Quick and Easy Registration

for Returning Students:

If you are signing up for the first time, please use our new student registration form, click here for the new student registration form.

Parents First Name Parent's Last Name
Child's Name 1 Grade Entering as of 9/18
Child's Name 2

Grade Entering as of 9/18

Child's Name 3 Grade Entering as of 9/18
Information and Payment
My contact information has not changed I would like to join Partnership/ Membership and get 1 month FREE!

Please charge my card Monthly Payments:
1 Child: $180 now, $7 payments of $100 (Includes $30 Early Bird Discount)
2 Children: $290 now, 7 payments of $200 (Includes $70 Sibling Discount and $60 Early Bird Discount) 
3 Children
:$435 Now plus 7 Payments of $300 (Includes $105 sibling discount and $90 Early Bird Discount)


I will Pay in Full:
1 Child: $860
(Includes $30 Early Bird discount $20 payment in full discount))
2 Children: $1,650 (Includes $70 sibling discount and $60 Early Bird discount $40 payment in full discount))
3 Children:
$2,475 (Includes $105 sibling discount ,$90 Early Bird discount and $60 payment in full discount)

Please charge the card I have on File (If you check this box you do not need to fill out CC info below) Phone Number:
Please use the Following Credit Card Total Amount to charge my card today
Name on Card CC #
Exp Date CVV Code
Address Zip
As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of 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, Chabad 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, 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. If for any reason you decide to cancel during the year, you will be refunded/ not charged from the beginning of the next month. There are no refunds after May 1st. I understand that by recieving the early bird discount my first payment is non-refundable.
Name Date