Returning Student Registration Form

For returning students, please complete the brief registration form below to apply for the 2024-25 school year. (A New Student Registration Form must be completed for any siblings joining our program for the first time.)
We look forward to providing your children with an outstanding Hebrew and Jewish education!

Full Name*

First Name Last Name

Current Grade* School Year 2024-2025

Please share any changes in medical needs, allergies or educational needs.

Parents Primary Email Address for Parents Communications*

Tuition is $575 per child for the year. There is a non-refundable registration fee of $100 per child. This will be applied toward tuition payment.

Tuiton and deposits are not refundable*

Plan A: Payment in Full $575Plan B: Payment Plan (Please note, the non-refundable registration fee of $100 per child will be charged now. This will be applied toward payment plan. All tuition obligations must be paid in full by January 1, 2025)

Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

I hereby permit my child/ren to participate in all school activities. I will not hold Chabad or any of its officers and/or volunteers responsible.*

I agree

I allow Chabad and its staff to photograph and post photos of my child/ren for promotional or other purposes, in print and online.*

I agree

I hereby give my consent to the administration of the Chabad Center to take whatever medical measures they deem necessary, at my expense, for my child, in the event of a medical emergency. I will not hold them responsible for their decisions.*

I agree

Signature* My e-signature will be legally binding as a printed signature.

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