Registration

We are currently accepting application forms for the upcoming school year. Space is limited for the coming year.

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

No. of Students registering*

Registration Type*

New StudentReturning Student

Full Name*

First Name Last Name

Hebrew Name

Birth Date*

Month Day Year

School Name*

Grade Entering*

Please enter any changes from last year

Hebrew Reading Proficiency*

None at allSomewhatProficient

Previous Jewish Education*

YesNo

Where was previous Jewish education?*

Registration Type*

New StudentReturning Student

Full Name*

First Name Last Name

Hebrew Name

Birth Date*

Month Day Year

School Name*

Grade Entering*

Please enter any changes from last year

Hebrew Reading Proficiency*

None at allSomewhatProficient

Previous Jewish Education*

YesNo

Where was previous Jewish education?*

Registration Type*

New StudentReturning Student

Full Name*

First Name Last Name

Hebrew Name

Birth Date*

Month Day Year

School Name*

Grade Entering*

Please enter any changes from last year

Hebrew Reading Proficiency

None at allSomewhatProficient

Previous Jewish Education*

YesNo

Where was previous Jewish education?*

Email*

Father's Name*

First Name Last Name

Father's Cell*

Area Code Phone Number

Father's Email*

Mother's Name*

First Name Last Name

Mother's Cell*

Area Code Phone Number

Mother's Email*

Address*

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

Home Phone*

Area Code Phone Number

Were there any conversions or adoptions in the family?*

YesNo

Please provide conversion details*

Photo Consent*

I hereby give permission for my child to be photographed. Photos may be used for promotional purposes for Chabad of Altamonte Springs.

Please provide any updates to your children's medical or emergency information from last year.

Emergency Contact 1*

First Name Last Name

Phone Number*

Area Code Phone Number

Emergency Contact 2*

First Name Last Name

Phone Number*

Area Code Phone Number

Does your child(ren) have any allergies or other medical condition we should be aware of?*

YesNo

Please describe the condition and indicate special precautions or care needed*

MEDICAL AGREEMENT

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad 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, Chabad 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 Chabad Hebrew School activities and that these pictures may be used for marketing purposes.

Initialize as agreement*

Yes! Please register my student for JewQ! Annual fee of $200/child.

1 Child2 Children

If you are in a position to contribute to our scholarship fund, please consider giving a local child the gift of a Jewish education.

Yes! I would like to make a contribution to the Scholarship Fund in the amount of:

Full Scholarship - $1100Half Scholarship - $550Partial Scholarship - $180

Special Opportunity!

In the Old City of Jerusalem, there's a special Torah scroll being written for Jewish Children. Over two million children have already purchased their own letter in these Torah scrolls.

You, too, can buy a letter in a Torah scroll and unite with Jewish children from all over the world. You will receive a beautiful certificate from Israel, the Holy Land, with your name and the name of the Torah portion where you letter has been written! The cost? Only $1!

Yes! I'd like to buy my child/ren their own letter in the Children's Torah! $1 per child

Your application is not complete without a payment plan. Chabad Hebrew School does not reject anyone due to lack of funds. If you feel that you need a special payment plan, please email [email protected] or call our office at 407-720-8111.

Tuition Cost is $1,100 per child.

Payment Options*

Pay in full todayPay in two installments - half today and half on January 1Pay in ten installments - the first payment today and 9 payments each month thereafter for 9 consecutive monthsAs per our discussion, an alternative payment plan has been arranged

Amount to Charge Today* Please include JewQ and Hebrew School registration.

$

Payment*

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Credit Card Check

Postal / Zip Code

Country

After you have successfully submitted your application, it will be subject to review. We will reach out to schedule a follow up call, if necessary, to discuss your application. You will receive an approval email once your application is approved.

Student 1

Student 2

Student 3

Parents' Info

Medical & Emergency Info

JewQ Torah Championship

Scholarship Fund

Payment Info

Enrollment