Registration

Registration is now open for Chabad Hebrew School of the Arts 2025/2026.

Click Here to view the 2025/2026 Chabad Hebrew School of the Arts Calendar
Student Information
Child's Name*
First Name Last Name
Child's Date of Birth*
Grade 2025/2026*
Add second child*

YesNo
Second Child's Name
First Name Last Name
Second Child's Date of Birth
Second Child's Grade 2025/20256
Add third child

YesNo
Third Child's Name
First Name Last Name
Third Child's Date of Birth
Third Child's Grade 2025/20256
Parent Information
Is parent information the same as last year?

YesNo
Mother's Name*
First Name Last Name
Mother's Cell Phone*

Area Code Phone Number
Mother's Email*
Father's Name*
First Name Last Name
Father's Cell Phone*

Area Code Phone Number
Father's E-mail*

Home Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Family Information
Jewish Genealogy*
Were there any conversions or adoptions in your family?*

YesNo
If yes, please explain
Emergency Information
Is emergency information the same as last year?

YesNo
Emergency Contact (other than parent)*
First Name Last Name
Relationship to Child*
Emergency Contact's Phone Number*

Area Code Phone Number
Physician*
Physician's Phone Number*

Area Code Phone Number
Allergies (please list)
Medical Conditions (If any, please explain)
Permission for Emergency Medical Treatment
As the parent(s) or legal guardian(s) of the above child, I/we authorize any adult acting on behalf of Chabad Jewish Community Center Hebrew School to hospitalize or secure treatment for my child. I further agree to pay all charges for that care and/or treatment. It is understood that, if time and circumstances reasonably permit, Chabad Jewish Community Center Hebrew School will try to communicate with me prior to such treatment.
Emergency Medical Treatment Agreement*

AcceptDo Not Accept
Intial Here*
Tuition Information
$549 per child
Includes registration, book fee, and all supplies
(No child will be turned away due to lack of funds)

Tuition Payment Plans:
Plan A: Pay the entire amount in full.

Plan B: You may choose to pay tuition in monthly installments of $61 per child, charged automatically to your card from September through May. Submitting this form with your payment information will serve as your first (September) payment, and future payments will be processed on the 1st of each month.
Payment Plan Selection*

Payment Plan A (Full Tuition)Payment Plan B (Monthly Credit Card)
Plan A: Please Select the Number of Children you are Registering*
Plan B: Please Select the Number of Children you are Registering*

Payment*

Credit Card

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

Should be Empty:

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Student Information

Parent Information

Family Information

Emergency Information

Permission for Emergency Medical Treatment

Tuition Information