Register 2026-2027

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Returning StudentNew Student
Student #1 Information
Full Name*
First Name Last Name
Hebrew Name*
Date of Birth*

Month Day Year
Gender*
School*
Grade (for 2026/27)*
Prior Judaic knowledge or background*
Enroll another child?

YesNo
Student #2 Information
Full Name
First Name Last Name
Hebrew Name
Date of Birth

Month Day Year
Gender
School
Grade (for 2026/27)
Prior Judaic knowledge or background
Parents Info
Mother's Full Name*
First Name Last Name
E-mail*
Home Phone Number*

Area Code Phone Number
Cell Phone Number*

Area Code Phone Number
Occupation*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Father's Full Name*
First Name Last Name
E-mail*
Home Phone Number

Area Code Phone Number
Cell Phone Number

Area Code Phone Number
Occupation

Address if different than above

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Marital Status*
Have there been adoptions in the family?*

YesNo
If yes, please explain
Have there been conversions in the family? (grandparents/parents/children)*

YesNo
If yes, please explain
Best form of contact*

EmailTextSocial Media
Medical Information
Physicians Name
Phone Number

Area Code Phone Number
Insurance name
Policy number
Allergies
Notes
Emergency Information
Emergency contact #1*
First Name Last Name
Relationship*
Phone Number*

Area Code Phone Number
Emergency contact #2
First Name Last Name
Relationship
Phone Number

Area Code Phone Number
Enrollment Options/Tuition & Fees
PLEASE READ CAREFULLY

Options of Days:

Sunday Program: 10:00 AM - 12:00 PM

Wednesday Program: 4:00 PM - 6:00 PM

Wednesday Program - Middle School Students: 4:30 PM - 6:00 PM

Fees:

Tuition: $800

Registration fee: $75 per family

Early Bird! $100 off Hebrew School Tuition. Valid through 5/31/2026

Sibling discount: $50 off 2nd sibling

Security fee: $100/family

Welcoming Kindergarten Students: $200 off

New Family: $200 Discount
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Sunday Mornings - 10:00 AM - 12:00 PMWednesday Afternoons: 4:00 - 6:00 PMWednesday Afternoon Middle School Students - 4:30 - 6:00 PM
Yes! I'm interested in a post Bar/Bat Mitzvah 8th Grade Program!
Yes! I'm interested in pick up from Sunset Palms after the bell.Yes! I'm interested in pick up from the JCC
Payment options*

Pay in full5 monthly payments to be charged to my card
For other arrangements email [email protected]
Total

$0.00
Please Note: Only registration fee will be charged at this time.

Payment Method

Credit Card Check

Yes! I’d like to be contacted about joining Chabad’s Chai Club membership!
As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad Hebrew School to hospitalize or secure treatment for my/our child, I/we further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad Hebrew School personnel will try, but are not required, to communicate with me/us prior to such treatment. I allow my child/ren’s photographs to be used in any print or digital publications or on social media.
*

I agree to the terms and conditions above
How did you hear about us?*
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Student #1 Information

Student #2 Information

Parents Info

Medical Information

Emergency Information

Enrollment Options/Tuition & Fees

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