Chabad Hebrew School of the Arts Registration 2019-2020

 

We are currently accepting application forms for the 2019-2020 school year.

Please fill out ALL fields of this form.

If the information is not applicable fill out N/AIf you would like to register more than two children, please fill out the form again for additional children. 

If you have any questions or concerns you'd like to discuss with us feel free to contact our director, Raizel, at 978-210-2935  or Raizel@jewishpeabody.com.  All Hebrew School classes will be held Wednesday's, 3:30 to 5:30pm.

Student 1 Profile   Student 2 Profile
First Name 
  First Name 
Last Name 
  Last Name 
Hebrew Name 
  Hebrew Name 
Age 
  Age 
DOB 
  DOB 
Grade Entering 
  Grade Entering 
Hebrew Reading Proficiency 
 None  Somewhat Well
  Hebrew Reading Proficiency 
 None  Somewhat  Well
Previous Jewish Education 
 Yes  No
  Previous Jewish Education 
 Yes  No
Where? 
  Where? 
Does your child have any learning challenges? Please specify 

This information will help us better cater to the needs of your child.
  Does your child have any learning challenges? Please specify 

This information will help us better cater to the needs of your child.
Family Information
My child/ren is a 
Are the natural father and mother of the child Jewish?  Yes  No 
If no, please explain. 
Have there been any conversions or adoptions in the family?  Yes  No 
If yes, please explain. 
Parent Information
Father's Name Father's Cell Mother's Name 
Mother's Cell 
Home Phone 
Address 
City 
Zip 
Email
What are some of the goals you hope your child will achieve through attending the Chabad Hebrew School? 
To enhance our curriculum we have school events and programs. 
Can you assist in event planning?
  
* Email allows us to communicate in the most efficient and economical manner.
Emergency Information
Emergency Contact 1 
Phone 
Relationship 
Emergency Contact 2 
Phone 
Relationship 
Persons Authorized to Pickup Child/ren 
 
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. 
Tuition Agreement

This page is a tuition agreement for the Chabad Hebrew School. The agreement explains the tuition fees, payments plans and policies. Please read it through carefully and sign it on the signature line below. The form and signed tuition agreement along with full payment or plan must be submitted to the school office before any child will be permitted to attend classes.

Scholarships 
A limited number of scholarships are available upon request. No child will be turned away for lack of funds; however a scholarship request form must be completed. Call our office to inquire about scholarship form and qualifications. Scholarship and payment plan agreements must be signed prior to your child beginning Hebrew School.

Tuition:

$875 for regular HS and $750 for Pre School (includes $25 book fee) A $100 discount applies if you register on or before August 1, 2019. A $100 deposit is due per family at the time of registration.

Payment Plans:  

Payment quarterly on 9/1, 12/1, 3/1 and 5/1
 Please have the Rabbi Contact me for special payment plan arrangement.

 My child is new to Chabad Hebrew School and receiving free tuition. I will be paying $125 book and supplies fee only. (Note: Form still must be filled out and signed).

Please Note: Hebrew School tuition is not a monthly or class-based fee, but a one-time charge, which, as a courtesy, is offered to be made in installments. Chabad does not refund tuition for classes missed.

Payment Information
Payment Method     Mail Checks to Chabad • 682 Lowell St. Peabody MA 01960
Card Type   Card Number
Expiration   CVV
Additional Comments (optional):
Terms of Agreement

 I agree to take care of payment, plan and or scholarship agreement prior to starting Hebrew School. I understand that Hebrew School tuition is not a monthly or class-based fee, but a one-time charge, which, as a courtesy, is offered to be made in installments. Chabad does not refund tuition for classes missed. I agree that in the event of an emergency, Chabad Hebrew School has my permission to arrange for any necessary first-aid or care. Chabad Hebrew School has my permission to use my child's photo in its publicity materials. I have completed the Form and agree to pay any balance according to the terms of agreement outlined above. If you have any issues with the aforementioned, please contact our office at office@jewishpeabody.com

Initials: 
 
Chai Club – Monthly Donation

Partner with us out of love - not obligation!

Please consider becoming a partner in Chabad’s work with a monthly donation of $18 or more. Our congregation does not require membership or fees. However, by joining the Chai Club with a monthly donation, according to your financial ability, helps support our annual budget (which tuition alone does not cover), and bring the joys of Judaism to all, regardless of age, background, level of observance or financial status.

Yes! Rabbi Nechemia you can count on my monthly Chai Club support for 
          

We will use the credit card provided above (unless noted otherwise). Cards will be charged on the 15th of each month, in addition to tution. Recurring donations can be cancelled, modified or upgraded at any time. For one time donations, or other giving opportunities, click here

Donations are tax-deductible. Thank you for your support!

Our program does not require any family membership at a synagogue and all students and their families are welcome to attend services at Chabad at  no additional cost.· Although our programs are open to families of all backgrounds and affiliations, and no family will be denied because of inability to pay, and we don't require separate membership for our synagogue, our synagogue is traditional and life cycle events, such as Bar and Bat Mitzvah, can only be celebrated by children of a Jewish mother or those converted under Halachic auspices. 

We look forward to a wonderful year of learning and growth!

 

 

201