ב"ה

Chabad Hebrew School Registration 2021/22

Address*

3. Emergency Information
Emergency Contact*
First NameLast Name
Phone Number*
Area CodePhone Number
Relationship*
4. Payment Information
Tuition Fees:
$75 Registration* fee per child
$1480 Tuiton for the year (November 1 - June 8)
*The registration fee is non refundable
Tuition payment options*
1 Payment of $1480 (Charged on 10/20)3 Payments of $493 (Charged on 10/20, 12/20, 2/20)8 Monthly Payments of $185 (Charged on 10/20 -5/20)
Total
$0.00

Payment

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

SICK/MISSED DAYS*
No refunds will be given for any withdrawals and/or incomplete attendance regardless of the reason.
PERSONAL PROPERTY*
Chabad Hebrew School is not responsible for any stolen or lost items brought to school. Please do not send your child with expensive electronics or toys
EMERGENCIES (G-D FORBID)*
If an emergency arises (G-d forbid) and none of the above numbers can be contacted, I hereby give Chabad Hebrew School permission to take whatever measure it feels proper and necessary considering circumstances.
UNRULY BEHAVIOR*
Any student who physically or emotionally harms him/herself or others is subject to suspension at the schools discretion.
PROPERTY DAMAGE*
Any school property damaged by a child, will be the responsibility of the parents to fix/ replace or reimburse.
MEDIA*
Chabad Hebrew School is hereby granted permission to use any photo or video showing our child/ren involved in school activities.
TRIPS AND EXCURSIONS*
I hereby give Chabad Hebrew School permission to take my child on all outings and trips and to sign any & all permission slips on behalf of my child.
General comments
A $75 per child registration fee will be charged when you submit this form. This fee is non refundable.
Should be Empty:

This page uses TLS encryption to keep your data secure.

2. Parent information