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REGISTRATION FORM 2017-2018

For Children 5 - 13

Sundays from 9:30 - 11:30


Child Information (if enrolling more than one child please copy and complete child information).

Last name..................................... First Name .........................................

Hebrew Name ............................. D.O.B. ....../....../...... Entering Grade (Fall 2016) .............


My Child: (check one) Does not read Hebrew....... Recognizes letters of the Alef-Bet......

Can read Hebrew slowly...... Can read Hebrew very well......

Does your child have any special learning or behavioral needs? ...........................................

......................................................................................................................................

Any pertinent health information or Allergy? .........................................................................

......................................................................................................................................
_____________________________________________________________________________

Family Information

Are the natural mother, maternal grandmother and father Jewish? Yes.......... No ...........

If no, please explain .......................................................................................................

.....................................................................................................................................

Have there been any conversions or adoptions in your family? Yes .......... No ..........

If yes, please explain .....................................................................................................

....................................................................................................................................
___________________________________________________________________________

Parent Information

Address ......................................................................................................................

City ................................................................................... Zip.................

Father Mother

First Name: .............................................. ...............................................................

Cell Phone: ............................................. ...............................................................

Home Phone: ............................................ ...............................................................

E-mail: .................................................... ................................................................

Emergency Contact

Name and relationship: ................................................................................................

Phone: ..............................................................................

In the event of an emergency, the Chabad Hebrew School has my permission to arrange
for any necessary first-aid or care for my child. I give permission for my child/ren to take class trips with the Chabad Hebrew School. I hereby hold harmless and release Chabad Hebrew School and its representatives from any liability regarding thereto. I take responsibility for any damage caused by my child/ren at the Hebrew School facility. I allow photos of my family to be used for any legitimate use.
I agree to pay the balance or make payment arrangements before the beginning of the school year for $500.00 + $50.00 (Registration and Book Fee) for a total of $550.00.
__________________________________________________________________________

Payment Options:
Make check payable to "Chabad of Peachtree City/ Hebrew school”

_____ I am mailing One check for payment in full $550.00.or

_____ I am mailing one check for $500 (with early registration)


_____Ten postdated checks $55.00 or

Credit Card Information:

Credit Card number: .................................................................. Expiration: .............................

______Amount in full $550.00 or_____ in ten month $55.00

______ Amount in full $500.00 ______ in ten months $50.00


Signature of parent or legal guardian ...........................................................................

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Updates
We are excited to announce that  Hebrew School registration for the 2017/2018 year is now open.
We are offering a 50% off tuition discount for all Kindergarten students, and a $50 discount on the yearly tuition for registrations submitted by July 1st. No membership necessary.
To register your child click here
Calendar
Hebrew school classes will begin on August 27  2017.
 
Coming soon : a complete yearly calendar for the 2017/2018 Hebrew school year.