Printed from ChabadNaples.com

Application

Application

PLEASE NOTE: IN ORDER FOR YOUR CHILD TO ATTEND HEBREW SCHOOL FOR THE 2017-2018 PROGRAM, FULL PAYMENT OF HEBREW SCHOOL REGISTRATION IS REQUIRED BY AUGUST 17, 2017.

PLEASE NOTE: IF YOU ARE SIGNING UP AND PAYING WITH CREDIT CARD ONLINE, WE HAVE INCLUDED THE CREDIT CARD USAGE FEE OF 2.5% INTO THE REGISTRATION FEE.

Please complete this online form to pay by credit card* (*when paying online, total includes 2.5% credit card usage fee) and register for the Chabad Naples Hebrew School. Please note that each child must have a separate registration form.

You can register online and mail your check: please print this form and include it with your check payable to Chabad Naples. Please note that each child must have a separate registration form.

Confirmation of acceptance will be acknowledged only after this registration form is reviewed and an acceptance letter is received. If you have any questions or concerns you'd like to discuss with us, please call the office at 239-262-4474.

Student Information


Male Female
Does your child have previous Jewish Education Yes No
If yes, please describe:

What school does your child attend? Grade entering:
Is the natural mother of the child Jewish? Yes No
Were there any conversions or adoptions in your family? Yes No
IMPORTANT: Please provide specific details of any conversions or adoptions in your family in the space below:

Are there any considerations, such as learning disorder or difficulty, the school should be aware of? (Confidential):

 

Parent Information










 

Emergency Contact Information

Please list two contacts to be used in case of emergencies (other than your home and business numbers).









Accept Do Not Accept
Initial here:

 

 

Chabad Hebrew School Tuition Agreement

Tuition for the Chabad Hebrew School is $922.50* per year per child (this includes a registration & book fee). *We have included the 2.5% credit card usage fee onto the total when paying in full online. All Hebrew School registration MUST BE PAID IN FULL prior to Hebrew School starting in September.

If you are paying by check, please print the registration form and mail the completed registration with your check payable to Chabad Naples. Each child is required to have their own registration form.

Payment: Payment in full of $922.50* (*Includes credit card usage fee) is required per child.

* Denotes required field

Card Type*
Card Number*
Expiration Date*

CVV Security Code

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