We are currently accepting application forms for the 2018 - 2019 school year. Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us.

Child 1

     
Child's Name:
(first, last)
Age
Hebrew Name Grade entering this Sep
Date of Birth / / Name of School
What would you like your child to gain by joining Chabad's Hebrew School of the Arts?
Child 2      
Child's Name:
(first, last)
Age
Hebrew Name Grade entering this Sep
Date of Birth // Name of School
What would you like your child to gain by joining Chabad's Hebrew School of the Arts?
Parent's Information
Father Mother
Name Name
Hebrew Name Hebrew Name
Occupation Occupation
Full Address Full Address
Home Phone Home Phone
Work Phone Work Phone
Cell Phone Cell Phone
Email Address Email Address
Synagogue/s affiliated with: I am unaffiliated
Which parent of the child is Jewish? Mother Father Both
Were there any conversions or adoptions in your family? Yes No
If yes, please describe:
I was referred to Chabad’s Hebrew School By:
Medical/Emergency Information
Is there any special medical information regarding your child/children which our school should be aware of?
Emergency Contact 1 Emergency Contact 2
Phone Number Phone Number
Relation to child Relation to child
Is your child allergic to any foods? Yes No If yes please explain
Family Physician
Doctor's Name
(first last)
Doctor's Phone:
Doctor's Full Address Allergies
(if any please list)
As the parent(s) or legal guardian(s) of child/ren noted above, I/we authorize any adult acting on behalf of the Chabad’s Hebrew School of the Arts to hospitalize or secure treatment for my child. I further agree to pay for all charges for that care and/or treatment. It is understood that, if time and circumstances reasonably permit, the School will try to communicate with me prior to such treatment.I/we hereby give permission for my child/ren to attend all field trips and outings sponsored by Chabad’s Hebrew School of the Arts, and allow my child to be photographed while participating in school’s activities.
Parent's Signature: Date:
Parent Involvement
All families are required to volunteer a total of 10 hours/year. Please choose at least one committee to serve on for the school year. If you would like to pay a fee instead of serving on one of these committees, please add an additional $100 to your CHS tuition payment.
Orientation Day CHS School General
CHS Family Shabbat Dinner Chanukah
Purim Lag B’Omer Family BBQ
Chabad Shavuot Celebration Aleph Champ
End of Year Celebration Summer Assistance/Back to School Organization
Tuition Agreement
The following is a tuition agreement for the Chabad Hebrew School. The agreement explains the tuition, fees, payments plans. Please read it through carefully. A signed tuition agreement along with a full payment plan must be submitted to the school office before any child will be permitted to attend. Scholarships are available upon request. No child will be turned away for lack of funds. No refunds on tuition.
Hebrew School of the Arts: Tuesdays, 4/4:30 - 6:00 PM
4:00 PM - 4:30 PM Enrichment Grades K-7th = fee included in tuition
4:30 PM - 6:00 PM Grades K - 7th = $650
Hebrew School Tuition Fee covers books, supplies, and registration
 
Additional Opportunities Available For Your Children!
Cost: $60/hour session, and $40/half-hour session. Must be purchased in increments of 4 sessions. Can be used any time throughout the school year.
"One-on-one" Judaics enrichment sessions in the Judaics subject your child is learning
"Make-up" sessions for children who were absent from Sunday School or Hebrew School
Homework assistance in both Hebrew and Judaics
Bat/Bar Mitzvah program and lessons customized to meet the needs of your child (separate program & fees)
Please specify total number sessions of the above you would like:
Additional amount to be added to my CHS tuition:
 
Yes! I would like to join the Friends of Chabad Program
Below is a monthly recurring contribution to support Chabad's ongoing efforts.
Supporter: $36/mo or $432/yr Partner: $360/mo or $4,320/yr Pillar: $20,000/yr and beyond
Ambassador: $72/mo or $864/yr Visionary: $540/mo or $6,480/yr Please charge my card on file
Benefactor: $118/mo or $1,416/yr Lamplighter: $720/mo or $8,640/yr I will mail in payment
Builder: $180/mo or $2,160/yr Guardian: $1,500/mo or $18,000/yr  
 
Discounts Applicable:
10% Discount for each additional child of the same family attending Chabad Hebrew School
10% off tuition for all new students grades K-7th enrolled for the 2018-2019 school year
Payment Plans:
Total Payment Due for This Year: Pay by Credit Card Check

Send check to: Chabad Hebrew School of the Arts, 515 Meetinghouse Rd. Rydal PA, 19046

Card Type: Card Number:
Expiration Date /
(eg. 09/18)
CVV Code:
What's This?

Charge Amount

QUESTIONS? COMMENTS!
 
Initial here for signature of parent or legal guardian

 

Click here to download registration form for 2018/2019