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ENROLLMENT FORM
Chabad Hebrew School 2022-23
Child 1:*
First NameLast Name
Child 1 Registration:
$1200 + $100 Registration fee (non refundable)$450 for Hebrew school enrichment class on Wednesdays (if there is enough interest)
Child 2:
First NameLast Name
Child 2 Registration:
$1100 + $100 Registration fee (non refundable)$450 for Hebrew school enrichment class on Wednesdays
Child 3:
First NameLast Name
Child 3 Registration:
$1100 + $100 Registration fee (non refundable)$450 for Hebrew school enrichment class on Wednesdays
Child 4:
First NameLast Name
Child 4 Registration:
$1100 + $80 Registration fee (non refundable)$450 for Hebrew school enrichment class on Wednesdays
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
Track Selection:*
In person Hebrew SchoolOut of the Box Virtual option(Includes weekly packages to be used during the zoom class)
Total
$0.00

I would like to pay today: Full amount10% minimum: $0.00 $

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I will inform Chabad Hebrew School throughout the year if any family members have been exposed to or have any symptoms associated with COVID, such as fever, difficulty breathing, coughing or loss of smell.
*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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ENROLLMENT FORM