Hebrew School Registration 2024-25

Student Information
All information is confidential. Any inquiries can be directed to: 845.368.1889 or [email protected]
Full Name*
First Name Last Name
Hebrew Name *
Nickname *
Birth Date*

Month Day Year

Address*

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

Home Phone Number*

Area Code Phone Number
Child's E-mail
Which School does your child attend?*
Grade Entering in the fall:*
Synagoggue affiliation if any:*
Previous Hebrew Education: Does your child read basic Hebrew? *
Does your child speak Hebrew?*
Does your child have any difficulties with his general studies? If yes, please specify:*
Were there any conversions and/or adoptions on the mothers side of the family? If yes, please explain.*
*Is the biological mother Jewish?*
*Is the biological father Jewish?*
* CHS welcomes every child, regardless of one's religious background or level of observance. CHS does not require membership or prior affiliations as a condition for enrollment. Acceptance to Hebrew School does not validate in anyway you or your child's Judaism. The process of being Bar and Bat Mitzvah through Chabad will require proof of mothers Judaism based on the guidlines of the Rabbinical court.
Parent Information
Mother's Full Name*
First Name Last Name
Mother's Hebrew Name*
Mother's Occupation *
Monther's cell Phone Number*

Area Code Phone Number
Mother's Work Phone Number*

Area Code Phone Number
Mother's E-mail*

Mother's Work Address*

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

Father's Full Name*
First Name Last Name
Father's Hebrew Name*
Father's Occupation*
Father's Cell Phone Number*

Area Code Phone Number
Father's Work Phone Number*

Area Code Phone Number
Father's E-mail*

Father's Work Address*

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

Medical Form
Doctor's Name*
First Name Last Name
Doctor's Phone Number*

Area Code Phone Number

Doctor's Address*

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

Medical Coverage: Insurance Company*
Policy Number:*
Allergies (if any please list) *
Medical Conditions: (If any please explain)*
Up to date with vaccinations?*

YesNo
Date of last tetanus shot:*
Emergency Contact #1*
First Name Last Name
Emergency Contact #1 Home Phone Number*

Area Code Phone Number
Emergency Contact #1 Cell Phone Number*

Area Code Phone Number
Emergency Contact #2*
First Name Last Name
Emergency Contact #2 Home Phone Number*

Area Code Phone Number
Emergency Contact #2 Cell Phone Number*

Area Code Phone Number
Permission for Emergency Medical Treatment:
As the parent(s) or legal guardian(s) I/we authorize any adult acting on behalf of the Chabad of Suffern Hebrew School to hospitalize or secure treatment for my child. I further agree to pay for all charges for that care and/or treatment. It is understood that, if time and circumstances reasonably permit, Chabad Hebrew School will try to communicate with me prior to such treatment.
Parents Signature *
*

I/we hereby give permission for my child to attend all field trips and outings sponsored by Chabad of Suffern Hebrew School.
*New Families - Who were you referred by?
Parent Volunteer
Parent involvement is key to the growth and excitement at CHS
Please choose at least one volunteering opportunity

Simchat Torah Celebration - Thursday, October 24Chanukah Gift Wrap - Sunday, December 22Chanukah Party - Monday, December 30Hamantash Bake - Sunday, March 9Purim Party - Friday, March 14End-Of-Year Celebration - Sunday, May 18
Payment Form
First Taste (Kindergarten-1st Grade): $800 Yearly Tuition.

Tier II (2nd-5th grades): $1500 Yearly Tuition.

Tier III (6th & 7th grade): $1500 Yearly Tuition.

We hire and make commitments to our staff based on registrations received, and therefore we cannot refund any deposits or tuition payments.

All payments should be paid in full prior to the 1st day of Hebrew School.

* Synagogue membership is NOT required. No child will be turned away for lack of funds.*
First Taste Kindergarten - 1st Grade

$800
Tier II 2nd - 5th Grade

$1500
Tier III 6th & 7th Grade

$1500
Total

$0.00

Payment

Credit Card Paypal Check

Postal / Zip Code

Country

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In this Section

● Dates & Rates

Updates

Hebrew School Registration for the 2018-19 school year is now open

Upcoming Events

There are no events posted at this time. Please contact us for more info about our events.

Aleph Champ Homework

White Champs

Red Champs
Orange Champs
Yellow Champs
Green Champs
Blue Champs
Purple Champs
Brown Champs

Feel free to contact us with any question 845-368-1889 or email [email protected]

Educate Your Child... Educate a Generation

Student Information

Parent Information

Medical Form

Parent Volunteer

Payment Form