At the bottom of the registration form please be sure to fill out the information needed for the $100 registration fee, which can be paid online through this secured form.

Classes will be held on Sunday mornings from 9:30-12:00

Please note that one registration form per child is needed.

We look forward to a wonderful year of learning and growth.


STUDENT INFORMATION
None Somewhat Well
Yes No

Where?
 
PARENT INFORMATION
Were there any conversions or adoptions in the family? Yes No
MEDICAL & EMERGENCY INFORMATION
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of?
If yes, please describe them and indicate special precautions or care needed.

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad 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 Hebrew School 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 Hebrew School activities and that these pictures may be used for marketing purposes.

I Accept Name: Initials:
PAYMENT OPTIONS

Yes No
Yes  No

• Tuition for the coming year will be $1,200 which includes book and miscellaneous fees.

I understand that a $100 deposit ONLY, will be applied towards tuition. This will be charged to my credit card along with my form submission.

• The remaining tuition balance can be paid by check, mailed to Chabad Hebrew School, 163 Bellingham Road, Chestnut Hill, MA 02467