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Hebrew School of the Arts

Inspiring Jewish Pride and Identity in Jewish Children - the future of Judaism.

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Register

Chabad Hebrew School of the Arts is currently accepting applications for the 2022-2023 school year for children ages 4-13

If you have any questions filing out this form please call us at 862-324-5077, or e-mail, [email protected]
Parent Information
Parent 1 Name*

First Name Last Name
Student Information

Child 1
Child's Name*

First Name Last Name
Birth Date*

Month Day Year
Grade Entering*
Previous Jewish Education?

Yes
No
List any previous Jewish Education
Hebrew Name
Current School Attending
Hebrew Reading Proficiency*

None Somewhat Well
Parent 1 E-mail*
Parent 1 Cell Phone*

Area Code Phone Number
Parent 1 Work Phone*

Area Code Phone Number

Address*

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

Parent 2 Info
Parent 2 Name

First Name Last Name
Parent 2 E-mail
Parent 2 Cell Phone

Area Code Phone Number
Parent 2 Work Phone

Area Code Phone Number
Emergency Information
Emergency Contact* In case of emergency, when neither parent can be reached, give name of who will take responsibility for your child

First Name Last Name
Home Phone*

Area Code Phone Number
Cell Phone*

Area Code Phone Number
Medical Emergencies

I authorize the director or director's designee to seek appropriate medical care for my child/children, if necessary.
Doctor*

First Name Last Name

Address*

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

Phone Number*

Area Code Phone Number
Would you like to register a second child?

Yes
No
Child's Name

First Name Last Name
Birth Date

Month Day Year
Grade Entering
Previous Jewish Education?

Yes
No
List any previous Jewish Education
Hebrew Name
Current School Attending
Hebrew Reading Proficiency

None Somewhat Well
CONFIDENTIAL: Does your child/children have an IEP or other learning challenges?

Yes No
If yes, please describe them and indicate special precautions or care needed:
CONFIDENTIAL: Does your child/children have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.*

Yes No
Does your child have need for an epi-pen? If yes, please provide a current epi-pen and written permission to administer to Hebrew School at the beginning of the school year

Yes No
Tuition Information

Chabad Hebrew School Tuition is $600 per child. The $50 Registration Fee goes towards the Tuition Fee.
Number of children being registered*
Payment Options

Only Registration Fee Due Today To Reserve Your Spot. For Remainder You Have Options:
Pay in full before or on 8/27/2022 Pay in two installments 8/27/2022 and 12/27/2022 Pay in 6 equal payments, beginning September 1st ending February 1st
Scholarship Request There are needs-based scholarship available for any Jewish child who needs it.

Check this box if you want to apply for one and someone will reach out
Total

$0.00

Payment

Credit Card Paypal

Enrollment Agreement

To enroll your child(ren) in Chabad Hebrew School, all forms must be completed and sent in to the school. Your application will not be processed without the required forms. Enrollment is considered to be for the entire scholastic year. There will be no refunds even if the child is absent due to illness, holidays, vacations, and snow days, or should the parents decide to withdraw the child from the program. DISPOSITION: The 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. 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 the last name will not be given. If not, please contact us. By submitting and initialing this form, parents accept the terms outlined above. Both parents must initial.
Parent 1 Initials*
Date*

Month Day Year
Parent 2 Initials*
Date*

Month Day Year
Medical Agreement

In case of medical emergency requiring immediate emergency care, I authorize the paramedics to take my child to the nearest hospital if necessary. It is understood that I will hold Chabad Hebrew School of Montclair harmless for the nature and outcome of any emergency medical treatment. It is also understood that I leave the decision of what constitutes an emergency to the sole direction of the staff (please Initial)
Parent 1 Initials*
Date*

Month Day Year
Parent 2 Initials*
Date*

Month Day Year
I would like to receive news and updates by email
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