Register Online

We are currently accepting application forms for the 2019-2020 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 at   201-871-1152  ex. 503.

Classes will begin on Sunday September 8, 2019

CLICK HERE FOR DATES AND RATES

Please note that one registration form per child is needed.

There are three discount offers:

Early Bird Discount: Register and complete your payment plan by June 30th to receive 10% off your child’s tuition.

September 1st to receive a 5% off.  

Sibling Discount: 5% off of the lowest priced tuition.

Bring a New Friend Discount: 10% off for the family who recommends a new family to enroll.

Registration Deadline is September 2nd. All applications received after September 2nd, will be charged an additional $100 late fee. 

We look forward to a wonderful year of learning and growth.   
   

Student Profile
 
First
Last
Hebrew name
DOB            
School currently attending
Grade entering
Previous Jewish education Yes            No
Where?
Synagogue affiliated with
Is child's biological mother Jewish?
Any conversions or adoptions in the family?

If yes, please describe:

 
Any learning issues or disorders? (confidential)

 

Optional: Bar/Bat Mitzvah Information (For Students in Grades 3-6)

My Child's Hebrew Birthday:

Month :   Day

Bar and Bat Mitzvah celebration dates are alloted on a first come, first serve basis.

Please indicate your date preference and we will notify you of availability.

 Bar Mitzvah (Saturday Morning)   Bat Mitzvah (Friday Night)

First Preference       

Second Preference  

Third Preference     

 
Parent Information
 
Child lives with both parents?
If not, please describe situation
Mail should be addressed to  
Mother's name
Mother's cell
Mother's work
Home phone
Home address
City
State
Zip
Father's name
Father's cell
Father's work
Father's home phone (if different)
Father's address (if different)
City
State
Zip
Primary e-mail address   Mother's  Father's
Secondary e-mail address

 Mother's 

  Father's
Child has a regular babysitter / nanny
Babysitter / nanny's name
Babysitter / nanny's cell

 

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. 



    Parent Consent Form

1) I agree to follow all policies stated in the Lubavitch Hebrew School Parent Handbook and understand my responsibilities as a school parent.

2) I allow my child to attend all field trips taking place throughout the year.

3) I hereby grant permission for photography and videography of my child's activities at the Hebrew School or any activities related to Hebrew School care for public relations purposes.  I agree that I am to receive no compensation for my child's appearance and that this participation confers on me no ownership rights whatsoever.

4) I give permission to Lubavitch Hebrew School in the event of a medical emergency to seek and administer medical attention for my child and if necessary, to hospitalize him/her.

5) In the event that I cannot come to Lubavitch Hebrew School to pick up my child, I hereby authorize the following people to pick up my child from school.  I understand that only those individuals listed by me below will be given permission to pick up my child. 

 Name                                 Relationship to child

1.             

2.             

3.             

4.             

5.             

Names of children: 

I Accept   

Name:     Initials:

Please click here to place an online payment

Please note that the payment plan must be completed before the first day of school. 

We look forward to a wonderful year of learning and growth!