Register Online

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.

Please note that one registration form per child is needed.

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

Track Selection
Due to Covid-19 we're offering two learning tracks. 
Track 1:  in-person learning, and Track 2:  at home virtual learning with a live teacher. 
Please select a learning track for your student.  Click here for more information.


Student Profile
Student's First Name
Hebrew Name
Grade Entering
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Is the natural mother and maternal grandmother of the child Jewish? Yes No
Have there been any conversions or adoptions in the family? If Yes, please explain.
Parent Information
Father's Name
Mother's Name
Home Address
Email Address
Emergency Information
Emergency Contact 1
Emergency Contact 2

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 
 $700 Annual tuition + $50 Book Fee + $50 Security Fee            (*Special Covid Rate)

I would like to pay a one time installment of $765 ($665 paid-in-full discount, plus $100 registration fees).

I would like to pay in seven installments of $100, and pay the $100 registration fees now.
Payment Method
Credit Card Number
Expiration Date
Billing Address


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:

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