Hebrew School Registration 2021-2022

REGISTER FOR CHABAD HEBREW SCHOOL OF WESTCHESTER!
CLASSES BEGIN OCTOBER 3, 2021.
IN-PERSON, MASKED AND SOCIALLY DISTANCED. (PLEASE EMAIL [email protected] FOR VIRTUAL CLASS ARRANGEMENTS.)
LOOKING FORWARD!
Child's Full Name
First NameLast Name
Child's Jewish name
Grade entering September 2021
Gender
MaleFemale
Birth Date
MonthDayYear

Address

E-mail
Phone Number
Area CodePhone Number
Weekly Hebrew School Options:
.1) VIRTUAL Sunday Program from 10:00 AM-11:00 AM(or 11:00 AM-12:00 PM, depending on grade)
2) IN-PERSON Sunday Program 10:00 AM-12:00 PM.
(Includes 20 minute virtual one-on-one Aleph Champ session during the week)
.
Tuition costs for all options: $1,250 plus $50 book and supply fee =
$1,300
I would like to register my child for:*
1) Virtual Hebrew School2) In-person Hebrew School
General information:
Known Food Allergies - Please list all food allergies, reaction and treatment.
Are you currently affiliated with any synagogue?
Have been there any adoptions or conversions in the family? Please explain.
Does your child have siblings? Please list all siblings, their age and school they attend.
What is your child's previous school, group or camp experience (if any)?
Does your child receive any special services? (i.e. Speech, OT, PT, SEIT, etc.) Please be specific.
Are there any special circumstances which we should know?
Parents' information:
Parent/Guardian A:
First name
Last name
Relationship to child
Email
Occupation
Cell phone
Business phone (in case of emergency)
Parent/Guardian B:
First name
Last name
Relationship to child
Email
Occupation
Cell phone
Business phone (in case of emergency)
Payment information:

Payment (credit card payments add 1.5% surcharge)

Credit Card Zelle OR Check

Postal / Zip Code

Country

If paying via credit card, select total to be charged (including 1.5% surcharge):
$1319
Total
$0.00
Comments (If you selected "Zelle or Check" as your payment method, please specify details here.)
Looking forward to a wonderful year together at Chabad Hebrew School!
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REGISTER FOR CHABAD HEBREW SCHOOL OF WESTCHESTER!