We are currently accepting application forms for the upcoming school year. Please fill out ALL fields of this form. We will only be accepting limited amount of new student applications for the coming year. If you have any questions or concerns you'd like to discuss with us, please contact us at 407-636- 5994 .

Please note that one registration form per child is needed.

We look forward to a wonderful year of learning and growth.

Student Profile
 
Name
Last
Hebrew Name
DOB
School
Grade Entering
Names of Sibling/s
Birth Date: M/D/Y
Any adoptions or conversions in the family?  Yes  No

If Yes, Please Explain

Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Where?

Tuition Cost is $500 per child.

Classes are divided in 4 groups:

Kita Alef - Kindergarten
Kita Bet - 1st-2nd Grade
Kita Gimmel - 3rd-5th Grade
Kita Daled - 6th-8th Grade

Parent Information
 
Father's Name
Phone
Mother's Name
Phone
Are the natural father and mother of the child Jewish? Yes No
If no please explain
Address
City
State
Zip
Her Email Address
His Email Address
What goals do you have for your child attending Hebrew School?

Emergency Information
 
Doctor’s Name
Doctor's Address
Allergies
If any, please explain:
Medical Conditions
If any, please explain:
Other:
Emergency Contact 1
Phone
Emergency Contact 2
Phone


CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.


As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of the Chabad Hebrew School to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, the Chabad Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in the Chabad Hebrew School activities and that these pictures may be used for marketing purposes.

I hereby give permission for my child  to attend all field trips and outings sponsored by Chabad Hebrew School.  

 I hereby give permission for my child  to be photographed. Photos may be used for promotional purposes for Chabad Lubavitch of North Orlando.

I Accept

Name:

Initials: 

Your application is not complete without a payment plan.

Chabad Hebrew School does not reject anyone due to lack of funds. If you feel that you need a special payment plan please call our office at 407-636- 5994.

Tuition Cost is $500 per child.
Early bird Discount 5% registration discount if submitted by July 8th.
Payment options: Pay in full 
  Pay in two installments 8/1 and 1/1.
 
Card Type
Name (on card)

Credit Card Number

Expire Date
Amount $