Hebrew School Registration Form

Welcome to the new year of Chabad Hebrew School 2024!

Tuesday, November 5: First day of Classes

Hebrew School is on Tuesdays from 4:00pm-5:30pm

Location: Chabad of Sharon Function Hall (Back Building) 162 N. Main Street, Sharon

Register today to ensure a Jewish tomorrow!

Please complete the form below.

If you have any questions, feel free to contact Chanie Minkowitz at 781-363-7053 or [email protected].
Section 1. Parent's Infomation
Parent 1
Name*
First Name Last Name
Cell*

Area Code Phone Number
Email*

Mailing Address*

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

Hebrew Name
Home Number

Area Code Phone Number
Parent 2
Name
First Name Last Name
Cell

Area Code Phone Number
E-mail

Mailing Address (if different than above)

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

Hebrew Name
Home Number

Area Code Phone Number
Marital Status

MarriedDivorced
Synagogue Affiliation
Amount of Children to register
Were the child(ren), mother and maternal grandmother all born Jewish?*

YesNo, (Please explain below)
Conversion or adoption information
Section 2. Child's Information
Child's Name*
First Name Last Name
Grade Entering*
Birth Date*

Month Day Year
Hebrew Name
Child 2
Child's Name
First Name Last Name
Grade Entering
Birth Date

Month Day Year
Hebrew Name
Child 3
Child's Name
First Name Last Name
Grade Entering
Birth Date

Month Day Year
Hebrew Name
3. Emergency Information
Emergency Contact*
First Name Last Name
Phone Number*

Area Code Phone Number
Relationship to Child
Does your child have allergies? (Food or medication)*

NoYes, (Please List Below)
Allergies:
Does your child take medication regularly?*

NoYes, (please explain below)
Medication Info:
Any special needs (physical, developmental, learning, emotional, behavioral) that may require special awareness on the part of our staff.*

N/AYes, (Please list below)
Special needs:
Does your child have an IEP? *

NoYes
4. Dates and Rates

Dates: The 2024-2025 school year begins on November 5, 2024. The last day is on May 27, 2025. Our calendar generally follows the Sharon Public School schedule for seasonal breaks and weekends off. Be sure to check the Hebrew School calendar.

Rates: Non refundable registration fee ($25) & book fee ($25) per child due upon registration: $50

.	Grade	Early bird - before November 15, 2024	After November 16, 2024
Tuition Fees	Kindergarten - 5th grade	$600	$650

Payments are due the first of each month. Please choose your choice of payment:*

I will submit seven checks, dated the first of each month, November- May. (Monthly tuition amount: Early bird: $85/month. Regular: $92/month)Charge my credit card on the first of each month, November- May. (Monthly tuition amount: Early bird: $85/month. Regular: $92/month)
5. Payment Options
Please tick your rate box*

Early bird $600 before November 15, 2024Regular rate: $650 after November 16, 2024
Refer a friend and receive $50 off your tuition! Rolling enrollment - you can redeem this offer at any time!
If relevant, list name of friend you referred
Dates
Amounts
Phone Number where you can be reached

Area Code Phone Number
Registration fee amount be charged today

$0.00

Payment

Credit Card Check

Postal / Zip Code

Country

Cancelation Policy: On or before December 1, 2024, 100% refund; after December 2, 2024 30% refund.
(There is no refund for registration fee or daily absences)
6. Permission Form
I hereby give permission for my child to participate in all Hebrew School activities.

I understand my child may be injured by accident. I give Rabbi Naftoli & Chanie Minkowitz and all the Hebrew School staff permission to attend to any injury in an appropriate manner and render any necessary first aid. In case of emergency, I authorize Rabbi Naftoli & Chanie Minkowitz and the Hebrew School staff to call 911 and transport my child to the closest hospital and take the necessary medical care that the situation calls for. I understand the staff will use their best judgment and provide the appropriate care and will contact the emergency contact as soon as possible.
Check the box to affirm your permission.

I allow my child's picture to be posted on social media. This helps us share the fun your children have at Hebrew School with you and friends! We appreciate allowing your child to be on social media.
Parent's Signature*
Date

Month Day Year
Comments / Questions
Should be Empty:

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Programs

Hebrew School Registration Form

Section 1. Parent's Infomation

Parent 1

Parent 2

Section 2. Child's Information

Child 2

Child 3

3. Emergency Information

4. Dates and Rates

5. Payment Options

6. Permission Form

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