In Person CHS

At-Home Option

HEBREW SCHOOL REGISTRATION

We are currently accepting application forms for the 2020-2021 school year. Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us at 914.819-2980.

NEW STUDENT     RETURNING STUDENT  

IN-PERSON OPTION     VIRTUAL AT-HOME  
 

Student 1 Profile
First Name
Last Name
Hebrew Name
Age

DOB
School
Grade Entering 2019/20
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Where?

Are you registering more than one child? If yes please fill in the fields below, if not skip and proceed to the field where it says Parent Information. Parents registering more than one child are eligible for a discount of $50 off each additional student's tuition that is registered.

Student 2 Profile
First Name
Last Name
Hebrew Name
Age

DOB
School
Grade Entering 2019/20
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Where?

Student 3 Profile
First Name
Last Name
Hebrew Name
Age

DOB
School
Grade Entering 2019/20
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Where?

Parent Information
Parent 1 Name
Mobile
Parent 2 Name
Mobile
Home Phone
Address
City & State
Zip
Email

Is the natural mother of the child Jewish?  Yes  No

Have there been any conversions or adoptions in the family?  Yes  No 
If yes, please specify 

Parents are now Married Separated  Divorced Father Deceased Mother Deceased Single Parent Child is adopted 

I authorize my home telephone number and email address to be published in a class list Yes No

Primary Contact: Parent 1 Parent 2 Both 

Parent Volunteers are always appreciated!

I am available to volunteer as a chaperone for local field trips, assist in special programming or have special interests or skills I would like to bring into the classroom. 

Let us know your expectations: I want my child's Hebrew School experience to 

We grant permission for our children to be photographed in an individual or group picture which may be used by the school for PR purposes (names of children are never released). Agree: 
Emergency Information
Emergency Contact 1
Phone
Relationship
Emergency Contact 2
Phone
Relationship

CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed. 

 

Payment Information

Please indicate which program your child is attending:

JUDA Hebrew School IN-PERSON: Wednesday 3:30-5:30 pm: Grades 1-6 / $750 per year 

VIRTUAL BRINGING-IT-HOME HEBREW SCHOOL: $750 (INCLUDES ALL SUPPLIES & MATERIALS)

 

Scholarship Fund: Would you like to donate $180 towards covering a child's scholarship in Hebrew School? 

Public school pick up: $100 per year | My child attends 

I am registering before June 1 and qualify for a $100 discount 

I am registering more than one child and qualify for a $50 discount on the second/third child's tuition 

I would like to apply for a scholarship. Please contact us.

Payment Method:  Check MC Visa

Card #  Expiration  CVV Code 

Total amount due:

Card Billing address & zip code: