HS Bat Mitzvah Club Registration 2025

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

Child Name*

First NameLast Name

Hebrew Name

Birth Date*

Date

MorningEvening

Child's School as of September 2025*

Child's Grade as of September 2025*

YesNo

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

By sharing this information, you help us help your child.

Does your child have any allergies? What should be done in the case of an allergic reaction?*

How did you hear about Chabad of Five Town's Bat Mitzvah Club?*

YesNo

Please Specify*

Who was the Rabbi?*

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.Format: (000) 000-0000.

Mother E-mail*

example@example.com

Father Name*

First NameLast Name

Father Cell Number*

Please enter a valid phone number.Format: (000) 000-0000.

Father E-mail*

example@example.com

MarriedSeperatedDivorced

Emergency Contact*

First NameLast Name

Cell Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

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 - Special Rate until July 4th: $450

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 or a payment plan.

I would like to pay for Bat Mitzvah Club todayI will contact the office - Whatsapp or call at 516-295-2478 - to set up a payment plan (Please note, your child's registration and the special early rate is only confirmed and secured when the payment plan is in place)

Registration *

Bat Mitzvah Club

$600.00

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

Thank you for registerting for our Bat Mitzvah program! Your child will thank you!

Hadassah will be in touch with you with more information - if you have any questions feel free to reach out: 516-458-3694

Parent Information

Emergency Information

Disclaimer

Payment