NEW Student Registration 2026-2027

Hebrew School 2026/27 - 5787

(Do you know of a new family looking for a hebrew school? Refer them to Chabad Hebrew School and receive a $100 tuition credit.)

NEW STUDENTS IN PRE-K OR K RECEIVE FREE TUITION!

When more than one child is registered, each additional child receives a $50 discount off their tuition.

REGISTER BEFORE AUGUST 20TH AND RECEIVE $100 OFF YOUR TUITION!
Number of children being registered:*
Student 1 Profile
Full Name*
First Name Last Name
Hebrew Name
Age*
Birth Date*

Month Day Year
Gender*

FemaleMale
Approximate Time of Birth
Hour Minutes
School*
Grade 2026/2027*
Hebrew Reading Proficiency

NoneSomewhatWell
Previous Jewish Education*

YesNo
Where?*
Does your child have an IEP? If yes, please email it in.*

NoYes
CONFIDENTIAL: Does your child have any allergies or medical conditions we should be aware of? If yes, please describe them and indicate special precautions or care needed.
Tuition*
Student 2 Profile
Full Name*
First Name Last Name
Hebrew Name
Age*
Date of Birth*
Approximate Time of Birth
Hour Minutes
School*
Grade 2026/2027*
Hebrew Reading Proficiency

NoneSomewhatWell
Previous Jewish Education*

YesNo
Where?*
Does your child have an IEP? If yes, please email it in.*

NoYes
CONFIDENTIAL: Does your child have any allergies or medical conditions we should be aware of? If yes, please describe them and indicate special precautions or care needed.
Tuition*
Student 3 Profile
Full Name*
First Name Last Name
Hebrew Name
Age*
Date of Birth*
Approximate Time of Birth
Hour Minutes
School*
Grade 2026/2027*
Hebrew Reading Proficiency

NoneSomewhatWell
Previous Jewish Education*

YesNo
Where?
Does your child have an IEP? If yes, please email it in.*

NoYes
CONFIDENTIAL: Does your child have any allergies or medical conditions we should be aware of? If yes, please describe them and indicate special precautions or care needed.
Tuition*
Parent Information
Parent 1*
First Name Last Name
Parent 1
Hebrew Name
Mobile*
E-mail*

Address*

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

Parent 2
First Name Last Name
Parent 2
Hebrew Name
Mobile
E-mail

Address (If different than parent 1)

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

Was the student's biological MATERNAL grandmother born Jewish?*

YesNoOther
Please explain.
Was the student's biological PATERNAL grandmother born Jewish?*

YesNoOther
Please explain.
Have there been any conversions or adoptions in the family?*

YesNo
Please provide details..
Parents are now*

MarriedSeparatedDivorcedFather DeceasedMother DeceasedSingle Parent
I authorize my home telephone and email address to be published in a class list
Primary Contact*

Parent 1Parent 2Both
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).
Let us know your expectations! I want my child's Hebrew School experience to
Grandparent Information (for nachas reports!)
We would love to send updates about your child to their grandparents throughout the year.
Maternal
First Name Last Name

Address

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

E-mail
Phone Number
Paternal
First Name Last Name

Address

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

E-mail
Emergency Contacts
Contact 1*
First Name Last Name
Phone Number*

Area Code Phone Number
Relationship
Contact 2*
First Name Last Name
Phone Number*

Area Code Phone Number
Relationship
Tuition Promotion

It's before August 20th! Please deduct $100 from my tuition.
Tuition discount It's before August 20th!
School Pick-Up

$150 - I would like my child/children picked up from school and brought to Chabad. (Only available to students living in the Larchmont/Mamaroneck/Rye Neck area.)
Total

$0.00

I would like to pay today:Full amount$360.00 minimum$
Yes, I'd like to donate the cost of processing this transaction by adding 3%
Recurring Payment

I would like to set up a recurring payment. Please contact me to arrange.
Scholarship

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

Payment

Credit Card Check

Postal / Zip Code

Country

Should be Empty:

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Student 1 Profile

Student 2 Profile

Student 3 Profile

Parent Information

Grandparent Information (for nachas reports!)

Emergency Contacts

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