Registration

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Hebrew School is for children aged 5-11 and will take place at Chabad on Sundays, from 10:00am - 12:00 pm.
Tuition: $1000 per child.
No student will be turned away due to lack of funds. Please call Rabbi Moshe Bleich on 781-239-1076 or email [email protected] to discuss financial payments.
Returning student
Number of returning students:*
Returning Student: Child 1: Full Name:
First Name Last Name
Returning Student: Child 2: Full Name:
First Name Last Name
Returning Student: Child 3: Full Name:
First Name Last Name
How many children joining?*
Student Info
Child 1
Full Name*
First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
School*
Grade entering*
Hebrew reading proficiency

NoneWellSomewhat
Previous Jewish Education

YesNo
Student Info
Child 2
Full Name*
First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
School*
Grade entering*
Hebrew reading proficiency

NoneWellSomewhat
Previous Jewish Education

YesNo
Student Info
Child 3
Full Name*
First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
School*
Grade entering*
Hebrew reading proficiency

NoneWellSomewhat
Previous Jewish Education

YesNo
Parent/Guardian Info
Parent/Guardian 1
First Name Last Name
Cell Phone Number*

Area Code Phone Number
E-mail*

Address*

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

Parent/Guardian 2
First Name Last Name
Cell Phone Number*

Area Code Phone Number
E-mail*

Address (if different)

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

I would like to receive news and updates by email
Additional Information
Were there any conversions or adoptions in the family? Please provide details
Any considerations, such as learning disorder or difficulty, the teacher should be aware of?
Does your child(ren) have any allergies or other medical conditions we should be aware of? If yes, please describe them and indicate special precautions or care needed.
Additional notable information
Emergency Contact*
First Name Last Name
Phone Number*

Area Code Phone Number
Permissions
As the parent(s) or legal guardian of the above child(ren), I/we give permission for my child(ren) to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Chabad Hebrew School activities and that these pictures may be used for marketing purposes.

YesNo
Special Opportunity! In the Old City of Jerusalem, there’s a special Torah scroll being written for Jewish children. Over two million children have already bought their own letter in these Torah scrolls. You, too, can buy a letter in a Torah scroll and unite with Jewish children from all over the world. You will receive a beautiful certificate from Israel, the Holy Land, with your name and the name of the Torah portion where your letter has been written!

Yes! I’d like to buy my child their own letter in the Children’s Torah! Cost $1
Payment
Tuition for the coming year will be $1000 per child, which includes book and miscellaneous fees.
Child 1 - Tuition Payment Options*

Full payment of $1000 per studentThree part payment planWe would like to discuss a scholarship
Child 2 - Tuition Payment Options*

Full payment of $1000 per studentThree part payment planWe would like to discuss a scholarship
Returning Child 2 - Tuition Payment Options*

Full payment of $1000 per studentThree part payment planWe would like to discuss a scholarship
Child 3 - Tuition Payment Options*

Full payment of $1000 per studentThree part payment planWe would like to discuss a scholarship
Returning Child 3 - Tuition Payment Options*

Full payment of $1000 per studentThree part payment planWe would like to discuss a scholarship
Total

$0.00

Payment

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Postal / Zip Code

Country

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Educate Your Child... Educate a Generation

Student Info

Student Info

Student Info

Parent/Guardian Info

Additional Information

Permissions

Payment