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Returning Student

Returning Student

We are currently accepting application forms for the 2016-2017 school year. First day of school is September 11, 2016. 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.

We look forward to a wonderful year of learning and growth.

Tuition and Supply fee - $660

Student Profile

Student Name

  Age Grade Entering:  Tshirt 

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.

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 child, I 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 prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Chabad Hebrew School activities and that these pictures may be used for marketing purposes.

I Accept

Name: Initials:

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Payment Option -
UPDATE: Tuition needs to be paid in full by October 31st. No refunds. One free-day trial for new students.

$660 Tuition + Book fee
Check to be received before October 23 to avoid late enrollment fee of $75.
Children's T-shirt size :

Card Number
Card Type
Exp. Date
Phone #
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