Printed fromChabadBriarcliff.com

Educate your child... educate a generation!

ב"ה

Returning Student Registration

ENROLLMENT FORM
Chabad Hebrew School 2026/27 Early Bird discount before May 17: $1,250 - after that $1,350
Number of Children Registering:*
Child 1:*
First Name Last Name
Please specify date child will be attending:

Month Day Year
Child 2:*
First Name Last Name
Child 3:*
First Name Last Name
Please specify date child will be attending:

Month Day Year
Child 4:*
First Name Last Name
Please select all that apply:*

Child 1: $1350 for the year - $1250 before May 17Child 1: First time Pre-K/K student: $360Child 2: $1250 for the yearChild 2: First time Pre-K/K student: $360Child 3: $1250 for the year (sibling discount applied)Child 3: First time Pre-K/K student: $360Child 4: $1250 for the year (sibling discount applied)Child 4: First time Pre-K/K student: $360
Please specify date child will be attending:

Month Day Year
Has any information changed since last year? Please specify:
I would like to sponsor the Jewish education of another child for $1000.
I would like to contribute:

$36$72$180$360
Please call me to arrange a payment planPlease send me a scholarship application form
Total

$0.00

I would like to pay today:Full amount50% minimum: $0.00 $

Payment*

Credit Card Check

Postal / Zip Code

Country

*No child is turned away due to lack of funds
**Registration will not be not accepted without full payment or without a completed scholarship form or payment plan form.
Should be Empty:

This page uses TLS encryption to keep your data secure.