Hebrew School Registration

Hebrew School Registration
How many students will you be enrolling*
Student 1
Full Name*

First Name Last Name
Hebrew Name*

First Name Last Name
Birth Date*

Month Day Year
School*
Previous Jewish Education
Grade entering*
Parents E-mail*
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Student 2
Full Name*

First Name Last Name
Hebrew Name*

First Name Last Name
Birth Date*

Month Day Year
School*
Grade entering*
Previous Jewish Education
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Student 3
Full Name*

First Name Last Name
Hebrew Name*

First Name Last Name
Birth Date*

Month Day Year
School*
Grade entering student 3*
Previous Jewish Education
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Parents Information
Father's Name*

First Name Last Name
Father's Cell*

Area Code Phone Number

Address*

Address*

I am willing to assist in school activities, please contact me
PAYMENTS OPTIONS

Please select a payment option best for you
PAY IN FULL - $700 Hebrew School Tuition

second & third child receive a $50 discount
Choose how many children

$700 for 1 child$1,350 for 2 children$2,000 for 3 children
PAY $350 NOW - balance on January 15, 2025

second & third child receive a $50 discount
Choose how many children

$350 for 1 child$700 for 2 children$1,050 for 3 children
PAY $50 registration now - Have $650 per child balance, divided into monthly 8 payments Sept - April

second & third child receive a $50 discount -
Choose how many children

$50 for 1 child$100 for 2 children$150 for 3 children
Total

$0.00