Registration - ChabadofAurora.com

Address*

School
Grade*
Previous Hebrew School Experience *
Physician Name*
Allergies*
Medical Notes
Parent Information
Father
Title*
Full Name*
First Name Last Name
Cell Number*

Area Code Phone Number
Home Number*

Area Code Phone Number
E-mail*
Mother
Title*
Full Name*
First Name Last Name
Home Number*

Area Code Phone Number
Cell Number*

Area Code Phone Number
E-mail*
Marital Status*
Shul Affiliation
Have there been any adoptions or conversions in the family?*

NoYesOption 3
If yes please explain
Payment Information
Registration fee is $100 until June 30th, 2024 ($150 after). Registration fee will be charged once this form is submitted and reviewed. Below please choose your payment plan for the tuition fee.
Registration Fee*
Tuition fee is $630. Please choose below your payment preference. For alternative payment plans kindly contact sara, [email protected].
Payment Schedule *

Pay in Full (September 1)3 equal payments (Oct. 1, Nov. 1, Dec. 1)

Payment*

Credit Card

We accept Visa, MasterCard, American Express
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Credit Card CVV*
As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Alef Bet Hebrew School to hospitalize or secure treatment for my/our child, I/we further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Alef Bet Hebrew School personnel will try, but are not required, to communicate with me/us prior to such treatment. I/we hereby give permission for my/our child to participate in all school activities, join in class and school trips on and beyond school properties and allow my/our child to be photographed while participating in Hebrew School activities which will be posted on the School's website. I/we also understand that all liability and costs resulting from damage to property and/or personal injury caused or attributable to my/our child/children will be my/our responsibility and I/we agree to fully indemnify and save Alef Bet Hebrew School and its associates, teachers and agents harmless therefrom. I/we consent to Alef Bet Hebrew School’s use of our personal information and of our child/children at its discretion in pursuit of school activities.
I agree to the terms and conditions above*

Agree
Once submitted we will contact you to confirm your registration. Registration fee will be charged once your child has been accepted.
Comments:
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Hebrew School Registration 2024/25