ENROLLMENT FORMChabad Hebrew School 2024-25 Number of Children Registering:* Child 1:* First Name Last Name Child 1 Registration: Session 1: October 15-Dec 17 (8 weeks). $200Session 2: Jan 7- Feb 11 (6 weeks) $180Session 3: March 3-April 14 (6 weeks) $180Session 4: May 5-May 19 (3 weeks) $100One full year of Hebrew School Club (11:00 am - 12:00 pm) $550Private Hebrew reading (10:30-11:00am) $625 Child 1 Registration:* $1350 for the year: Aleph Champ individualized reading plus Hebrew school Club$725 Hebrew School Club without individual reading sessionsIndividual Sessions - specify below. Child 1 Registration:* Session 1: September 15- November 24 (11 weeks) - $308Session 2: December 8- February 9 (8 weeks) - $224Session 3: March 2- May 18 (10 weeks) - $2801 Individual Class - $28 Please specify date child will be attending:* Month Day Year Child 2:* First Name Last Name Child 2 Registration:* $1350 for the year: Aleph Champ individualized reading plus Hebrew school Club$725 Hebrew School Club without individual reading sessionsIndividual Sessions - specify below. Child 2 Registration:* Session 1: September 15- November 24 (11 weeks) - $308Session 2: December 8- February 9 (8 weeks) - $224Session 3: March 2- May 18 (10 weeks) - $2801 Individual Class - $28 Please specify date child will be attending:* Month Day Year Child 3:* First Name Last Name Child 3 Registration:* $1350 for the year: Aleph Champ individualized reading plus Hebrew school Club$725 Hebrew School Club without individual reading sessionsIndividual Sessions - specify below. Child 3 Registration:* Session 1: September 15- November 24 (11 weeks) - $308Session 2: December 8- February 9 (8 weeks) - $224Session 3: March 2- May 18 (10 weeks) - $2801 Individual Class - $28 Please specify date child will be attending:* Month Day Year Child 4:* First Name Last Name Child 4 Registration: $1350 for the year: Aleph Champ individualized reading plus Hebrew school Club$725 Hebrew School Club without individual reading sessionsIndividual Sessions - specify below. Child 4 Registration:* Session 1: September 15- November 24 (11 weeks) - $308Session 2: December 8- February 9 (8 weeks) - $224Session 3: March 2- May 18 (10 weeks) - $2801 Individual Class - $28 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 amount10% minimum: $0.00 $ Payment* Credit Card Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2024202520262027202820292030203120322033 Expiration YearBilling Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther 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. 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