Hebrew School Registration

We are excited to be accepting applications for the 2024-2025 school year!

Tuesdays, 4:00pm-5:45pm
Full year tuition- $825
Start date: September 10, 2024

Calendar with the full schedule and vacation days will be updated soon.

We will never turn anyone away for financial reasons, please inquire about financial assistance- [email protected]

Our program does not require any family membership at a synagogue and all students and their families are welcome to attend services at Chabad at no additional cost. Our programs are open to families of all backgrounds and affiliations, no family will be denied because of inability to pay.

*Please note, our synagogue is traditional, and we can only officiate life cycle events, such as Bar and Bat Mitzvah, for children of a Jewish mother or those converted under Halachic auspices. Email [email protected] with any questions.

Please fill out ALL fields in this form. If you have any questions or concerns, please contact our director, Chanchie, at [email protected] or 603.647.0204.

Returning Student

Yes

New Student

Yes

How many children?*

Full Name*

First Name Last Name

Number

Hebrew Name

Birth Date*

Month Day Year

Grade entering*

Additional notable information Please let us know if there are any allergies, IEPs or other important information we need to be aware of.

Full Name

First Name Last Name

Hebrew Name

Birth Date

Month Day Year

Grade entering

Additional notable Information Please let us know if there are any allergies, IEPs or other important information we need to be aware of.

Full Name

First Name Last Name

Hebrew Name

Birth Date

Month Day Year

Grade entering

Additional notable Information Please let us know if there are any allergies, IEPs or other important information we need to be aware of.

Father's Name*

First Name Last Name

Father Jewish by:*

BirthChoiceNot Jewish

Father's Cell*

Area Code Phone Number

Father's email*

Mother's Name*

First Name Last Name

Mother Jewish by:*

BirthChoiceNot Jewish

Mother's Cell*

Area Code Phone Number

Mother's email*

Address*

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

Best way to send Hebrew School updates:**

Text MessageEmail

Security fee (per family). This fee helps cover the cost of our hired security guard that is at Chabad during every Hebrew School session.*

$100

Total

$0.00

I would like to pay today:Full amount50% minimum: $0.00 $

We need a credit card on file to process your application. If you would like to work out a more detailed payment plan, or want to pay by check please choose the 50% option for now, and follow up within 24 hours with an e-mail to [email protected]. Your credit card will not be charged automatically.

Payment*

Credit Card

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

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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, 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 and allow my child to be photographed while participating in Hebrew School activities and that these pictures may be used for marketing purposes.

Acknowledgement*

I accept

That by enrolling in Chabad Hebrew School a spot will be held for my child, including set up of classes, hiring teachers, purchasing of supplies and more.

Therefore we have adopted the following Refund Policy:

Registration is for the entire school year. No deductions or refunds are allowed for withdrawal or absence of the student, other than the following: Up to September 1st of the current year, full balance can be refunded minus the deposit. Up to October 1st, a 50% refund minus the deposit will be made. Refunds after October 1st cannot be granted unless a family relocates their primary residence out of commutable distance or a child is unable to participate for medical reasons. Requests will be considered on a case by case basis.

New students that would like to do a trial session before registering, please email [email protected] to arrange.

Acknowledgement*

I accept

That this is an application form for Chabad Hebrew School. CHS staff will review the application before determining enrollment. CHS may request a parent interview before confirming acceptance.

Acknowledgement*

I accept

Registration

Student Info

Student #1

Student #2

Student #3

Parent Information

Payment