Hebrew School Registration

Please complete all required fields.
One registration is required per child.
If you have any questions, please contact us.
We look forward to a wonderful year of learning and growth!
Registration Type*

NewReturning
Parent Information
Full Name of Parent Filling Out This Form*
First Name Last Name
E-mail*
Please let us know whether any family information has changed since last year.*

No changes - all family contact information remains the sameI need to update information
Please select all that apply:*

Father's InformationMother's InformationHome Information
Father's Information
Full Name*
First Name Last Name
Mobile Number*

Area Code Phone Number
Email*
Mother's Information
Full Name*
First Name Last Name
Mobile Number*

Area Code Phone Number
Email*
Home Information
Home Phone*

Area Code Phone Number

Address*

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

Student Information
How many children are you enrolling?*
First Child
Has this student previously attended our Hebrew School?*

New StudentReturning Student
What grade will this student be entering for the upcoming school year?*
Kindergarten: $1650 | Grade 1: $1750 | Grades 2-6: $2050
Full Name*
First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
Please state any allergies, medical conditions, medications, special accommodations, or instructions our staff should know.*
How would you describe this student's Hebrew reading ability?*

NoneSomewhatGood
Has this student participated in any Jewish educational program before?*

YesNo
If Yes, please specify school/program name:*
Is the student's biological mother Jewish?*

YesNo
Is the student's maternal grandmother Jewish?*

YesNo
Have there been any conversions or adoptions in the student's family background?*

YesNo
Second Child
Has this student previously attended our Hebrew School?*

New StudentReturning Student
What grade will this student be entering for the upcoming school year?*
Kindergarten: $1650 | Grade 1: $1750 | Grades 2-6: $2050
Full Name*
First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
Please state any allergies, medical conditions, medications, special accommodations, or instructions our staff should know.*
How would you describe this student's Hebrew reading ability?*

NoneSomewhatGood
Has this student participated in any Jewish educational program before?*

YesNo
If Yes, please specify school/program name:*
Third Child
Has this student previously attended our Hebrew School?*

New StudentReturning Student
What grade will this student be entering for the upcoming school year?*
Kindergarten: $1650 | Grade 1: $1750 | Grades 2-6: $2050
Full Name*
First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
Please state any allergies, medical conditions, medications, special accommodations, or instructions our staff should know.*
How would you describe this student's Hebrew reading ability?*

NoneSomewhatGood
Has this student participated in any Jewish educational program before?*

YesNo
If Yes, please specify school/program name:*
In Case of Emergency
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.
Medical Authorization*

Yes, I/We Accept
Initials*
Emergency Contact #1*
First Name Last Name
Phone Number* Emergency Contact #1
Emergency Contact #2*
First Name Last Name
Phone Number* Emergency Contact #2
Parent Volunteers
Please choose at least one volunteering opportunity* Parent involvement is key to the growth and excitement at VCHS.

First Day of HS - Sunday, September 6Simchat Torah Celebration - Saturday, October 3Chanukah Gift Wrap - Sunday, December 6Hebrew School Shabbat Dinner - Friday, January 8, 2027Tu B’shvat Fair - Sunday, January 17, 2027Hamantash Bake - Sunday, March 21, 2027Purim Party - Tuesday, March 23, 2027End-of- Year Celebration - Sunday, May 23, 2027
Payment
Payment Schedule* First Child - Kindergarten

Pay in full today2 Installments - First payment today and Jan 12th4 Installments - First payment today, Nov 12th, Jan 12th, and March 12th
Payment Schedule* First Child - Grade 1

Pay in full today2 Installments - First payment today and Jan 12th4 Installments - First payment today, Nov 12th, Jan 12th, and March 12th
Payment Schedule* First Child - Grades 2-6

Pay in full today2 Installments - First payment today and Jan 12th4 Installments - First payment today, Nov 12th, Jan 12th, and March 12th
Payment Schedule* Second Child - Kindergarten

Pay in full today2 Installments - First payment today and Jan 12th4 Installments - First payment today, Nov 12th, Jan 12th, and March 12th
Payment Schedule* Second Child - Grade 1

Pay in full today2 Installments - First payment today and Jan 12th4 Installments - First payment today, Nov 12th, Jan 12th, and March 12th
Payment Schedule* Second Child - Grade 2-6

Pay in full today2 Installments - First payment today and Jan 12th4 Installments - First payment today, Nov 12th, Jan 12th, and March 12th
Payment Schedule* Third Child - Kindergarten

Pay in full today2 Installments - First payment today and Jan 12th4 Installments - First payment today, Nov 12th, Jan 12th, and March 12th
Payment Schedule* Third Child - Grade 1

Pay in full today2 Installments - First payment today and Jan 12th4 Installments - First payment today, Nov 12th, Jan 12th, and March 12th
Payment Schedule* Third Child - Grade 2-6

Pay in full today2 Installments - First payment today and Jan 12th4 Installments - First payment today, Nov 12th, Jan 12th, and March 12th
Total

$0.00

Payment* Card will be charged on your selected schedule above.

Credit Card

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

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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Educate Your Child... Educate a Generation

Parent Information

Father's Information

Mother's Information

Home Information

Student Information

First Child

Second Child

Third Child

In Case of Emergency

Parent Volunteers

Payment