Printed from ChabadChatsworth.com

Registration

Registration

Web-Banner2.jpg

Jewish enrichment where your kids won’t want to miss a day!

An innovative program where the joys and traditions of Judaism are brought to life. Students learn and experience a wide spectrum of Judaic knowledge and Hebrew through stories, art, drama and music.

 

To receive a registration and curriculum packet please contact

Mrs. Necha Spritzer

818.718.0777 · necha @ChabadChatsworth.com


Sunday Class: Sundays 10:00am - 12:20pm

 

"A school that starts at the beginning, an education that never ends…"

 

Hebrew School Logo.jpg

Hebrew School online reservation form

We are currently accepting application forms for the 2016-2017 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 call 818-718-0777.

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
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Where?
Is the natural mother of the child born Jewish? Yes No
Have there been any conversions or adoptions in the family? If Yes, please explain.
Parent Information
 
Father's Name
Phone
Mother's Name
Phone
Address
City
State
Zip
Email Address
Emergency Information
 
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.

Payment Information - $700 annual tuition
The following is a tuition agreement for the Chabad of Chatsworth Hebrew School. The agreement explains the tuition fees, payments plans and refund policies. Please read it through carefully. If paying by check or cash, full payment must be submitted to the school office before any child will be permitted to attend classes.

The tuition for the Chabad of Chatsworth Hebrew School is $700 a year (which includes registration fee and supplies).

Plan A: You may pay the entire amount in full with a check, cash or credit card.

            

Plan B: You may pay the annual tuition on a monthly basis by submitting 9 checks at the beginning of Hebrew School
Plan C: You may use your credit card to pay the tuition on a monthly basis. Your credit card will be billed monthly from September through May. To do so please include your credit card number and expiration date at the bottom of this page.
Credit Card Number
Billing Address
CVV
Expiration Date

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of 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, 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 Chabad Hebrew School activities and that these pictures may be used for marketing purposes.

I Accept

Name:
Initials:

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

 

Secure This page uses 128 bit SSL encryption to keep your data secure.