Hebrew School Registration 2023-2024

Home Address*

General information:
Known Food Allergies - Please list all food allergies, reaction and treatment.
Are you currently affiliated with any synagogue? (Affiliation not required)*
Have been there any adoptions or conversions in the family? Please explain.*
Is child's mother Jewish?*

YesNo
Is child's father Jewish?*

YesNo
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?
I allow my child's photo to be posted on social media*

YesNo
Parent/Guardian Information
Parent/Guardian 1:
First name*
Last name*
Email*
Occupation*
Cell phone*
Business phone (in case of emergency)*
Parent/Guardian 2:
First name*
Last name*
Email*
Occupation*
Cell phone*
Business phone (in case of emergency)*
Payment information:
Tuition per student: $1,400
Please specify if you are a new or returning family:*

New Family 2023-24 PROMOTIONReturning Family: Tuition $1400
Total

$0.00

Yes, I'd like to donate the cost of processing this transaction by adding 2.5%

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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Programs

REGISTER FOR CHABAD HEBREW SCHOOL OF WESTCHESTER 2023-24!