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New Student/s Registration

3 Track Options
1. In Person on Tuesdays 4:00 PM - 5:45 PM - small class sizes - following government guidelines.
2. At Home "Out of the Box " Hebrew School - once a week virtual class with live teachers - All supplies & materials provided. Date and Time TBD
3. " Pod Classes" - small groups in private homes, once a week - you provide the kids, we provide the rest. Day & Time based on family preference.
Student Information
Child 1
Full Name
First NameLast Name
Hebrew Name
Gender
FemaleMale
Birth Date
MonthDayYear
School
Grade Entering
Hebrew Reading Proficiency
NoneSomewhatWell
Previous Jewish Education
YesNo
Where?
Medical information - Any Medical challenges?
YesNo
If yes, please explain
Which Track?
In PersonVirtual ClassPod Class
Child 2
Full Name
First NameLast Name
Hebrew Name
Gender
FemaleMale
Birth Date
MonthDayYear
School
Grade Entering
Hebrew Reading Proficiency
NoneSomewhatWell
Previous Jewish Education
YesNo
Where?
Medical information - Any Medical challenges?
YesNo
If yes, please explain
Which Track?
In PersonVirtual ClassPod Class
Parent Information
Father's Full Name
First NameLast Name
Phone Number
Area CodePhone Number
Father's E-mail
Mother's Full Name
First NameLast Name
Phone Number
Area CodePhone Number
Mother's E-mail

Address

Home Phone Number
Area CodePhone Number
Is the biological mother of the child(ren) Jewish?
YesNo
Have there been any adoptions or conversions in the family (e.g., the child, parents, grandparents)
YesNo
if yes, who was the Rabbi?
Emergency Contact
Full Name
First NameLast Name
Phone Number
Area CodePhone Number
Relation to child
Tuition
24 HOUR FLASH DISCOUNT
I AM REGISTERING BEFORE 7/23 6:00 PM
Hebrew School Tuition is:
$1600 Per Child for the Full Year
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.
I am registering for
One childTwo childrenThree children
Select Payment Plan
Pay in fullThree paymentsOther - call to discuss
Total Amount to be charged today
$

Payment

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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 outlined above.
I agree
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Student Information