Registration

Address*

Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Parents Information
Father's Name*
First Name Last Name
Father's Cell*

Area Code Phone Number
Father's E-mail*
Mother's Name*
First Name Last Name
Mother's Hebrew Name
Mother Jewish by:*

BirthChoice
Mother's Cell*

Area Code Phone Number
Mother's E-mail*
Best way to send Hebrew School updates:**

Cell PhoneEmailHandout
Yes, I would like to be added to the Hebrew School WhatsApp group for weekly photos and updates
I am willing to assist in school activities, please contact me
Payment
The fee for the school year beginning September 6, 2026 and ending in June 20, 2027 is a total of $1,540.00 per child.

· $160.00 Per Month Per Child = $1,540.00
Today i would like to pay the:

Full Amount - $1540 (Registration, Tuition)In Installment - $100 (Registration & Trip Fee)
Please choose Installment program:

Monthly - $1602 Payments - $770
I would like to pay today

Full Amount - $1,540.00
Payment Plan

Please charge my card $160.00 MonthlyI would like to pay in 5 Payments - $308.00 eachI would like to pay in 2 Payments - $770.00 eachI'm paying in full today - $1,540.00
Total

$0.00

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

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Educate Your Child... Educate a Generation