New Students Registration 2024-25 - טופס הרשמה לתלמידים חדשים

• Location: 550 Rockaway Ave. Valley Stream

• Sundays, 10:00 am- 12:00 pm

• Pre-K -7th Grade

• Yearly Tuition: $579 per child
👍Buy one get one! Come for Pre-K and get next year for free!

• Hands-on learning style
• Bagel Breakfast each Sunday
• One-on-One Hebrew tutoring for every student
• Bar/Bat Mitzvah training

• School Calendar, click HERE

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

Step 1: Complete the form below.

Step 2: Contact Itty at: (516)359-2453 or Email: i [email protected]
to set up a new student interview. (registration can be completed only after an interview)

If you have any questions, feel free to contact our Hebrew School principal,
Mrs. Itty Goldshmid, who will be happy to assist you.

Are you registering for Pre K?*

YesNo

If Yes, To which elementary school are you planing to send your child in the future?

How many children (grades K-7) are you registering today?

123

1st Child's Name*

1st Child's First Name Hebrew Name Last Name

1st Child's DOB*

Month Day Year

1st Child's Grade:*

In September 2024

1st Child's Gender:*

GirlBoy

1st Child School Attending:*

In 2024-25

Previous Jewish Education?* 1st Child

If yes, where?

Is the biological mother of the child/ren Jewish by birth?*

YesNo

Were there any conversions or adoptions in the child's/ren immediate or extended family?*

If yes, please explain

Acceptance to Hebrew School is not an endorsement of the child's/ren Halachic status as a Jew. If necessary, the child's/ren status will need to be verified prior to any Bar/Bat Mitzvah being performed at Chabad of Valley Stream.

2nd Child's Name:

2nd Child's First Name Hebrew Name Last Name

2nd Child's DOB:

Month Day Year

2nd Child's Grade:

In September 2024

2nd Child's Gender:

GirlBoy

2nd Child School Attending:

In 2024-25

Previous Jewish Education? 2nd Child

If yes, where?

3rd Child's Name:

3rd Child's First Name Hebrew Name Last Name

3rd Child's DOB:

Month Day Year

3rd Child's Grade:

In September 2024

3rd Child's Gender:

GirlBoy

3rd Child School Attending:

In 2024-25

Previous Jewish Education? 3rd Child

If yes, where?

Additional Notable Information* Of any child registering

Please let us know if there are any allergies or other important information we need to be aware of

If your child/ren have any allergies and requires an EpiPen, please click HERE to download a form to be sighed by your Doctor

Father's Name*

Father's First Name Hebrew Name Father's Last Name

Father's DOB*

Month Day Year

Father's Cell:*

Area Code Phone Number

Father's Email:*

Father's Occupation:*

Mother's Name*

Mother's First Name Hebrew Name Mother's Last Name

Mother's DOB*

Month Day Year

Mother's Cell:*

Area Code Phone Number

Mother's Email:*

Mother's Occupation:*

Child/ren Home Address:*

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

Persons to be contacted in case of an emergency when parents cannot be reached

Contact 1:*

First Name Last Name Relationship to child/ren

Phone Number:*

Area Code Phone Number

Contact 2:*

First Name Last Name Relationship to child/ren

Phone Number:*

Area Code Phone Number

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 Saftey Agreement

Signature:* Parent/ Guardian

Considerd Electronic Signature

Your Total:

$0.00

PAYMENT 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 a full payment will be submitted to the school office at time of registration.
No child will be turned away for lack of funds

Tuition: $579 per child * Pre-K: Free

Payment Options:

Payment Agreement:*

I Accept The Payment Agreement

Signature:* Parent/ Guardian

Considerd Electronic Signature

E-mail

Confirmation/Receipt will be emailed to

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

New Students Registration Form 2024-25

טופס הרשמה לתלמידים חדשים

Parents Information