Chabad Hebrew School Registration

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Student Profile
Hebrew Name
Grade Entering
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No


Have there been any conversions or adoptions in the family? If Yes, please explain.


Please check off if each of the following family members are Jewish

Father  Yes  No                                Mother  Yes  No

Paternal Grandfather  Yes  No           Paternal Grandmother  Yes No

Maternal Grandfather  Yes  No           Maternal Grandmother  Yes  No


Parent Information
Father's Name
Mother's Name
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 - $850 annual tuition
The following is a tuition agreement for the Chabad of Greater Los Feliz Hebrew School. The agreement explains the tuition fees, payments plans and refund policies. Please read it through carefully. If paying by check or cash, full payment must be submitted to the school office before any child will be permitted to attend classes.

The tuition for the Chabad of Greater Los Feliz Hebrew School is $850 a year

Plan A: You may pay the entire amount in full with a check, cash or credit card.

Plan B: You may pay the annual tuition on a monthly basis by submitting 9 checks at the beginning of Hebrew School
Plan C: You may use your credit card to pay the tuition on a monthly basis. Your credit card will be billed monthly from September through May. To do so please include your credit card number and expiration date at the bottom of this page.
Credit Card Number
Billing Address
Expiration Date

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


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