Student's Information
Child's First Name:
Child's Last Name:
Child's Hebrew Name (if known):
Gender:
Child's DOB(MM/DD/YYYY):
Age as of September:
Grade entering in September:
School Name:
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.
CLICK THE PLUS SIGN TO ADD ANOTHER CHILD'S INFORMATION.
Yes
No
Child's Home Address:
City:
State:
Zip Code:
Emergency Contact Number (if different than parents):
Emergency Contact Name:
Relationship to Child:
Parent's 1 Information
Parent 1 First Name
Parent 1 Last Name
Parent 1 Phone
Parent 1 Email
I would like to receive news and updates by email
Parent's 2 Information
Parent 2 First Name
Parent 2 Last Name
Parent 2 Phone
Parent 2 Email
Parent's Marital Status
Mother's Religion:
Father's Religion:
2026-2027 Annual Tuition Pricing: Early Bird: $1,050 Tuition when you register by July 17 (includes workbooks) Regular Tuition: $1,200 per child when you register after July 17 (includes workbooks) *IMPORTANT TO NOTE: Tuition may be paid out in 4 installments
Payment Method
Payment Information
Payment Plan
Pay in full
Pay in 4 installments
Sponsor a Jewish child who cannot afford JUDA Hebrew School:
Amount
Total Amount
0.00
Credit Card Information
Type
Visa
MC
Amex
Discover
Number
Expiration
Code
Use contact info above
Name
Address
Zip
I accept the following:
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 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.
Reset
Submit
This site is protected by reCAPTCHA and the Google
Privacy Policy
and
Terms of Service
apply.
This page uses SSL encryption to keep your data secure.
This page uses SSL encryption to keep your data secure. This page uses SSL encryption to keep your data secure.