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Registration 2017-2018

Registration 2017-2018

CHS registration now open2.jpg

We are currently accepting applications for the 2017-2018 school year.

Please fill out ALL fields of this form.

For RETURNING students, GRADES K - 7TH, click here for our online quick & easy registration form.

For students interested in pick-up from the JCC, please click here to fill out the Pick-Up Form.

Parents - To sign up for volunteer opportunities, click here!

To download a printable registration form, click here.

FOR BAT MITZVAH CLUB & JEWISH GIRLS CLUB (post Bat Mitzvah) contact Morah Etty at 619.757.0486 or MorahEtty@ChabadSWB.com or Click Here.

We are looking forward to a great year in Hebrew School!

FAMILY INFORMATION:
Family Name:
Home Phone:
Address:
City, State, Zip:
Mother's Information
Name:
Hebrew Name:
Birthday:
Address: (if different)
Home Phone: (if different)
Cell:
Work:
Email:
Father's Information
Name:
Hebrew Name:
Birthday:
Address: (if different)
Home Phone: (if different)
Cell:
Work:
Email:
Marital Status:
Child resides with:

If other, please specify:



STUDENT INFORMATION - CHILD 1
Name:
Hebrew Name:
Date of Birth:
City of Birth:
Time of Birth: AM PM
 
School:
Grade in Sept. 2017:
STUDENT INFORMATION - CHILD 2
Name:
Hebrew Name:
Date of Birth:
City of Birth:
Time of Birth: AM PM
 
School:
Grade in Sept. 2017:
GENERAL INFORMATION
Is the natural mother of the child Jewish? YesNo  
Is the mother's mother Jewish? Yes No  
Is the natural father of the child Jewish? Yes No  
Is the father's mother Jewish? Yes No

Have there been any conversions or adoptions in the family history? 

Has your child(ren) attended Hebrew School before?
If yes, where and for how long?
Does your child(ren) have any learning disablities with general studies? Please specify.
Special Instructions (allergies, etc):
Emergency Contact (Besides Parent):  
Name:

Phone number:

Persons authorized to pick up my child(ren):

What are some of the goals you hope your child will achieve through attending the Chabad Hebrew School?


How did you hear about CHS? (Check all that apply for this year)

Facebook

Internet Search

Referred by:

Other:

 

HELP US EXPAND
Are you or someone you know interested in a Pre-K Hebrew School Class? Let us know who!
Name: Contact Phone: Contact E-mail:
     
Are you or someone you know interested in a Mommy & Me for babies, newborn - 3 years old? Let us know who!
Name: Contact Phone: Contact E-mail:

 

TUITION

Kindergarten - 7th Grade: Chabad Members: $600, Community: $850 per child.

Registration & Book Fee: $125 per student, $75 per student when application is completed and registration fee paid by Wednesday June 7th, 2017 

Security Fee: $75 per family.

For Bat Mitzvah Club & Middle School Girls click Here.

SAVE MONEY & REFER A FRIEND

CHS is proud to offer a $100 tuition credit to any current family that refers a new family who then enrolls their child/ren in Chabad Hebrew School! There is no limit on the amount of tuition credits you may earn. Tuition Credits are awarded per new family that enrolls! Help yourself while you help your school grow!

Membership
Membership entitles you to High Holiday seats and various discounts throughout the year. Membership is not required for participation in ANY Chabad program.
Platinum Members $1800
Gold Members $1500
Silver Members $1200
Family Members $900


Scholarship Information

At Chabad, no child will be turned away for lack of funds. Call our office to inquire about the scholarship qualifications and the application process. A scholarship application must be completed for review by the Scholarship Board. Please note: Scholarship and payment plan agreements must be signed prior to your child beginning Hebrew School.

 

Payment Plans

1 Check / Credit Card* payment in full (due before the first day of Hebrew School)

Please divide my Check payment into installments, for deposit on the 15th of each month. All post-dated checks must be submitted with registration.

Please divide my Credit Card* into installments to be charged on the 15th of each month.

Card Number: Exp: Security Code:

Zip Code:

*A service charge of 3.5% will be added to all tuition and fee payments made by credit card.

 

I would like to assist a child who cannot afford Hebrew School Education.

 

AGREEMENT

Please enroll my child(red) in Chabad Hebrew School!

MY TOTAL MEMBERSHIP (if applicable) AND TUITION OBLIGATION (including fees) IS $

I will send in Check/s made payable to Chabad of SW Broward.

Please charge my Credit Card

 

Admissions: This signed registration form along with full payment or completed and approved payment plan must be submitted to the school office before any child will be permitted to attend classes. Registration and enrollment is only complete after payment plan approval and registration fees are received. Refund Policy: Refunds for children withdrawing from school before the end of the school year will be pro-rated up to February 1st provided that the school office is given 30 days written notice. Tuition refunds will not be granted to children withdrawing from school after February 1. Registration and book fees are non-refundable. There are no refunds or credits for days missed due to illness, holidays, or family vacations.

Emergency plan: I 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/us prior to such treatment.

Miscellaneous: I allow my child to be photographed while participating in Hebrew School activities and for these photographs to be used in the marketing of Chabad activities. I understand that all liability and costs resulting from damage to property and/or personal injury caused or attributable to my child(ren)will be my responsibility and I agree to fully indemnify Chabad Lubavitch of Southwest Broward, Inc. and Chabad Hebrew School and its associates, teachers and agents harmless therefrom. I authorize my child(ren) to participate in trips conducted by Chabad Hebrew School.

I certify that I am the parent or legal guardian of the above listed child(ren), that I have read and understand the full agreement as published online at ChabadSWB.com, that I agree to pay full amount due and that I agree to all policies as set forth by Chabad Hebrew School.

Electronic Signature:   Date:

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