Hebrew School

Cost: $1200 per year (Sep-June)
Join us for an Open House and Info Fair on Tuesday September 13 at 3:00pm
Hebrew School First Day: Tuesday September 20.
Student Profile
Child's Name*
Hebrew Name
Birth Date*
MonthDayYear
Time of birth (to determine Hebrew birthday)
Morning / daytimeEvening
Grade Entering*
Current School*

Home Address*

Parent Information
Parent's Name*
First NameLast Name
Cell Phone Number*
Area CodePhone Number
E-mail*
Are there any conversions or adoptions in the family?*
Yes, please describe below.No
If yes, please describe (all information is completely confidential):
Name of nanny/caregiver:
First NameLast Name
Emergency Information
Emergency Contact (other than parent):*
Relationship to Family:*
Emergency Contact Phone Number*
Area CodePhone Number
Doctor’s Name:*
Does your child have any medical issues we should be aware of?
Does your child have any food or medicine allergies?
Is there anything we should know about your child in order to give him/her the best Hebrew School experience?
What are your child's likes/dislikes, passions, interests?
Consent:*
I consent to emergency treatment given by the staff at Chabad Sutton aka Upper Midtown Chabad to my child ----- during Hebrew School hours.
Payment Method:
Please select:*
One time payment of $12002 payments of $600, one to paid at time of registration, one on January 4, 2021Registering as trial and/or have made payment arrangements with the director
Total
$0.00

Payment

Credit Card Check

Postal / Zip Code

Country

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Student Profile