Register HERE! - ChabadCenter.com

Welcome to Chabad Hebrew School East Valley! Our fabulous school works with children from Kindergarten all the way to 8th grade, instilling a sense of Jewish pride in each child as they learn about our timeless traditions and values in a fun and interactive way!

We are currently accepting application forms for the 2024-2025 school year. Hebrew School will begin September 15, 2024. More information will be sent to you once you are registered.

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.

How many children will we be signing up today?*

Student 1 Profile

Child's Name*

First Name Last Name

Hebrew Name*

Grade entering*

For the 2024-25 School Year

School*

Birth Date*

Month Day Year

Previous Jewish Education

Where?

Hebrew Reading Proficiency*

NoneSomewhatWell

T-Shirt Size

Student 2 Profile

Child's Name

First Name Last Name

Hebrew Name

School

Grade entering

For the 2024-25 School Year

Birth Date

Month Day Year

Previous Jewish Education

Where?

Hebrew Reading Proficiency

NoneSomewhatWell

T-Shirt Size

Student 3 Profile

Child's Name

First Name Last Name

Hebrew Name

School

Grade entering

For the 2024-25 School Year

Birth Date

Month Day Year

Previous Jewish Education

Where?

Hebrew Reading Proficiency

NoneSomewhatWell

T-Shirt Size

Parent Information

Father's Name*

First Name Last Name

Father Cell

Area Code Phone Number

Father Email

Mother's Name*

First Name Last Name

Mother Cell

Area Code Phone Number

Mother E-mail

Address*

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

These biological parents of the children were born Jewish* Select all that apply

MotherFatherOther - Contact Me

Are there any conversions in the family?*

NoYes

Are there any adoptions in the family?*

YesNo

Emergency Contact One*

First Name Last Name

Phone Number*

Area Code Phone Number

Cell Phone

Area Code Phone Number

Emergency Contact 2

First Name Last Name

Phone Number

Area Code Phone Number

Cell Phone

Area Code Phone Number

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.

I accept* Please check box.

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.

Name*

Initials*

Payment Information

Synagogue membership is NOT required! No child will be turned away due to lack of funds. Payment plans are available, we will be in touch with you for further details.

Payment breakdown is as follows: First child is $650 tuition plus $60 registration fee (includes book and CHS accessories). 5% discount applies to each additional child.

Total

$0.00 USD

I would like to pay today:Full amount$60.00 USD minimum$ USD

Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment

Credit Card Paypal Check

Postal / Zip Code

Country

If payment is not made in full, you will receive an invoice and will be contacted by the Chabad office to make payment arrangements.

Let's get started!