Parents Full Name* First Name Last Name E-mail* Phone Number* STUDENT INFORMATION Number of Children Registering:* $50 per child after May 20 STUDENT NAME #1:* First Name Last Name GRADE ENTERING THIS FALL:* Please upload a current picture of your child here: * STUDENT NAME #2: First Name Last Name GRADE ENTERING THIS FALL: Please upload a current picture of your child here: STUDENT NAME #3: First Name Last Name GRADE ENTERING THIS FALL: Please upload a current picture of your child here: STUDENT NAME #4: First Name Last Name GRADE ENTERING THIS FALL: Please upload a current picture of your child here: PROGRAM OPTIONS Option 1: Zoom Hebrew Classes - Mondays or Tuesdays, $1,000 a 1/2 hour between 4:00 PM and 6:00 PM, Hebrew Language One-on-One Classes $100 book, supplies, and security per child + $50 registration fee per child (to go up after May 20) Option 2: Main Hebrew School Program, In-Person - Wednesdays, $1,000 2 hours Judaics + Hebrew Group Classes, 4:00 PM - 6:00 PM, September - May $200 book, supplies, and security per child + $50 registration fee per child (to go up after May 20) Please note: There are no scholarships for private tutoring - Zoom Hebrew Language. Book/supply/security fee needs to be paid in full at the start of the year. Child 1 will be attending:* Virtual Hebrew Language Program - Mondays or TuesdaysMain Chabad Hebrew School Program - Wednesdays Child 2 will be attending:* Virtual Hebrew Language Program - Mondays or TuesdaysMain Chabad Hebrew School Program - Wednesdays Child 3 will be attending:* Virtual Hebrew Language Program - Mondays or TuesdaysMain Chabad Hebrew School Program - Wednesdays Child 4 will be attending:* Virtual Hebrew Language Program - Mondays or TuesdaysMain Chabad Hebrew School Program - Wednesdays PAYMENT Total: $0.00 Payment:* Credit Card Paypal 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 YearPaypal has been selected. Payment will take place on the next page.Please mail to:Chabad Hebrew School127 McDowell Street Asheville, NC 28801Billing 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 Please charge my balance:* Please charge my credit card in full, in AugustI would like to pay 50% in August, and 50% first week of JanuaryI would like to pay over ten months. Need Tuition Assistance No one will be turned away for lack of funds. If you are unable to pay the full amount, please write below what you can pay. All tuition remains confidential. This is how much I can pay per child, weekly: This is how I can contribute to the school - please list any talents or skills you are available to share, here: Questions/Comments: Submit Should be Empty: This page uses TLS encryption to keep your data secure.