Hebrew School Registration 2026/27

CHABAD HEBREW SCHOOL OF THE ARTS

REGISTRATION 2026-2027

Tuition: $1000 per student (Pre-school, Kindergarten and up)

Early bird discount of $100 if registered before July 1, 2026.

No student will be turned away due to lack of funds. Please contact the Rabbi to discuss any hardships. [email protected]

Primary Parent Name*

First Name Last Name

Primary Parent Email*

Phone Number*

Area Code Phone Number

If you are enrolling a repeat student/s, or new students, please check the appropriate box in regards to your contact information.

My contact info*

My info is the sameSome of my info is different, please contact meI am new, please contact me

Number of Students to Enroll*

Student 1 Name*

First Name Last Name

Student 1 Grade Entering*

Does your child have any medical, developmental or behavioral issue that we should know about?*

Please list any medication your child is taking on a regular basis:*

Does your child have any allergies towards food or medication?*

Does your child have need for an epi-pen?*

NoYes, I will provide his/her current epi-pen and give written permission to administer before the beginning of the school year.

Medical Emergencies:*

I authorize the director or director's designee to seek appropriate medical care for my child, if necessary.

A. In case of emergency, when neither parent can be reached, give names of two people who will take responsibility for your child:

Emergency Contact 1*

First Name Last Name

Phone Number*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Relationship to Student*

Emergency Contact 2*

First Name Last Name

Phone Number*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Relationship to Student*

B. If parents cannot be reached and emergency medical advice is needed, permission is given to the Hebrew School staff to phone my child's doctor:

Doctor's Name*

First Name Last Name

Phone Number*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Hospital Affiliation*

Student 2 Name*

First Name Last Name

Student 2 Grade Entering*

Does your child have any medical, developmental or behavioral issue that we should know about?*

Please list any medication your child is taking on a regular basis:*

Does your child have any allergies towards food or medication?*

Does your child have need for an epi-pen?*

NoYes, I will provide his/her current epi-pen and give written permission to administer before the beginning of the school year.

Medical Emergencies:*

I authorize the director or director's designee to seek appropriate medical care for my child, if necessary.

A. In case of emergency, when neither parent can be reached, give names of two people who will take responsibility for your child:

Emergency Contact 1 Relationship to Student*

Emergency Contact 2 Relationship to Student*

B. If parents cannot be reached and emergency medical advice is needed, permission is given to the Hebrew School staff to phone my child's doctor:

Doctor's Name*

First Name Last Name

Phone Number*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Hospital Affiliation*

Student 3 Name*

First Name Last Name

Student 3 Grade Entering*

Does your child have any medical, developmental or behavioral issue that we should know about?*

Please list any medication your child is taking on a regular basis:*

Does your child have any allergies towards food or medication?*

Does your child have need for an epi-pen?*

NoYes, I will provide his/her current epi-pen and give written permission to administer before the beginning of the school year.

Medical Emergencies:*

I authorize the director or director's designee to seek appropriate medical care for my child, if necessary.

A. In case of emergency, when neither parent can be reached, give names of two people who will take responsibility for your child:

Emergency Contact 1 Relationship to Student*

Emergency Contact 2 Relationship to Student*

B. If parents cannot be reached and emergency medical advice is needed, permission is given to the Hebrew School staff to phone my child's doctor:

Doctor's Name

First Name Last Name

Phone Number*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Hospital Affiliation*

Student 4 Name*

First Name Last Name

Student 4 Grade Entering*

Does your child have any medical, developmental or behavioral issue that we should know about?*

Please list any medication your child is taking on a regular basis:*

Does your child have any allergies towards food or medication?*

Does your child have need for an epi-pen?*

NoYes, I will provide his/her current epi-pen and give written permission to administer before the beginning of the school year.

Medical Emergencies:*

I authorize the director or director's designee to seek appropriate medical care for my child, if necessary.

A. In case of emergency, when neither parent can be reached, give names of two people who will take responsibility for your child:

Emergency Contact 1 Relationship to Student*

Emergency Contact 2 Relationship to Student*

B. If parents cannot be reached and emergency medical advice is needed, permission is given to the Hebrew School staff to phone my child's doctor:

Doctor's Name*

First Name Last Name

Phone Number*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Hospital Affiliation*

Student 5 Name*

First Name Last Name

Student 5 Grade Entering*

Does your child have any medical, developmental or behavioral issue that we should know about?*

Please list any medication your child is taking on a regular basis:*

Does your child have any allergies towards food or medication?*

Does your child have need for an epi-pen?*

NoYes, I will provide his/her current epi-pen and give written permission to administer before the beginning of the school year.

Medical Emergencies:*

I authorize the director or director's designee to seek appropriate medical care for my child, if necessary.

A. In case of emergency, when neither parent can be reached, give names of two people who will take responsibility for your child:

Emergency Contact 1 Relationship to Student*

Emergency Contact 2 Relationship to Student*

B. If parents cannot be reached and emergency medical advice is needed, permission is given to the Hebrew School staff to phone my child's doctor:

Doctor's Name*

First Name Last Name

Phone Number*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Hospital Affiliation*

C. In case of a medical emergency requiring immediate emergency care, I authorize the paramedics to take my child to the nearest hospital if necessary. It is understood that I will hold BFHS harmless for the nature and outcome of any emergency medical treatment. It is also understood that I leave the decision of what constitutes an emergency to the sole direction of the staff. (Please sign.)

Mother's Initials*

Father's Initials*

Date Signed*

Month Day Year

Early Bird Date

Month Day Year

at Hour Minutes

THE SYSTEM WILL AUTOMATICALLY CALCULATE AN EARLY BIRD DISCOUNT OF $100 PER FAMILY AND AN ADDED DISCOUNT OF $50 FOR MORE THAN ONE CHILD PER FAMILY!

Payment options*

Pay in fullpay quarterly (4 equal payments sept, dec, mar, may)contact me to discuss payment optionsNew Family

IF THIS PRICE PRESENTS A HARDSHIP, CLICK HERE FOR AN AUTOMATIC $100 SCHOLARSHIP DISCOUNT.

IF YOU NEED A FURTHER DISCOUNT, PLEASE EMAIL [email protected] AND HE WILL DISCUSS LARGER SCHOLARSHIP OPTIONS.

If you choose to pay in full, pay quarterly or via payment plan, a $100 minimum deposit fee per family is required and will be applied to the total bill.

Deposit Required*

$100

Total

$0.00

Payment

Credit Card Paypal Other

Postal / Zip Code

Country

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country