Resistration - Alevy Family Chabad of Peabody Jewish Center
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RegistrationHEBREW SCHOOL ONLINE REGISTRATION

If you prefer good old fashioned paper CLICK HERE FOR A PDF of printable forms

We are currently accepting application forms for the 2017-18 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 contact us.

We require a $100 deposit per family due at the time of registration.


STUDENT INFORMATION
First Name   Last Name
Hebrew Name   D.O.B.
School   Grade Entering
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No If yes - where?
PARENT INFORMATION
Father's Name   Father's Cell
Mother's Name   Mother's Cell
Address   City, State, Zip
City State Zip
Home Phone   Email
Were there any conversions or adoptions in the family? Yes No
If yes, please explain:

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.



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

I Accept

Name:
Initials:

PAYMENT OPTIONS

• Tuition for the coming year will be $850, plus a $25 book fee.

• Tuition for the Preschool Hebrew School Program will be $725.

I understand that a $150 deposit ONLY, that will be applied towards tuition, will be charged to my credit card along with my form submission.

I will Mail in my deposit ASAP.
The remaining tuition balance can be paid by check, or Credit Card, in one payment, quarterly, or mailed to The Chabad of Peabody Hebrew School • 682 Lowell St., PO Box 2154, • Peabody, MA 01960

Name on card   Card Type
Charge Amnt. enter $150 deposit or you will be charged the amount you enter here   Card Number
Exp. Date   CVV Code 3 digits on back of card
I would like to pay

Annual Amount @ Beginning of School Year by CC or Check

Quarterly - By CC (over the course of Hebrew School)

Invoice me

Special Arrangements - I will be in touch with the Rabbi

     
  • · Our program does not require any family membership at a synagogue and all students and their families are welcome to attend services at Chabad at no additional cost.· Although our programs are open to families of all backgrounds and affiliations, and no family will be denied because of inability to pay, and we don't require separate membership for our synagogue, our synagogue is traditional and life cycle events, such as Bar and Bat Mitzvah, can only be celebrated by children of a Jewish mother or those converted under Halachic auspices.
    We look forward to a wonderful year of learning and growth!

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