Printed from ChabadMidSuffolk.com
ב"ה

Registration

  • Hebrew School Registration 2021/2022

  • CHILD'S INFO:



  • Parents

  • PARENT 1:

  • PARENT 2:

  • HOME:

  • Medical/Emergency Information

  • EMERGENCY CONTACT:

  • MEDICAL & OTHER NEEDS:

  • PHYSICIAN:

  • General Information

  • AUTHORIZATION FOR ANOTHER PERSON TO PICK UP MY CHILD:

  • TRIPS:

  • I give permission for my child/ren to participate on class trips throughout the school year:

  • Tuition & Billing

  • K-2nd Grade             Track 1 & Track 2

              Member $250 and 7 Payments of 71.43 = $750

              Non member $250 and 7 Payments of 107.14 =$1,000

    3rd - 6th Grade           Track 1 & Track 2

             Member $250 and 7 Payments of 85.71 =$850

             Non member $250 and 7 Payments of 121.43 =$1,100

    CTeen Jr. - 7th Grade      Track 1 & Track 2

             Member $250 and 7 Payments of 114.29 =$1,050

             Non member $250 and 7 Payments of 178.57 =$1,500

  • PROGRAM & TUITION AGREEMENTS:

    I hereby confirm my child’s enrollment in The Chai Center Noskin Hebrew School.

    I represent that I am the custodial parent or legal guardian of the child that I am enrolling and that the information I have provided is true and correct. 

    I fully understand that this enrollment, as part of my commitment to a long-term Jewish education at Noskin Hebrew School, is accepted only on the basis of the full year program, and agree to pay the full annual fees accordingly. I understand that no refunds or adjustments will be made for absences including, but not limited to, illness or vacation.

    I agree to the following Mandatory Fees:

    Track 1
    $54 Student Activity Fee per family
    $100 Security Fee per family 

    Track 2
     $250 Material & Supplies Fee per child + Shipping

  • Pick a Date
  • PAYMENT OPTIONS:

  • 7 post-dated checks from September through March (The checks should be dated for the 1st of every month) OR
      7 Automatic monthly credit card payments on the 1st of the months: September through March

  •   
    Credit Card
    Billing Address
  • Disclaimer

  • Accident: As the parent(s) or legal guardian of the above child/ren, I/we authorize any adult acting on behalf of Noskin 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, Noskin Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment.

    Trips and Outings: I hereby give permission for my child to attend and participate in all trips and outings organised as part of the program by The Chai Center Noskin Hebrew School.

    Privacy: I hereby give permission for my child’s photographs/videos to be used in newsletters, local newspapers, The Chai Center and Noskin Hebrew School website or for promotion of our program.

  • Pick a Date
  • Should be Empty:
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