Hebrew School Registration

New Family RegistrationRe-registering - We have joined previously

Has your address, email or phone number changed?

YesNo

Please provide your updated contact info. (address, email and phone number)

Please list the names of the child/ren you are reregistering

Are you registering a new child?

YesNo

Father's Name*

First Name Last Name

Father's Cell

Area Code Phone Number

Father's E-mail

Father's Hebrew Name

Mother's Name*

First Name Last Name

Mother's Cell*

Area Code Phone Number

Mother's E-mail*

Mother's Hebrew Name

Mother Jewish by:*

BirthChoice

Are any adoptions in the family?*

NoYes

Please specify

Family Status

MarriedSeperatedDivorcedSingle Parent

Address*

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

Best way to send Hebrew School updates:*

TextEmail

Number of New Children Registering*

Full Name*

First Name Last Name

Hebrew Name*

First Name Last Name

Birth Date*

Month Day Year

School*

Grade entering*

Previous Jewish Education*

Does your child have any series allergies?

NoYes

Please specify*

Does your child have any medical issues that we should we aware of?*

NoYes

Please specify

Does your child have any behavioral issues that we should we aware of?*

NoYes

Please specify

Full Name*

First Name Last Name

Hebrew Name*

First Name Last Name

Birth Date*

Month Day Year

School*

Grade entering*

Previous Jewish Education*

Does your child have any series allergies?*

NoYes

Please specify

Does your child have any medical issues that we should we aware of?*

NoYes

Please specify

Does your child have any behavioral issues that we should we aware of?*

NoYes

Please specify

Full Name

First Name Last Name

Hebrew Name

First Name Last Name

Birth Date

Month Day Year

School

Grade entering

Previous Jewish Education

Does your child have any series allergies?*

NoYes

Please specify

Does your child have any medical issues that we should we aware of?*

NoYes

Please specify

Does your child have any behavioral issues that we should we aware of?*

NoYes

Please specify

As the parent(s) or legal guardian of the above child(ren), I/we authorize any adult acting on behalf of Chabad of Downtown Boston - Jewish After School Program 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 of Downtown Boston - Jewish After School Program personnel will try, but are not required, to communicate with me prior to such treatment.

I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Chabad of Downtown Boston - Jewish After School Program activities and that these pictures may be used for marketing purposes.

Chabad of Downtown Boston reserves the right to cancel any in-person classes and offer virtual classes instead due to Covid-19.

The session calendar is final. Should the participants be unable to join any of the scheduled sessions, no substitute session will be offered.

I accept

The fee per child is $1200.

At Chabad we pride ourselves that no child will be turned away due to lack of funds. If you are in need of financial assistance for Hebrew School, please email [email protected] to set up a meeting.

Please choose of the two options below:

Pay the tuition in full now or pay the registration deposit $200 per child. The balance ($1000) should be paid by Sep. 1st

Full Payment -$1200 Per Student*

Select number of children registered

Deposit $200 per student. EARLYBIRD SPECIAL 50% OFF DEPOSIT (till July 4th).

Select number of children registered

Total

$0.00

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

City

State / Province

Postal / Zip Code

Country

I would like to receive news and updates by email

Register

Registration Type

Parents Information

Student #1 Information

Student #2 Information

Student #3 Information

Agreement

Payment Plans