This form is for students who were in Chabad Hebrew school during the 2021-22 school year. Please use this short form to re-register your child for the 2022-2023 school year! If you have any questions or concerns you'd like to discuss with us, please contact us. Parent Email* Child's Name* First Name Hebrew Name Last Name Grade Entering* What are your goals in terms of your child's experience at Jewish Enrichment Club? Please number each line with numbers 1 to 5. (1=top priority), and add your own to the list. (0=not a priority) Thank you! Jewish Identity Being in a Jewish environment Hebrew Reading Hebrew Language Socializing with Jewish friends Jewish History Knowledge of Holidays and Traditions Knowledge of Jewish practices/mitzvot Knowledge of Basic Jewish prayers Add your own... Updated Information Please select from the following: All existing information on file is up-to-date. Our information has changed and the changes are listed below. Please update the following information: Address Email Address Phone Number Marital Status Medical/Emergency Contact Information Emergency Contact* First Name Last Name Phone Number* Area Code Phone Number Relationship* Phone Number Area Code Phone Number CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.* CONFIDENTIAL: Does your child have an IEP or receive any behaviorial or educational support in school? Please explain. Sharing this information with us enables us to create an environment in which your child can thrive.* List all persons authorized to pick-up child from school. As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad Hebrew School/Chabad 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 personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Chabad activities and that these pictures may be used for marketing purposes. I Accept* Yes Full Name* First Name Last Name Date* We look forward to a wonderful year of fun, learning and growth! Choices: Choose all that apply Classes - Sundays 10:00am-12:00pm Winter/Spring Session $500 (1/5-5/25) Enrollment After you have successfully submitted your application it will be subject to review. We will reach out to schedule a follow up call to discuss your application and confirm its approval. Once approved a link will be sent to submit tuition to complete your child's enrollment. General Comments Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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This page uses TLS encryption to keep your data secure.
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