Chabad Five Towns

As parents, we know well that the lessons we teach our children by modeling behaviors speak volumes, and have the greatest impact on our children. When thinking about Hebrew School for this coming fall we have an opportunity to teach our children the importance of their Jewish education.

Choosing to give our children a Jewish education sends them a powerful message: “My child, this is your identity, this is crucial, and even when so many of your extra-curricular activities may interfere, the importance of a Jewish education is important”.

We are fully committed to giving your children the quality Jewish educational experience they have come to know and love at our Hebrew School.

If you are in need of financial assitance please fill out the registration form below once completed please contact Rabbi Meir - RabbiMeir@ChabadFiveTowns.com

We will never turn anyone away due to financial difficulties!

Refer a friend and receive $100 off your tuition!

Feel free to reach out with any questions! Text Hadassah 516-458-3694

Number of Children Registering:

Child Name

First Name Last Name

Hebrew Name

Birth Date

Date

School

Grade Entering - 2021

Was the natural mother born Jewish?

Yes No

Were there any conversions in the family?

Yes No

Who was the Rabbi?

Registration Options:

Sunday Mornings at Chabad - $600

Weekly "Bat Mitzvah Club" - Day TBA - $600

Weekly "Bar Mitzvah Club" - Day TBA - $600

As always there is NO COST for our Kindergarten program.

I would like to register my child for the following program:

Kindergarten - Sunday Morning at Chabad Hebrew School Grades 1-8 Sunday Morning at Chabad Hebrew School Girls Grade 6-8 Bat Mitzvah Club Boys Grade 6-8 Bar Mitzvah Club

Please specify any medical or behavioral concerns that we should be aware of: *

Child Name

First Name Last Name

Hebrew Name

Birth Date

Date

School

Grade Entering - 2021

Was the natural mother born Jewish?

Yes No

Were there any conversions in the family?

Yes No

Who was the Rabbi?

Registration Options:

Sunday Mornings at Chabad - $600

Weekly "Bat Mitzvah Club" - Day TBA - $600

Weekly "Bar Mitzvah Club" - Day TBA - $600

As always there is NO COST for our Kindergarten program.

I would like to register my child for the following program:

Kindergarten - Sunday Morning at Chabad Hebrew School Grades 1-8 Sunday Morning at Chabad Hebrew School Girls Grade 6-8 Bat Mitzvah Club Boys Grade 6-8 Bar Mitzvah Club

Please specify any medical or behavioral concerns that we should be aware of:

Child Name

First Name Last Name

Hebrew Name

Birth Date

Date

School

Grade Entering - 2021

Was the natural mother born Jewish?

Yes No

Were there any conversions in the family?

Yes No

Who was the Rabbi?

Registration Options:

Sunday Mornings at Chabad - $600

Weekly "Bat Mitzvah Club" - Day TBA - $600

Weekly "Bar Mitzvah Club" - Day TBA - $600

As always there is NO COST for our Kindergarten program.

I would like to register my child for the following program:

Kindergarten - Sunday Morning at Chabad Hebrew School Grades 1-8 Sunday Morning at Chabad Hebrew School Girls Grade 6-8 Bat Mitzvah Club Boys Grade 6-8 Bar Mitzvah Club

Please specify any medical or behavioral concerns that we should be aware of:

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Mother Name

First Name Last Name

Mother Cell Number

Please enter a valid phone number.

Mother E-mail

example@example.com

Father Name

First Name Last Name

Father Cell Number

Please enter a valid phone number.

Father E-mail

example@example.com

Emergency Contact

First Name Last Name

Cell Phone Number

Please enter a valid phone number.

Relationship

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad of the Five Towns 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 attend all field trips and outings sponsored by Chabad of the Five Towns Hebrew School.

Signature

Clear

Accident: As the parent(s) or legal guardian of the above child/ren, I/we authorize any adult acting on behalf of Chabad Five Towns 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 Five Towns Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment.

Privacy: I hereby give permission for my child’s photographs/videos to be used in newsletters, local newspapers, Chabad Five Towns website or for promotion of our program.

Signature

Clear

There is a 10% Sibling discount - please use coupon code: sibling at checkout

Refer a friend and receive $100 off your tuition! Please let Hadassah know if you have referred a friend for this discount to be applied

No one will be turned away due to lack of funds - once you submit your form please contact Rabbi Meir - RabbiMeir@ChabadFiveTowns.com to discuss financial assistance.

*

I would like to pay for Hebrew School Today Please contact me regarding payment plans

My Products

Sunday - Kindergarten

Free

Sunday Hebrew School

$ 600.00 Number of Children Joining - Grades 1-5

Bat Mitzvah Club Girls Grades 6-7

$ 600.00 Number of Daughters Joining

Bar Mitzvah Club

$ 600.00 Number of Sons Joining

Enter coupon

Total

$ 0.00

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Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Chabad Five Towns

Child 1

Child 2

Child 3

Parent Information

Emergency Information

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