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Hebrew School Registration

Hebrew School Registration

 

PLEASE NOTE: Your child is not registered in CHS until you receive confirmation via email or phone call

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 
Is the Mother, Jewish by birth?
 Yes  No

Have there been any adoptions or conversions in the family (e.g., the child, parents, grandparents)? 

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 Mornings from 10:00am - 12:00pm

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

5% Discount for additional child.
Before July 4th  $615 Per child

15% Discount for a friend referral | Friend Name

Payment Information
I would like to pay a one time payment 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. 10 / Nov. 5 / Feb. 4

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
Digital Signature

 

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