PARENT INFO

PARENT(s) NAME:

EMAIL ADDRESS:
PHONE: ADDRESS, CITY, ZIP:
IN PERSON HEBREW SCHOOL, SUNDAYS 10:00 AM - 12:00PM
STUDENT NAME #1  GRADE
STUDENT NAME #2 GRADE
STUDENT NAME #3 GRADE
STUDENT NAME #4 GRADE

  I would like to pay by check

Please mail to:
Chabad Hebrew School
127 McDowell Street 
Asheville, NC 28801

   I would like to pay with Paypal

Please email: [email protected]

  Please charge my Credit Card Below

Registration Fee: $125 ($100 waived if registered by June 6)

$875 X  STUDENTS + SUPPLY FEE + REGISTRATION FEE (if applicable) = $  

No one will be turned away for lack of funds. If you are unable to pay the full amount, please write what you can pay. All tuition remains confidential.

CARD NUMBER SEC CODE
EXP MONTH EXP YEAR