Registration

The 2024-2025 Hebrew School year begins September 8th, 2024 and ends May 11th, 2025. It's geared towards children ages 3 to 12 years old.

If you have any questions, feel free to contact the Hebrew School Director, Mrs. Yael Lewin, to discuss them! Call 214.562.0807 or click here to email.

Parent 1

Name*

First Name Last Name

Cell Phone Number*

Area Code Phone Number

E-mail*

Address*

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

Hebrew Name

Home Number

Area Code Phone Number

I am willing to assist in school activities, please contact me

Yes!

Parent 2

Name*

First Name Last Name

Cell Phone Number*

Area Code Phone Number

E-mail*

Address (if different than above)

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

Hebrew Name

Home Number

Area Code Phone Number

Marital Status

MarriedDivorced

Synagogue Affiliation

Were the child(ren), mother and maternal grandmother all born Jewish?**

YesNo, (Please explain below)

Conversion or adoption information

Child's Name*

First Name Last Name

Hebrew Name

Entering Grade*

Birth Date*

Month Day Year

Previous Jewish Education

Does your child have allergies? (Food or medication)*

NoYes, (Please List Below)

Medication Info:

Any special needs (physical, developmental, learning, emotional, behavioral) that may require special awareness on the part of our staff.*

N/AYes, (Please list below)

Special needs:

Does your child have an IEP?*

NoYes

Child 2

Child's Name

First Name Last Name

Hebrew Name

Entering Grade

Birth Date

Month Day Year

Previous Jewish Education

Does your child have allergies? (Food or medication)

NoYes, (Please List Below)

Medication Info:

Any special needs (physical, developmental, learning, emotional, behavioral) that may require special awareness on the part of our staff.

N/AYes, (Please list below)

Special needs:

Does your child have an IEP?

NoYes

Child 3

Child's Name

First Name Last Name

Hebrew Name

Entering Grade

Birth Date

Month Day Year

Previous Jewish Education

Does your child have allergies? (Food or medication)

NoYes, (Please List Below)

Medication Info:

Any special needs (physical, developmental, learning, emotional, behavioral) that may require special awareness on the part of our staff.

N/AYes, (Please list below)

Special needs:

Does your child have an IEP?

NoYes

Emergency Contact*

First Name Last Name

Phone Number*

Area Code Phone Number

Relationship to Child*

1) Dates: The 2024-2025 school year begins September 8th, 2024

and ends May 11th, 2025. Click here to see our complete calendar.

2) Rates: Registration Fees per child: $75 (Registration Fees are not refundable).

Regular tuition: $1,100

Sponsor: $ 1,800

How would you like to set up your payments?

Select your rate:*

Sunday School regular $1,100Sunday School sponsor $1,800

Select one:*

Pay my full tuition nowDivide my balance into 2 equal payments scheduled for September 1st, 2024, and December 1st, 2024Divide my balance into 3 equal payments scheduled for September 1st, 2024, November 1st, 2024 and February 1st, 2025Make financial arrangements. NO CHILD WILL BE TURNED AWAY FOR LACK OF FUNDS.

Registration fee amount be charged today: $75 per child (Registration doesn't guarantee acceptance)*

Select how many children you are registering

Payment for registration

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

Postal / Zip Code

Country

Payment

Credit Card with an additional 3.25% processing fee (will enter above)Posdated checks to Maayan Chai (must be handed before the first day of school)

Cancelation Policy: On or before September 12, 2024, 100% refund; between September 12, 2024 and November 12th,30% refund. After November 12th, no refund.
(There is no refund for registration fee or daily absences.)

I hereby give permission for my child to be transported to and from field trips, and to participate in them and in all Hebrew School activities.

I understand that during the course of Hebrew School my child can be hurt. I accept the risk of possible injury and authorize any member of the Maayan Chai Chabad Hebrew School staff to render any necessary first aid. Furthermore, in an emergency case, I hereby authorize Yael Lewin or another staff member to have my child taken care of by a physician or other medical person in any way the situation calls for.

Parent's Signature*

Month Day Year

I give permission to Maayan Chai and those authorized by it, to take photographs and to make recordings of my children and my family, and to use them in original or modified form in all media now or hereafter known, with or without my name or information about me, for the promotion, public education, and/or fundraising activities of Maayan Chai Chabad.

Photos*

I allow you to use my child's pictures and videos for promotion

Comments / Questions

Section 1: Parents' Information

Section 2. Child's Information

Section 3. Emergency Information / Authorized Pick Up

Section 4. Dates and Rates

Section 5. Payment Options

Section 6. Trip Permission

Section 7. Media Permission