Register

We are currently accepting application forms for the 2024-2025 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. You may call 954-600-6991 and speak with Rabbi Gutnick or Beth. We look forward to a wonderful an year of Jewish education for your child.
No. of Students registering*
Student 1
Full Name*

First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
School Name*
Grade Entering*
Hebrew Reading Proficiency*

None at allSomewhatProficient
Previous Jewish Education*

YesNo
Where was previous Jewish education?*
Student 2
Full Name*

First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
School Name*
Grade Entering*
Hebrew Reading Proficiency*

None at allSomewhatProficient
Previous Jewish Education*

YesNo
Where was previous Jewish education?*
Student 3
Full Name*

First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
School Name*
Grade Entering*
Hebrew Reading Proficiency

None at allSomewhatProficient
Previous Jewish Education*

YesNo
Where was previous Jewish education?*
Parents' Info
Father's Name*

First Name Last Name
Father's Cell*

Area Code Phone Number
Father's Email*
Mother's Name*

First Name Last Name
Mother's Cell*

Area Code Phone Number
Mother's Email*

Address*

Home Phone*

Area Code Phone Number
Were there any conversions or adoptions in the family?*

YesNo
Please provide conversion details*
Medical & Emergency Info
Emergency Contact*

First Name Last Name
Phone Number*

Area Code Phone Number
Does your child(ren) have any allergies or other medical condition we should be aware of?*

YesNo
Please describe the condition and indicate special precautions or care needed
MEDICAL AGREEMENT

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.
Initialize as agreement*
Payment Info
Your application is not complete without a payment plan. Chabad Hebrew School does not reject anyone due to lack of funds. If you feel that you need a special payment plan, please call 954-600-6991 and speak with Rabbi Gutnick or Beth.

Tuition Cost per child is $1000. Members rate is $900.
Multiple Child Discount: 2nd, 3rd child etc. receive $50 discount.

No charges or fees for building fund, supplies, snacks etc. There will be a $100 Security Fee per family due November 15th 2024.
Membership

I do plan on joining as a Chabad of Parkland Member for 2024/25 (Separate form)
Payment Options*

Pay in fullPay in two equal installments. (One upon submission and the second on 1/1/25)As per our discussion, a monthly or other payment plan has been arranged
Amount to Charge Today

$

Payment*

Credit Card Check

Postal / Zip Code

Country

Enrollment
After you have successfully submitted your application, it will be subject to review. We will reach out to schedule a follow up call, if necessary, to discuss your application. You will receive an approval email once your application is approved.
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Educate Your Child... Educate a Generation

Student 1