This form is for returning students. For new students please click here. (If your child has siblings in Hebrew School please fill out the new student form for the new incoming student) Family name:* Returning Student's Name - Child 1* First Name Last Name Grade Entering - Child 1* Kindergarten1st2nd3rd4th5th6th7th8th9th Returning Student's Name - Child 2 First Name Last Name Grade Entering - Child 2 Kindergarten1st2nd3rd4th5th6th7th8th9th Returning Student's Name - Child 3 First Name Last Name Grade Entering - Child 3 Kindergarten1st2nd3rd4th5th6th7th8th9th Family Information Father's Name First Name Last Name Father's Phone Area Code Phone Number Father's E-mail Mother's Name First Name Last Name Mother's Phone Area Code Phone Number Mother's E-mail Additional Information Please select one* All existing information on file is up-to-dateOur information has changed and the changes are listed below Please update the following information Please check to confirm consent* RELEASE OF INFORMATION AND PHOTOGRAPHS: Parents allow for child(ren)'s picture to be used for internal PR mailing and website where name is not given. Parents allow for child(ren)'s photograph/name released to newspapers where last name will not be given Payment Information Tuition : $550 - full year ($50 sibling discount) Refer a friend and save $50 per family! (Friend must be new to Chabad Hebrew School and will be registering their child for Hebrew School this coming year) Please click here to complete a scholarship request. No child will be turned away due to lack of funds! Payment Options I would like to pay in full nowI would like to pay 50% now and 50% by Jan 5th Registration* Full Tuition - $575Sibling Price - $525Additional Sibling - $525 Registration* The second payment will be billed on Jan 5th Full Tuition - $287.5Sibling Price - $275Additional Sibling - $275 Total $0.00 Payment Credit Card Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearBilling Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Notes/Comments: Submit Should be Empty: This page uses TLS encryption to keep your data secure.