We are currently accepting application forms for the 2017-2018 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.

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

Student Information
Child 1:      
Child's Name Hebrew Name
Date of Birth School
Grade Entering Hebrew Reading Proficiency
Previous Jewish Education Where?
       
Child 2: (if applicable)    
Child's Name Hebrew School
Date of Birth School
Grade Entering Hebrew Reading Proficiency
Previous Jewish Education? Where?
       
Is the natural mother and maternal grandmother of the child Jewish?
Have there been any conversions or adoptions in the family? If Yes, please explain.

 
Parent Information
Father's Name Email
Work Phone Cell Phone
Mother's Name Email
Work Phone Cell Phone
Address City
State Zip
 
Emergency Informaion
Phone
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.
 
Payment Information
Chabad Hebrew School Tuition for the complete year is $650.
Materials and Books: - $50.
I understand that a $100 deposit ONLY, that will be applied towards tuition, will be charged to my credit card along with my form submission.
 
• Payments can be submitted below or by mailing a check to Chabad Hebrew School, 58 N Main St, Mullica Hill, NJ 08062
Payment Method    
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Terms of Enrollment

As the parent(s) or legal guardian of the above child(ren), 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.

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