Serving the community of Maplewood South Orange
Candle Lighting Light Candles
5:21 PM this Friday, 30 Sep 2022
Shabbat Ends 6:19 PM
Parashat
The Rebbe
News & Events
Weekly Torah Portion
Magazine
Holidays
Torah Study
Ask The Rabbi
Jewish Calendar
Upcoming Events
Yartzeit
Find a Chabad Center
Audio
Videos
Photo Gallery
 
Email EMAIL UPDATES
Join our e-mail list
& get all the latest news & updates
 
Email DONATE
Help support Chabad of Holmdel by making a donation. Donate today!
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Share |
Chabad Hebrew School

 

Chabad Hebrew School is an innovative school that provides a serious yet enjoyable environment in which children receive a broad Jewish education in a stimulating and challenging setting. 
Our students gain an appreciation for the joys, values and traditions of our heritage vividly brought to life by our dedicated teachers. Their creativity and dynamism make every lesson a unique learning experience.

Click Here to read more about our Hebrew School

Register today to ensure a Jewish tomorrow. Please complete the form below.  If you have any questions, feel free to contact our Hebrew School principal, Rochel Carlebach, who will be happy to discuss your child with you! 732-858-1770 or rochel@chabadholmdel.com to email.  

Please note that one registration form per child is needed.


________________________________________________________________________________

STUDENT INFORMATION

 Family Name

 

Is the natural mother of the child Jewish? 
 Yes  No

Were there any conversions or adoptions in the child's family?  Yes  No - If yes, please explain

Has your child had any previous Hebrew Education? 
 Yes  No  --- If yes, where?
 

Does your child read basic Hebrew?  Yes  No

 First Name  
 Hebrew Name  
 Date of Birth     
 Age   Sex   Grade   
School Attending  
Home Address  
 City, State, Zip  


PARENT INFORMATION

Father

  Mother
Father's Name   Mother's Name
Hebrew Name   Hebrew Name
Date of Birth  /   /  
MM / DD / YYYY format
  Date of Birth  /   /  
MM / DD / YYYY format
Home Tel.   Home Tel.
Work Tel.   Work Tel.
Cell #:   Cell #:
Occupation   Occupation
Email   Email

MEDICAL INFORMATION

Persons to be contacted in case of an emergency when parents cannot be reached (Please provide 2 contacts)

 Name

Phone

Relationship to Child 

 Name

Phone Relationship to Child 

 In an emergency, when you cannot reach either parent, I authorize the school to call:
 Family Physician  Phone 

 I hereby consent to the administration of the Chabad Hebrew School to take whatever medical measures they deem necessary for my child in the even of a medical emergency. Parent/Legal Guardian Initials 

TUITION AGREEMENT

The following document is a tuition agreement for the Chabad Hebrew School. The agreement explains the tuition fees, payments plans and refund policies. Please read it through carefully and sign it on the signature line below. The signed tuition agreement along with full payment must be submitted to the school office before any child will be permitted to attend classes. Refunds for children withdrawing from school before the end of the school year will be granted provided that the school office is given 30 days written notice. Tuition refunds will not be granted to children withdrawing from school after April 1st. A limited number of scholarships are available upon request; no child will be turned away for lack of funds.


PLEASE CHOOSE ON OF THE FOLLOWING TUITION OPTIONS
:

 Pay full tuition of $550.00 by credit card below.

 Divide my payments into 2 charges of $275.00

 

 2 postdated checks - Dated 9/1/13 and 2/1/14 Due by first day of School. 
 2 credit card payments - Charged on 9/1/13 and 2/1/14.

PAYMENT INFO

Amount to be charged:

Please charge my:

Card #:
Exp. Date    
Cvv Code:
Optional Comments: 

 

 
*Type the code you see in the picture below.(Letters are not case-sensitive)
     
Other Articles in this section:
Chabad Hebrew School
7/28/2011

 
 

 


About us | Donate | Contact us | The Rebbe | News | Parsha | Magazine | Holidays | Questions & Answers | Audio | Video | See mobile site

 
 

A Project of Chabad of Holmdel
Rabbi Ephraim Carlebach
14 S. Holmdel Rd, Holmdel NJ 07733
(732) 858-1770
Email: rabbi@chabadholmdel.com

Powered by ChabadNJ.org © 2009 All rights reserved.