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Chabad Hebrew School

Inspiring Jewish Pride and Identity in Jewish Children - the future of Judaism.

ב"ה

Register

CHS & MINI GAN REGISTRATION
Full Name* Child 1

First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
School Attending*
Grade*
Full Name Child 2

First Name Last Name
Hebrew Name
Birth Date

Month Day Year
School Attending
Grade
Full Name Child 3

First Name Last Name
Hebrew Name
Birth Date

Month Day Year
School Attending
Grade
Emergency Information
Full Name*

First Name Last Name
Phone Number*

Area Code Phone Number
Relation*
Is your Child taking permanent medications?*

YesNo
Any known allergies or present medical conditions?*

YesNo
Family Physician*
Phone Number*

Area Code Phone Number

Address*

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

Tuition and Billing
Tuition

Hebrew School Program: $450
Sundays 10:00 am - 12:00 PM
Child 1*

CHS Primary Program
Child 2

CHS Primary Program
Child 3

CHS Primary Program

Payment

Credit Card Check or Cash

Postal / Zip Code

Country

Should be Empty:

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CHS - Chabad Hebrew School

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Educate Your Child... Educate a Generation