We are currently accepting application forms for the 2020-2021 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.

Feel free to contact our Director, Chanie Zucker at 305-304-1466 or email [email protected]

Student 1 Profile
First Name
Last Name
Hebrew Name
Age
DOB


In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day.
School
Grade Entering
Hebrew Reading Proficiency
None Somewhat Well
Previous Jewish Education
Yes No
Where?
Does your child have any learning disabilities? Please specify

This information will help us better cater to the needs of your child.
Address
City, State, Zip
Home Phone
Email
Cell Phone
 
Student 2 Profile
First Name
Last Name
Hebrew Name
Age
DOB
Time of Birth

In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day.
School
Grade Entering
Hebrew Reading Proficiency
None Somewhat Well
Previous Jewish Education
Yes No
Where?
Does your child have any learning disabilities? Please specify

This information will help us better cater to the needs of your child.
Address
City, State, Zip 
Home Phone
Email
Cell Phone
 
Student 3 Profile
First Name
Last Name
Hebrew Name
Age
DOB
Time of Birth

In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day.
School
Grade Entering
Hebrew Reading Proficiency
None Somewhat Well
Previous Jewish Education
Yes No
Where?
Does your child have any learning disabilities? Please specify

This information will help us better cater to the needs of your child.
Address
City, State, Zip
Home Phone
Email
Cell Phone
Family Information
My child is a
Is the natural father of the child Jewish? Yes No
If no, please explain.
Is the natural mother of the child Jewish? Yes No
If no, please explain.
Is the natural maternal grandmother of the child Jewish? Yes No
If no, please explain.
Have there been any conversions or adoptions in the family? Yes No
If yes, please explain.

 

Parent Information
Father's Name Father's Hebrew Name Cell
Email
Mother's Name
Mother's Hebrew Name
Cell
Email
Home Phone
Synagogue Affiliation
 
To enhance our curriculum we have school events and programs.  Can you assist in event planning?
* Email allows us to communicate in the most efficient and economical manner. We do not use your address for other purposes.
Emergency Information
Emergency Contact 1
Phone
Relationship
Emergency Contact 2
Phone
Relationship
Family Physician
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 Involvement
As part of the registration process this year, were asking that you sign up on one of the PTO sub committees, to help out with at least two of the programs listed below. Please choose two of the following committees to help out with:
Hebrew School Snacks Purim Community Celebration
Raffle Fundraiser Lag BaOmer BBQ
Calendar Fundraiser Shavuot Community Celebration
Hebrew School Friday Night Dinner Graduation & Last Day of School
Chanukah Party    

 

Tuition Agreement

 Chabad Hebrew School Tuition for the complete year is $775 and includes registration fee and book fee.

Please select payment plan:

Plan A - Payment in full before beginning of academic year - check, cash or credit card

Plan B - 50% paid before beginning of academic year and 50% due by Jan

Plan C - Please call me. I'd like to discuss tuition over the phone or in person

Please consider making an additional generous donation towards our Hebrew School. This will enable us to purchase many new curricula and supplies for our children. If you would like to discuss options how you can help our Hebrew School please call me.

I Would like to contribute: $180    $250   $360   $500   $1000    

Payment Information
Payment Method   Checks can be mailed to 906 Trinity Drive,
Key West, FL 33040
Total Registration Cost   Card Number
Expiration   CVV
Additional Comments (optional):
Terms of Agreement

I agree that in the event of an emergency, Chabad Hebrew School has my permission to arrange for any necessary first-aid or care by a licensed physician/first-aid worker. 

Chabad Hebrew School has my permission to use my child's photo in its publicity materials. 

I give permission for my child to attend all field trips and outings part of Chabad Hebrew School.

I have completed the Enrollment Form and agree to pay any balance according to the terms of agreement outlined above.

I will inform Chabad Hebrew School throughout the year if any family members have been exposed to or have any symptoms associated with COVID, such as fever, difficulty breathing, coughing or loss of smell.

 

Name:
Initials:

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