Hebrew School Registration 2026/27

Welcome to Chabad Hebrew School!
We look forward to having your child(ren) join our school family!

To enroll your child(ren) for the 2026-2027 school year, please continue below!
For any questions or concerns, please call Rabbi Schneur at 805.499.7051

We look forward to a wonderful year of learning and growth.
Student Information
Student information

New StudentReturning Student
Full Name*
First Name Last Name
Hebrew Name
First Name Last Name
Birth Date*

Month Day Year
Birth Time * (for accurate Hebrew birthday conversion)

Before SunsetAfter Sunset
School*
Current grade*
How were you referred to us?
Hebrew Reading Proficiency*

NoneSomewhatWell
Previous Jewish Education*

YesNo

Address*

Family Information
Father's Name*
First Name Last Name
Father's Hebrew Name:
Father's Cell*

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

Area Code Phone Number
Mother's E-mail*
Is the Students natural mother Jewish?*

YesNo
Is the Students natural father Jewish?*

YesNo
Have there been any conversions or adoptions in the family?*

YesNo
If yes, please explain:
I am willing to assist in school activities, please contact me
Medical Information
Is your child currently taking any medication?*

YesNo
Does your child have any allergies?*

YesNo
If yes, please describe
Emergency Contact #1*
Relation*
Phone Number*

Area Code Phone Number
Emergency Contact #2
Relation
Phone Number

Area Code Phone Number
Is there any medical or other information that we should be aware of?*

yesNo
If Yes, please describe:
Payment Information
Chabad Hebrew School does not reject anyone due to lack of funds. If you are in need of financial assistance please call R. Schneur (805) 204-8672

$899 Annual tuition + $50 Security Fee +50 Book Fee
Payment Options*

One time installment of $999Annual tuition on a monthly basis by submitting 8 payments of $124.87 Your Credit card will be charged on the first day of the month from Sept-April
Other
Total

$0.00

Payment*

⚠ You have not yet connected a credit card processor.

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

AS THE PARENT(S) OR LEGAL GUARDIAN OF THE ABOVE CHILD, I/WE AUTHORIZE ANY ADULT ACTING ON BEHALF OF CHABAD HEBREW SCHOOL TO HOSPITALIZE OR SECURE TREATMENT FOR MY CHILD, I FURTHER AGREE TO PAY ALL CHARGES FOR THAT CARE AND/OR TREATMENT. IT IS UNDERSTOOD THAT IF TIME AND CIRCUMSTANCES REASONABLY PERMIT, CHABAD HEBREW SCHOOL PERSONNEL WILL TRY, BUT ARE NOT REQUIRED, TO COMMUNICATE WITH ME PRIOR TO SUCH TREATMENT. I HEREBY GIVE PERMISSION FOR MY CHILD TO PARTICIPATE IN ALL SCHOOL ACTIVITIES, JOIN IN CLASS AND SCHOOL TRIPS ON AND BEYOND SCHOOL PROPERTIES AND ALLOW MY CHILD TO BE PHOTOGRAPHED WHILE PARTICIPATING IN CHABAD HEBREW SCHOOL ACTIVITIES AND THAT THESE PICTURES MAY BE USED FOR MARKETING PURPOSES.
*

I accept
INITIALS*
Should be Empty:

This page uses TLS encryption to keep your data secure.

Educate Your Child... Educate a Generation