Student Registration 2026-2027

For new students, in addition to filling out the form below, please call/email Feigie at 347-768-4885 or [email protected] to set up a quick interview. We want to meet you and your child so we can best cater our program to suit their needs. Registration will be confirmed once the interview takes place.Student Information:
Full Name:*
First Name Last Name
Hebrew Name:*
Gender:*
Grade entering in September:*
School Currently Attending: *
Birthday:*

Month Day Year
at Hour Minutes
Family Information:
All family information is the same as the first child.

Address:*

Home Phone Number:*

Area Code Phone Number
Father's Name:*
Hebrew Name:*
Cell Phone Number:*

Area Code Phone Number
Mother's Name:*
Hebrew Name:*
Cell Phone Number:*

Area Code Phone Number
Mother's E-mail:
Father's E-mail:
Which email would you like used for updates and newsletters?

Mother'sFather'sBoth
Grandparents Information (for Nachas reports):
We would love to send updates about your child to their grandparents throughout the year.
Paternal Grandparents Full Name:
First Name Last Name

Address:

Address:

E-mail:
Religious & Educational:
Previous Jewish Education:*
Does your child have any learning difficulties with General Studies?*

YesNo
Does your child read basic Hebrew?*

NoneSomewhatWell
If yes, please explain.
Are there any conversions and/or adoptions in the family or grandparents?*

NoYes
If yes, please elaborate.
Medical Information:
Is there any special medical or other information that we should be aware of?**

YesNo
If yes, please describe:
Does your child have any allergies*

YesNo
Emergency Contact #1:*
Is your child currently taking any medication?**

YesNo
Relation:*
Phone Number:*

Area Code Phone Number
Emergency Contact #2:*
Relation:*
Phone Number:*

Area Code Phone Number
Medical Release:*

I hereby give consent to the administration of the Chabad Hebrew School to take whatever medical measures they deem necessary, at my expense, for my child in the event of a medical emergency.
Payment Information.
Payment Options:

Pay in full - Complete Year - $850Pay per session - $300Sibling discount - Pay in full -Complete year -$800Thanks to a generous donor, Kindergarten is FREE. $200 Supplies/ Snacks fee.Monthly Ckids Club- $240
Total

$0.00

Payment

Credit Card Check

Postal / Zip Code

Country

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Family Information: