 on 8/1)Child 2 - $800 ($850 on 8/1)Child 3 - $800 ($850 on 8/1) Total $150.00 I would like to pay today:Full amount$100.00 minimum$ Payment Options* Pay in fullPay in two installments 8/15/2026 and 1/15/2027As per our discussion, an alternative payment plan has been arranged. Additional Notes: You will be directed to payment processing form upon submission. Submit Should be Empty: This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
