Hebrew School Registration 2023

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

Click here for registration for the
Bat Mitzvah track for girls in grades 6-8

Click here for regististration for the
Bar Mitzvah track for boys in grades 7-8

Number of Children Registering:

I Would Like to Register My Child/den for*

Sunday Morning Hebrew School 10:00 AM - 12:30 PMTuesdays Hebrew School 4:15 PM - 6:15 PM

Child Name

First NameLast Name

MaleFemale

Hebrew Name

Birth Date

Date

School

Childs current grade

Was the birth mother born Jewish?

YesNo

Were there any conversions in the family?

YesNo

Who was the Rabbi?

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

Child Name

First NameLast Name

Hebrew Name

MaleFemale

Birth Date

Date

School

Child’s current grade

Was the birth mother born Jewish?

YesNo

Were there any conversions in the family?

YesNo

Who was the Rabbi?

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

Child Name

First NameLast Name

Hebrew Name

MaleFemale

Birth Date

Date

School

Child’s Current Grade

Was the birth mother born Jewish?

YesNo

Were there any conversions in the family?

YesNo

Who was the Rabbi?

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

How did you hear about Chabad of Five Town's Hebrew School?*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mother Name*

First NameLast Name

Mother Cell Number*

Please enter a valid phone number.

Mother E-mail*

example@example.com

Father Name*

First NameLast Name

Father Cell Number*

Please enter a valid phone number.

Father E-mail*

example@example.com

Marital Status*

MarriedSeperatedDivorced

Emergency Contact*

First NameLast 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

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

Tuition: $600

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 TodayPlease contact me regarding payment plans

Registration *

Hebrew School Tuition 2023 - 2024

$600.00 Number of Children Registering

Enter coupon

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

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

Disclaimer

Payment