Register (23-24)

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 Hour Minutes

Does your child read basic Hebrew?*

YesNo

If Yes:

GoodFairPoor

School*

Previous Jewish Education*

Grade entering*

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

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 Hour Minutes

Does your child read basic Hebrew?*

YesNo

If Yes:

GoodFairPoor

School*

Previous Jewish Education*

Grade entering*

Additional notable Information

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 Hour Minutes

Does your child read basic Hebrew?*

YesNo

If Yes:

GoodFairPoor

School*

Previous Jewish Education*

Grade entering*

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

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 Code	Country

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 Code	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

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:

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

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

Postal / Zip Code

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

Registration is now open for 2023 - 2024 School

STUDENT INFORMATION

Child # 2 Info

Child # 3 Info

PARENTS INFORMATION

EMERGENCY INFORMATION

HEBREW SCHOOL PROGRAM & VISION STATEMENT

HEBREW SCHOOL TUITION AGREEMENT