Registration

We are currently accepting application forms for the 2024-2025 school year. Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us.

We look forward to a wonderful year of learning and growth.

Full Name

First Name Last Name

Hebrew Name

Birth Date

Month Day Year

Age

MaleFemale

What school does your Child attend?

Grade:

Does your child read basic Hebrew?

NoneSomewhatWell

Does your child have a Previous Jewish education?

YesNo

If yes, please describe:

Any considerations, such as learning disabillties or difficulty the school should be aware of?

I would like to receive news and updates by email

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone Number

Area Code Phone Number

Synagogue affiliation:

Father

First Name Last Name

Cell Phone

Area Code Phone Number

Mother

First Name Last Name

Cell Phone

Area Code Phone Number

Are both Parents Jewish?

YesNo

Were there any conversions or adoptions in your family?

YesNo

If yes, please describe:

Emergency Contact

First Name Last Name

Phone Number

Area Code Phone Number

Does your child have any allergies or other medical condition we should be aware of?

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 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 participate in all school activities, join in class and school trip on and beyond school properties and allow my child to be photographed while participating in Chabad Hebrew School activities.

I will follow the health & safety protocols regarding Covid-19 and affirm that I assume all risk and will not hold Chabad of North Phoenix liable if exposed to Covid-19

Click to Accept

AcceptDo Not Accept

First Name Last Name

The tuition for the Chabad Hebrew School is $700.00 per year per child plus a $75.00 registration & book fee.

Discounts: There is a 5% discount off of the regular tuition for each additional child of the same family. There is a 5% additional discount off your total tuition for each child of another family you successfully introduce to the Chabad Hebrew School.

You may choose from the following payment methods:
PLAN A: Pay the entire amount in full

PLAN B: Your credit card will be billed in three payments. When you register, December & March. First payment will include registration fee.

Please Choose One

Pay in FullThree Payments

Security Fund Donation Towards our Security Guard and Security Improvements

$

Payment

Credit Card Check

Postal / Zip Code

Country

Total

$0.00

Student Information

Parent Information

Emergency Information

Tuition Agreement