New Student Registration

Please note this form is for new students only.
(The school calendar and handbook will be emailed upon receipt of registration and medical forms.)

Family Name*

Child's First Name*

Child's Jewish Name*

Child's Birth Date*

Month Day Year

Time of Birth*

Hour Minutes

Child's Age*

Current School*

Grade Entering*

Previous Hebrew School/Hebrew Day School*

Home Address*

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

Mother's Name*

First Name Last Name

Mother's Jewish Name*

Is the biological mother Jewish by birth?*

YesNo

Mother's email*

Mother's Cell Phone Number*

Area Code Phone Number

Father's Name

First Name Last Name

Father's Jewish Name

Is the biological father Jewish by birth?*

YesNo

Father's email

Father's Cell Phone Number

Area Code Phone Number

Father's Address if different than above

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

Which of the child's grandparents are Jewish by birth?* Check all that apply

Maternal GrandmotherMaternal GrandfatherPaternal GrandmotherPaternal Grandfather

Has there been a conversion in the family or extended family?*

YesNo

If yes, please specify*

Has there been an adoption in the family or extended family?*

YesNo

If yes, please specify*

Synagogue with which family is affiliated:*

Referred by:

Describe your goals for your child(ren)'s Jewish education this year:*

Does your child have an IEP?*

YesNo

If yes, please describe the issues.

Does your child have any allergies towards food or medication?*

YesNo

If yes, please specify*

If yes, please provide a current epi-pen and written permission to administer to Hebrew School at the beginning of the school year

Doctor's Name*

First Name Last Name

Doctor's Phone Number*

Area Code Phone Number

Please confirm:*

I have completed a Medical Form for my child.

Registration: $100/child (applied to tuition)

Security: A security guard is on site whenever school in in session. To help defray the costs we will charge each family a one time security fee.

$300 per family
$175 subsidized security fee

Tuition Fees

Pre-k - 7th Grade - $1295 (All supplies and books included)

Discounted Tuition for COS Members - $895

Early Bird- Register by June 23th for 5% off!

Sibling Discount: 10% for each additional child - will be applied after submission

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 August 1, 2025
or
half by August 1, 2025 and half by December 31, 2025.
(Click Here to learn about Chabad Of Scottsdale Membership)

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

* Scholarships and payment plans available. No child will be turned away for lack of funds

Tuition Price per child*

COS Paid Member $895Non Member $1295

Method of Payment for tuition*

Prepayment in full before August 1, 2025Pay half of tuition before August 1, and half by December 31, 2025Other method of payment as arranged with the office (please email chasi@chabadofscottsdale.org to arrange)

I will pay tuition via*

Check or cashCredit card

Registration Fee*

$100

Security Fee *

$300 per family$175 (subsidized) per family

Total

$100.00

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

Registration Payment*

⚠ You have not yet connected a credit card processor.

Credit Card

We accept Visa, MasterCard, American Express
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

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

Medical Information

Tuition Details

Registration Payment

Enrollment Agreement

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