The Neighborhood Hebrew School

Welcome to The Neighborhood Hebrew School!

Please feel free to call 818-508-6633 with any questions.

Child(ren)'s Information

How many children are you registering?*

1. Full Name*

First Name Last Name

Birth Date*

Month Day Year

Grade*

2. Full Name

First Name Last Name

Birth Date

Month Day Year

Grade

3. Full Name

First Name Last Name

Birth Date

Month Day Year

Grade

4. Full Name

First Name Last Name

Birth Date

Month Day Year

Grade

-

Parent's Information

Mother's Name*

First Name Last Name

Phone Number*

Area Code Phone Number

E-mail*

I would like to receive news and updates by email

Address*

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

Father's Name

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

Address (If different from above)

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

Is the natural mother of the child Jewish?*

YesNo

Is the child's maternal grandmother Jewish?*

YesNo

-

Emergency Information

Emergency Contact #1*

First Name Last Name

Emergency Contact #1 Phone*

Area Code Phone Number

Emergency Contact #2

First Name Last Name

Emergency Contact #2 Phone

Area Code Phone Number

Doctor's Full Name*

First Name Last Name

Doctor's Phone Number*

Area Code Phone Number

Doctor's Address

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

Additional Notable Information:

-

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of The Neighborhood 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, The Neighborhood 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 The Neighborhood Hebrew School activities and that these pictures may be used for marketing purposes. The Neighborhood Hebrew School is a project of Chabad of Universal City and reserves the right to terminate this registration at any time and refund the balance paid.

*

I Accept

Name*

My e-signature will be legally binding as a printed signature

Initials*

-

Payment

Chabad Hebrew School is $700 for an entire year of Hebrew School for the first child, and 50$ off for each additional child.

1 Child = $700
2 Children = $1350 ($700 for the 1st child, $650 for the 2nd)
3 Children = $1,950 ($700 for the 1st child, $650 for the 2nd, $600 for the 3rd)

EARLY BIRD SPECIAL: All registrations in before August 1st will receive $50 off per student!

I am signing up:*

One Child = $700Two Children = $1,350Three Children = $1,950

I would like to pay the tuition:*

All at once on the first day of Hebrew SchoolWith monthly installments

Please Note:

1) There is a $50 registration fee, charged on the day of registration. This fee will be applied toward tuition.
2) The monthly tuition installments will be processed automatically every month with the credit card you will provide below.

I Accept

Total

$0.00

Payment

Credit Card

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

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Questions or Comments:

Synagogue Services

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Adult Education

Hebrew School Bar/Bat Mitzvah

Upcoming Events at Chabad & VFC

Photos