Hebrew School

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I am registering for

Hebrew School Nursery Class (ages 3-4)Hebrew School Elementary Class (ages 5-8)
I am registering for *

SuperJews (Ages 3-5)Maccabess (Grades 1-4)
Parent Information
Parent's Name*
First Name Last Name
Cell Phone Number*

Area Code Phone 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 Name Last Name
Emergency Information
Emergency Contact (other than parent):*
Relationship to Family:*
Emergency Contact Phone Number*

Area Code Phone 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:
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Tuition: $1600 for the yearEarly Bird - register by June 1st: $1500Chabad Club Partner family: $1300 for the yearSibling discount: 10% off the second tuition: $1,440I have made alternate arrangements with the director.
Total

$0.00

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