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Hebrew School Registration

Hebrew School Registration

Registration


Register by August 21st and receive a special discounted price of $615 for the entire year!!! No synagogue membership required!!
Student Information
CHILD 1
Last Name
First Name
Hebrew Name
Gender
Male Female
Date of Birth
School
Grade
Previous Jewish education?
Yes No
If Yes please describe
Medical Information -
Any Medical Challenges?
Yes No
If Yes please explain
CHILD 2
Last Name
First Name
Hebrew Name
Gender
Male Female
Date of Birth
School
Grade
Previous Jewish education?
Yes No
If Yes please describe
Medical Information -
Any Medical Challenges?
Yes No
If Yes please explain
CHILD 3
Last Name
First Name
Hebrew Name
Gender
Male Female
Date of Birth
School
Grade
Previous Jewish education?
Yes No
If Yes please describe
Medical Information -
Any Medical Challenges?
Yes No
If Yes please explain
Parent Information

Father

Title/First Name
Last Name
Work Phone
Cell Phone
Email
Mother
Title/First Name
Last Name
Work Phone
Cell Phone
Email
Parents
Address
City/State/ Zip
Home Phone
Affiliation
Have there been any adoptions or conversions in the family (e.g., the child, parents, grandparents)
Yes No
If yes, please explain and indicate which synagogue the conversion took place
Emergency Information
Emergency 1
Name
Phone #
Relation
Emergency 2
Name
Phone #
Relation
Tuition Fees
Classes are held Sunday Morning at 10:00am - 12:00pm

Tuition: Child $695 • Scholarships are available based on needs and availability of funds.

5% Discount for additional child.
Before August 21st $615 Per child

15% Discount for a friend referral | Friend Name

Payment Information
I would like to pay a one time payments of $695


I would like to assist a

child who cannot afford

Hebrew School

Education.


I would like to pay via credit card - eight installments of $86.00, Sep-April.
I would like to pay via check - Three installments of $231 Sep. 11 / Dec. 4 / Feb. 5

Checks can be sent to Chabad of Fremont 220 Yerba Buena Pl., Fremont CA 94536

Disclaimer
Please note: Your child is not registered in the Chabad Hebrew School until you receive an acceptance confirmation phone call or email.
I heard about the Chabad Hebrew School from
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