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Chabad Hebrew School
Online Registration Form

Chabad Hebrew School
1 - 6th Grades
Sunday Mornings, 9:30 - 11:45 am  


1. Child Information

Child One: 
Full Name
Grade entering in Fall 2018 

Child Two:
Full Name 
Grade entering in Fall 2018 

Child Three:
Full Name 
Grade entering in Fall 2018 
 


3. Parents' Information
 (Only fill out if there are changes from last year)
Mother's Name
Mother's Hebrew Name
Address
City State Zip
Home Phone Work Phone
Email Mobile Phone

Father's Name
Address (if different from mother's)
City State Zip
Home Phone Work Phone
Email
Mobile Phone


4. Tuition Payment Information

Tuition: $700 per child 

Sibling Discount:
$25 for each additional child.

Early Reservation/Payment Discount: 

Register and pay deposit by June 29th and receive $25 off per child
-OR- 
Register and pay in full by July 13th and receive $70 discount per child.

I am paying at this time $ $100 is required as non-refundable deposit/per child.
Scholarships and Payment arrangements are available, please call the office at 408.720.0553 and speak with Rabbi Yisroel Hecht.

I am paying by Credit Card (complete below) Check (Make payable to Chabad of Sunnvyale and mail to P.O. Box 2118, Sunnyvale 94087-0118

Name Telephone
Address
City ST ZIP

Card Type Card Number
EXP Date CVV