Shalom Hebrew Family Registration Form

Shalom Hebrew Family Registration Form

Please fill out this form for registration
Family Name*
Family Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father's Name
Father's Phone Number
Please enter a valid phone number.
Father's Email
example@example.com
Mother's Name*
Mother's Phone Number*
Please enter a valid phone number.
Mother's Email*
example@example.com
Is the biological mother of the child/ren Jewish?*
Child 1 Name*

First NameMiddle NameHebrew Name
Child 1 Birth Date*

MonthDayYear
Child 2 Name

First NameMiddle NameHebrew Name
Child 2 Birth Date

MonthDayYear
Child 3 Name

First NameMiddle NameHebrew Name
Child 3 Birth Date

MonthDayYear
What are your child/ren’s special interests, likes or dislikes?

Family Tuition Agreement
Shalom Hebrew School will begin in September 2023 with special Sunday Holiday programs on Rosh Hashanah, Sukkot and Simchat Torah.

Following that Morah Bina will be on maternity leave until January 2024. We will begin regular Sunday morning sessions starting Sunday January 7th 2024.

Shalom Hebrew School classes are on Sundays from 10 am - 12 pm

As a result we are offering an adjusted lower tuition rate for the upcoming school year.

Tuition for the 2023/24 school year is $600 (includes supplies and snacks)

Discounts:

Early Bird Discount: Take off $50 per child when registering before August 20th 2023.

Refer a Friend: Take off an additional $20 for every new family that registers on your recommendation.
Please check your choice of payment method*

Online payment for the full tuitionCheck written to Shalom Hebrew for the full tuitionI will submit credit card authorization for $300 per child now and $300 in DecemberI need a more flexible plan - Please send a deposit of $200 per child (online/check) and call/email Bina to discuss a personal payment plan.
My Products
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Full Tuition with Early Bird Special
$ Free Early Bird Special

Total

$0.00
Registration Deadline is September 1st 2023
All applications received after September 1st will be charged an additional $100 late fee.
This application and tuition agreement must be completed BEFORE your child may begin attending school.
No child will be turned away due to lack of funds. Please email Bina at SHebrewSchool@gmail.com to discuss any financial considerations.
There are no refunds or credits for days missed due to illness, holidays, or family vacations.

We look forward to a wonderful year of learning and growth!
Payment Methods
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Shalom Hebrew Family Registration Form

Family Tuition Agreement