Inquiry Form - Chabad Hebrew School

Thank you for your interest in the after school Torah Classes at the Ben Gamla Hollywood campus 2025-26. More information regarding the opening date & details of the program will be sent out in June. The program will run 5 days a week immediately after school dismissal. If you are interested in this program, please fill out this form & we will keep you informed with all the details & registration.

Rabbi Motty & Raizy Dubov
1. Child/ren’s Information
Child 1*
First Name Last Name
Grade Entering
Birth Date*

Month Day Year
Gender*

MaleFemale
Child 2
First Name Last Name
Grade Entering
Birth Date

Month Day Year
Gender

MaleFemale
Child 3
First Name Last Name
Grade Entering
Birth Date

Month Day Year
Gender

MaleFemale
2. Parents information
Phone Number*

Area Code Phone Number

Address*

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