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Youth & Teens Hebrew School Registration & Family Visits

Returning Student Registration

Parents Full Name*
First Name Last Name
E-mail*
Phone Number*
STUDENT INFORMATION
Number of Children Registering:* $50 per child
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: Hebrew Literacy Track, $1,000
a 1/2 hour weekly, Hebrew Language One-on-One Classes
$100 Materials Fee per child

Option 2: Chabad Hebrew School Main Program, In-Person, $1,000
2 hours Judaics + Hebrew Group Classes, October - May
$200 Materials Fee per child

Please note: There are no scholarships for private tutoring - Hebrew Literacy Track. Materials fee needs to be paid in full at the start of the year.
Child 1 will be attending:*

Hebrew Literacy TrackCHS Main Program
Child 2 will be attending:*

Hebrew Literacy TrackCHS Main Program
Child 3 will be attending:*

Hebrew Literacy TrackCHS Main Program
Child 4 will be attending:*

Hebrew Literacy TrackCHS Main Program
PAYMENT
Total:

$0.00

Payment:*

Credit Card Paypal Check

Postal / Zip Code

Country

Please charge my balance:*

A. In full (Please charge me in full)B. Two payments (I would like to pay 50% now, and 50% first week of January.)C. 10 Monthly Payments (I 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:
Should be Empty:

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