Returning Students Registration Form 2022-23 - Chabad of Valley Stream, North Woodmere, East Rockaway and Lynbrook

Hebrew School Registration for 2022-23

Please Complete the form below

For New Students Registration Form Click HERE

Sundays, 9:30- 12:30
Pre K -8th Grade
Yearly tuition per child $735

No child will be turned away due to lack of funds.

Click HERE for a school calendar

How many children are you signing today?*

1 Child2 Children3 Children4 Children

1st Child's Name:*

1st Child's First Name1st Child's Last Name

1st Child's Grade:*In September 2022

1st Child's DOB*

MonthDayYear

2nd Child's Name:

2nd Child's First Name2nd Child's Last Name

2nd Child's Grade:In September 2022

2nd Child's DOB:

MonthDayYear

3rd Child's Name:

3rd Child's First Name3rd Child's Last Name

3rd Child's Grade:In September 2022

3rd Child's DOB:

MonthDayYear

4th Child's Name:

4th Child's First Name4th Child's Last Name

4th Child's Grade:In September 2022

4th Child's DOB:

MonthDayYear

Additional Notable Information:*Please let us know if there are any allergies or other important information we need to be aware of.

Please write N/A if not applicable

Change of Information:*If there was a change since last year, please provide updated address, phone number, emergency contact info, and School attending

Please write N/A if not applicable

If your child has any allergies and requires an EpiPen, please clickHEREto download a form to be sighed by your Doctor.

SAFETY AGREEMENT:
As the parent(s) or legal guardian of the above child/ren, I/we authorize any adult acting on behalf of Chabad of Valley Stream Hebrew School to hospitalize or secure treatment for my child/ren, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad of Valley Stream Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child/ren to participate in all school activities, join in class and school trips on and beyond school properties and allow my child/ren to be photographed while participating in Chabad of Valley Stream Hebrew School activities and that these pictures may be used for marketing purposes.

Safety Agreement*

I Accept The Safety Agreement

Signature*Parent/ Guardian

Considered electronic signature

TUITION AGREEMENT:
The following document is a tuition agreement for the Chabad Hebrew School. The agreement explains the tuition fees and payments plans. Please read it through carefully and sign it on the signature line below. The signed tuition agreement along with full non-refundable payment will be submitted to the school office by September 1, 2022 or at time of registration.
A limited number of scholarships are available upon request; no child will be turned away for lack of funds.

Payment Agreement*

I Accept The Payment Agreement

Signature*Parent/ Guardian

Considered electronic signature

Tuition: $735 per child + $100 per family, for an armed security guard

You can pay today the full tuition OR pay half today and half on January 1, 2023,
or write in the comments if you will be calling the office to arrange a different payment plan.

An armed security guard per family*

$100.00

This is your Total Tuition, choose the amount you would like to pay now

$0.00

I would like to pay today: Full amount$100.00 minimum $

Payment*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Comments:

E-mail:*

Confirmation/Receipt will be emailed to