Registration for Returning Families

Please note this form is for RETURNING STUDENTS only! If you have never been to our Hebrew School, please fill out the New Student Form here .

Family Name*

Child 1 Name*

Child 1 Birth Date*

Month Day Year

Child 1 Time of Birth*

Hour Minutes

Child 1 Age*

School 1 School*

Child 1 Grade Entering*

Child 2 Name

Child 2 Birth Date

Month Day Year

Child 2 Time of Birth

Hour Minutes

Child 2 Age

School 2 School

Child 2 Grade Entering

Child 3 Name

Child 3 Birth Date

Month Day Year

Child 3 Time of Birth

Hour Minutes

Child 3 Age

Child 3 School

Child 3 Grade Entering

Home Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mother's Name*

First Name Last Name

Mother's Cell Phone Number*

Area Code Phone Number

Mother's email*

Father's Name

First Name Last Name

Father's Cell Phone Number

Area Code Phone Number

Father's email

Father's address if different

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

*

I filled out the medical form for each of my child(ren) for the new school year of 2022/2023

Doctor's Name*

First Name Last Name

Doctor's Phone Number*

Area Code Phone Number

Have there been any changes in medical or pertinent information in the past 12 months?*

Yes No

If yes, please specify.*

Do any of your children that you are registering have an IEP?*

Yes No

If yes, please specify which child and the details*

Please send a copy of the IEP to [email protected]

Payment for Hebrew School tuition is by check or cash. If you choose to pay by credit card, please provide the Credit card number and we will automatically add the 3.5% credit card fee which we incur. Tuition payment is due in full by September 1, 2022 or half by September 1, 2022 and half by January 15, 2023.

Fee Breakdown:
Registration Fee: $50 per child, which will be applied towards tuition
Tuition for the year, per child: $875 for Chabad Of Scottsdale paid Shul members · $1075 for non members
(Click here to learn about Shul Membership)
Discount: 10% for each additional child - will be applied after submission
Security Fee: $100 per family
*The security fee will help cover weekly police protection

You will only be charged for the registration fee and security fee at this time.

Tuition Price per child*

Chabad of Scottsdale Paid Shul Member $875 Non Member $1075

Method of Payment for tuition*

Prepayment in full before August 28 Pay ½ of tuition before August 28, and ½ by December 1, 2022. Other method of payment as arranged with the office.

I will pay tuition via*

Credit Card Check

Registration Fee ($50): Number of children registering*

$50/child

Family Security Fee*

$100

Total

$0.00

Yes, I'd like to donate the cost of processing this transaction by adding 3.5%

Registration Payment*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

To enroll your child(ren) in Chabad Hebrew School, please confirm that all your information is up to date and fill out a new medical/allergy form. Your application will not be processed without the required forms and fees. Payment must be made per the agreement chosen above. Enrollment is considered to be for the entire scholastic year. There will be no refunds even if the child is absent due to illness or vacations, or should the parents decide to withdraw the child from the program. In the event that tuition is not paid, CHS reserves the right to charge your Credit/Debit card, plus a 3.5% processing fee.

DISPOSITION

Parent acknowledges that Chabad Hebrew School serves children who are able to function successfully in a group setting. If, in the judgment of the school's director, the child is not able to function in a group setting, the parent may be asked to withdraw the child. In the event that the parent is requested to withdraw the child, the director will work with the parent to identify possible alternative programs suitable for the child, such as private tutoring.

RELEASE OF INFORMATION AND PHOTOGRAPHS

Parents allow for child(ren)'s picture to be used for internal PR mailing and website where name is not given. Parents allow for child(ren)'s photograph/name released to newspapers where last name will not be given. If not, please contact us. By submitting and initialing this form, parents accept the terms outlined above.

RELEASE TO RECEIVE INFORMATION THROUGH WHATSAPP

Parents agree to be added to a class Whatsapp Chat for the purpose of sharing photos and information.

BOTH PARENTS MUST INITIAL BELOW:

I agree*

Mother's Initials Date

I agree

Father's Initials Date

Student Profile

Family Information

Emergency Information

Tuition Details

Registration Payment

Enrollment Agreement

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