This form is currently closed. Registration is now open for 2023 - 2024 SchoolPlease register below! STUDENT INFORMATION Number of children enrolling* I would like to register for* Sunday Hebrew School (Includes Wednesdays for 2nd - 8th Grade) Child's Name* First Name Last Name Hebrew Name* Birth Date* Please select an approximate time of birth so we can calculate the Hebrew birthday Month Day Year at 123456789101112 Hour001020304050 MinutesAMPM Does your child read basic Hebrew?* YesNo If Yes: GoodFairPoor School* Previous Jewish Education* Grade entering* Kindergarten1st2nd3rd4th5th6th7th8th9th Is the natural mother of the child Jewish?* YesNo Were there any conversions or adoptions in your family? * YesNo If yes, please describe. Additional notable Information Child # 2 Info I would like to register for* Sunday Hebrew School (Includes Wednesday for 2nd - 8th Grade) Child #2 Name* First Name Last Name Hebrew Name* Birth Date* Please select an approximate time of birth so we can calculate the Hebrew birthday Month Day Year at 123456789101112 Hour001020304050 MinutesAMPM Does your child read basic Hebrew?* YesNo If Yes: GoodFairPoor School* Previous Jewish Education* Grade entering* Kindergarten1st2nd3rd4th5th6th7th8th9th Additional notable Information Child # 3 Info I would like to register for Sunday Hebrew School (Includes Wednesdays for 2nd - 8th Grade) Child #3 Name* First Name Last Name Hebrew Name* Birth Date* Please select an approximate time of birth so we can calculate the Hebrew birthday Month Day Year at 123456789101112 Hour001020304050 MinutesAMPM Does your child read basic Hebrew?* YesNo If Yes: GoodFairPoor School* Previous Jewish Education* Grade entering* Kindergarten1st2nd3rd4th5th6th7th8th9th Is the natural mother of these children Jewish?* YesNo Were there any conversions or adoptions in your family? * YesNo If yes, please describe. Additional notable Information PARENTS INFORMATION Father's Name* First Name Last Name Home Phone Number Area Code Phone Number Work Phone Number Area Code Phone Number Father Cell Area Code Phone Number Occupation Mother's Name* First Name Last Name Work Phone Number Area Code Phone Number Mother Cell Area Code Phone Number Occupation E-mail* Address* Street Address Street Address Line 2 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 EMERGENCY INFORMATION Emergency Contact* First Name Last Name Phone Number* Area Code Phone Number Work Phone Number Area Code Phone Number Cell Number* Area Code Phone Number Doctor First Name Last Name Doctor's Address Street Address Street Address Line 2 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 Doctor's Phone Number Area Code Phone Number Allergies or other Medical Condition: Allergies or other Medical Condition: Please specify which child has the allergy I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed for publication or for social media use, while participating in Chabad Center Hebrew School activities. I hereby give permission for my children to participate in all school activities, join in class and school trips on and beyond school properties and allow my children to be photographed for publication or for social media use, while participating in Chabad Center Hebrew School activities. Signature:* By filling out this signature slot, I affirm that all the above info is accurate & I accept that this e-signature is in place of a regular signature & is legally binding as would be a signature on paper Date:* Month Day Year Additional comments/concerns: HEBREW SCHOOL PROGRAM & VISION STATEMENT CHS - Chabad Hebrew School's vision is that every Jewish child in the triangle have the ability to get a top notch Jewish education and feel prideful about their heritage.Our program and subjects of learning can be found here (Please note the dates and subjects are from this past year and will be updated shortly). CHS in conjunction with Chabad's CKids program will be adding Tzivos Hashem to our school. This program will be our reward & incentive program and will give your the opportunity to grow and connect to their Jewish values, not just during the time they spend in Hebrew school classes, but at home as well. This incentive initiative is readily available and very convenient through an app on your phone. Examples of the Mitzvot and good deeds missions that can be completed at home include; Help by cleaning their room, honoring parents, playing nicely with siblings / friends, Saying the Shema etc. This program will most definitely enhance our students Jewish identity while rewarding them in the process. We are very excited to begin this program in our Hebrew school and join 10's of thousands of children worldwide in Tzivot Hashem. We are looking forward to the parents and students involvement of growing together!To read more about this program and to sign your children up click here. I agree to have my child enrolled in Chabad Hebrew school's Tzivot Hashem incentive program* Please click on above link to view overview of program & instructions for signing up Yes HEBREW SCHOOL TUITION AGREEMENT The following document is a tuition agreement for the Chabad Center Hebrew School. The agreement explains the tuition fees and payment plans. Please read through it carefully and sign it on the line below. The signed tuition agreement along with payment must be submitted to the school office before any child will be permitted to attend classes. Tuition Fees 2023 - 2024: Grades K-1 Sunday (9:30-11:30) at $740 (members discount* price $455)** Grades 2-8 Sunday & Wednesday program - (4:45-6:00) $880 (members discount* price $610)** **There is an added $75 Book & Security fee. If you enroll & make first payment installment by Aug. 11th, you’ll receive a 5% discount off tuition. Siblings receive a 5% discount off every additional child’s tuition. Please note: There is a 3% surcharge for all credit card payments. *To learn more / sign up for synagogue membership click here or visit www.jewishraleigh.org/membership Payment Plan* PLAN A, in full: You may pay the entire amount in full with a check, cash or credit card.PLAN B, by Check: You may pay the entire tuition by check by submitting 10 postdated checks dated August through May (or pro-rated if joining Hebrew School in the middle of the year). All checks must be submitted at the time of registration.PLAN C, Monthly by Credit Card: You may pay the entire tuition by credit card by filling out the information below. Your credit card will be billed monthly from August through May (or for the pro-rated period if joining in the middle of the year).. Total Amount to be charged:* $ I would like to sponsor a child for a; Week / Month / Year at CHS $36$180$720 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 Month2024202520262027202820292030203120322033 Expiration YearChecks should be made out to Chabad of Raleigh.Billing 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 CVV: Chabad Hebrew School of Raleigh will never turn a Jewish child away due to lack of funds.If the above tuition agreement would present any difficulties, we are willing to help. To request financial aid, please call Rabbi Mendy at the Chabad Hebrew School office at 917-406-6826 or email [email protected] to request a financial aid application form. The form must be submitted by August 25th 2021 for consideration. NO STUDENT WILL BE ADMITTED WITHOUT AN APPROVED PAYMENT PLAN WITH THE AGREED PAYMENT AMOUNT. Refunds for children withdrawing from school before the end of the school year will be pro-rated (other than the book & security fee) provided that the school office is given 30 days written notice. Tuition refunds will not be granted to children withdrawing from school after November 1. There are no refunds or credits for days missing due to illness, holidays, or family vacations. * I have read and agree to the terms outlined above. Signature:* By filling out this signature slot, I affirm that all the above info is accurate & I accept that this e-signature is in place of a regular signature & is legally binding as would be a signature on paper Date:* Month Day Year Should be Empty: This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
