Returning Student Online Registration

Address:*

Student Information
Student Name #1:*
First Name Last Name
School and Grade for the Coming School Year:*
Food Allergies:
Student Name #2:
First Name Last Name
School and Grade for the Coming School Year:
Food Allergies:
Student Name #3:
First Name Last Name
School and Grade for the Coming School Year:
Food Allergies:
Emergency Contact
Is your emergency contact person the same as last year?*

YesNo
New Emergency Contact Name and Phone #:
Medical & Activity Release Form

I hereby give consent to the administration of the Chabad Hebrew School to take whatever medical measures they deem necessary, at my expense, for my child in the event of a medical emergency.
Tuition Payment
Tuition: $800 | Security Fee: $100 Per Family | Registration Fee: $50 Per Family | Payment plans available.
To request a full or partial scholarship, please contact Rabbi Denburg at 954-501-8920.
Tuition:*

1 Child: $8002 Children: $1,6003 Children: $2,400Other - Per scholarship agreement with the Rabbi.
Other amount (if applicable):

$
Registration Fee:*

Family Fee: $50
Security Fee:*

Family Fee: $100
Late Fee: $50 late fee for registering after Aug 21st will be added.

Late Fee: $50
Total

$0.00
Payment Option:*

Pay in fullPay in 8 monthly payments beginning September 1, 2026 (provide card information below).

Payment Form:

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Postal / Zip Code

Country

Registration is only complete when payment has been paid in full or 8 monthly payments have been scheduled starting September 1, 2026.

Please note the registration fee will be charged to your credit card upon submitting your registration form.
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Parent Contact Information