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CKids Hebrew School

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ב"ה

Register

Is your family a member of the Chabad?*

YesNo
Click here for more information about being a member of the Chabad.
Synagogue Affiliated with (if any)
Child's Info
Rates

Early Bird Discount: Before June 1 - 25% discount
- K - Free
- Grades 1-5 - Members $800 | Non-Members $1,100
  + $100 Security Fee per family
- Bar/Bat Mitzvah Club 6-7 - Members $900 | Non-Members $1,200
  + $100 Security Fee per family
For how many child(ren)
Child's Name*
First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
Time of Birth*
Hour Minutes
Place of Birth
Age
Gender*

MaleFemale
What grade are they entering in September 2025?*
Program (Members)*
Program (Non-Members)*
School Attended
Any considerations such as learning disorders or difficulty at school we should be aware of (Confidential)
Does your child read basic Hebrew?*

NoneSomewhatWell
(2) Child's Name*
First Name Last Name
(2) Hebrew Name*
(2) Birth Date*

Month Day Year
(2) Time of Birth*
Hour Minutes
(2) Place of Birth
(2) Age
(2) Gender*

MaleFemale
(2) What grade are they entering in September 2025?*
(2) Program (Members)*
(2) Program (Non-Members)*
(2) School Attended
(2) Any considerations such as learning disorders or difficulty at school we should be aware of (Confidential)
(2) Does your child read basic Hebrew?*

NoneSomewhatWell
Is the natural mother of the child(ren) Jewish?*

YesNo
Were there any conversion or adoption in your family (mother, maternal grandmother etc)?*

YesNo
Please note: All conversions must be made through a registered Beth Din that is certified by the Chief Rabbinate of Israel. We do not Bar or Bat Mitzvah anyone whose mother is not Jewish by Israel’s Chief Rabbinate Halachic standards.
Parent's Info
Father's Name
First Name Last Name
Hebrew Name
Father's E-mail
I would like to receive news and updates by email
Father's Phone Number

Area Code Phone Number
Home Phone

Area Code Phone Number
Father's Occupation
Mother's Name
First Name Last Name
Hebrew Name
Mother's E-mail
Mother's Phone Number

Area Code Phone Number
Marital Status

Address

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

Emergency Contact
Emergency Contact 1*
First Name Last Name
Phone Number*

Area Code Phone Number
(1) Relationship to Child(ren)*
(1) Other - Relationship to Child(ren)*
Emergency Contact 2
First Name Last Name
(2) Phone Number

Area Code Phone Number
(2) Relationship to Child(ren)
(2) Other - Relationship to Child(ren)
Does your child have any allergies or other medical conditions we should be aware of?
Security Fee
Choose Payment Option*

One-Time Payment10 Monthly Payments (Aug-May)
Your 1st payment will be on August 2025.
Total

$0.00
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Payment*

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