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)

RATES

Early Bird Discount: Before June 1 - 25% discount

K - Free
Grades 1-5 - Members $800 | Non-Members $1,100
Bar/Bat Mitzvah Club 6-7 - Members $900 | Non-Members $1,200

+ $100 Security Fee per Family
+ $50 Registration Fee per Child

Have a family to refer?*

YesNo

Family Name*

Family's E-mail*

Family's Phone Number*

Area Code Phone Number

The deduction will be factored in when your referred family registers.

Mother's Name*

First Name Last Name

Hebrew Name

Mother's Phone Number*

Area Code Phone Number

Mother's E-mail*

I would like to receive news and updates by email

Father's Name

First Name Last Name

Hebrew Name

Father's E-mail

Father's Phone Number

Area Code Phone Number

Father's Occupation

Home Phone

Area Code Phone Number

Marital Status*

Address*

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

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?*

NoSomewhatWell

What is their sweater size?*

(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?*

NoSomewhatWell

(2) What is their sweater size?*

(3) Child's Name*

First Name Last Name

(3) Hebrew Name*

(3) Birth Date*

Month Day Year

(3) Time of Birth*

Hour Minutes

(3) Place of Birth

(3) Age

(3) Gender*

MaleFemale

(3) What grade are they entering in September 2025?*

(3) Program (Members)*

(3) Program (Non-Members)*

(3) School Attended

(3) Any considerations such as learning disorders or difficulty at school we should be aware of (Confidential)

(3) Does your child read basic Hebrew?*

NoSomewhatWell

(3) What is their sweater size?*

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.

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?

*

By registering, I acknowledge and give consent for photos of my child(ren) to be taken during Hebrew School and shared on social media for promotional purposes.

Security Fee

Choose Payment Option*

One-Time Payment10 Monthly Payments (Aug-May)

Your first tuition installment will be due in August 2025. A minimum registration fee of $50 per child is required at the time of registration.

Total

$0.00

I would like to pay today:Full amount$50.00 minimum$

Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Register

RATES

Early Bird Discount: Before June 1 - 25% discount

Parent's Info

Child's Info

Emergency Contact

RATES Early Bird Discount: Before June 1 - 25% discount

Parent's Info

Child's Info

Emergency Contact

RATES

Early Bird Discount: Before June 1 - 25% discount