Chabad Hebrew School Application

Chabad Hebrew School Registration is Now Open!

At Chabad Hebrew School, your child will discover the joy of Judaism through hands-on learning, creativity, and connection. Each week, children explore Jewish holidays, Hebrew language, values, and traditions in a warm, engaging environment that sparks curiosity and pride. Through stories, songs, and meaningful projects, they’ll build a deep sense of identity, friendship, and love for their heritage while having a blast!

* We are currently accepting applications for the school year of 2026/2027. If you have any questions or concerns you'd like to discuss with us, please contact us.

We look forward to a safe and wonderful year of learning and growth.

📅 Space is limited. Reserve your spot today!
Parent's Information
Parental Marital Status**
Mother*
First Name Last Name
Childs Mother : Background*

Jewish by birthJewish by ConversionNot Jewish
E-mail*
Phone Number*

Home Address*

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

Father*
First Name Last Name
E-mail*
Phone Number*
Father: Background*

Jewish by birthJewish by ConversionNot Jewish
Primary Contact*

MotherFatherBoth
Child Lives With*
Is the natural mother of the child Jewish?*

YesNo
Have there been any conversions or adoptions in the family?* Please include as much information as possible. If not, write "N/A"*
If yes, please specify Rabbi and Congregation
Childs Information
Full Name*
First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
Approximate Time of Birth for calculating Hebrew birthday
Hour Minutes
School Attending*
Grade Entering *
Previous Jewish Education

YesNo
Is your child currently receiving any services or have an Individualized Education Program (IEP)?* Write "N/A" if this does not apply*
Please specify any specific needs to make your childs experience in Hebrew School enjoyable and productive.
Medical Information
Does your child have any allergies (e.g., medications, foods, etc.)? Please provide details.* *
Does your child have an EpiPen?**

YesNo
Are there any medical conditions we should be aware of?*
Pick-Up Authorization
Who is authorized to pick up your child(ren) from Hebrew School?
Pick-Up Name 1*
Name Phone Number Relationship to child
Pick-Up Name 2*
Name Phone Number Relationship to child
Pick-Up Name 3
Name Phone Number Relationship to child
Pick-Up Name 4
Name Phone Number Relationship to child
Emergency Contacts
Who should the Hebrew School team contact in an emergency if both parents cannot be reached?
Emergency Contact**
First Name Last Name Phone Number
Relationship *
Emergency Contact**
First Name Last Name Phone Number
Relationship *
Program
Your child will be joining which program?*

Little Learners Hebrew School (Ages 4–6, Pre K–1st Grade) — $1,750 / yearHebrew School (Ages 6–11) — $2,000 / year
Be Part of Building Our Community
Chabad LES is shaped by the families who call it home. We'd love your help, ideas, talents, and involvement as we continue creating meaningful Jewish experiences for our children and families. Please check any opportunities you'd like to learn more about:
I'd love to help strengthen Jewish life for our children and families by:

Support our Hebrew School families and parent communityHelp create engaging holiday programs and children's activitiesAssist with hands-on workshops, crafts, and special eventsHelp plan community celebrations and family experiencesSupport our annual benefit and fundraising initiativesParticipate in community service and volunteer projectsHelp shape educational, cultural, and Jewish enrichment programsWelcome new families and help build community connectionsSupport outreach and acts of kindness within our communityAssist with communications, photography, social media, or marketingShare professional expertise in real estate, design, or facilitiesHelp enhance Shabbat, holiday, and family programmingI'm happy to help wherever needed
Parent Interests & Hobbies
Our community is enriched by the unique interests, talents, and passions of the people in it. We'd love to learn more about what inspires you so we can create adult and family programming that feels meaningful, engaging, and relevant to our community.
As we think about the year ahead, which types of gatherings, experiences, or programs would interest you?

Food-centered experiencesCreative workshops and hands-on experiences (For children)Shabbat dinners and holiday celebrationsInformal social events, game nights, and small-group gatheringsCultural outings, guest speakers, and community conversationsWellness, mindfulness, and personal growth programsJewish learning and discussion-based gatheringsFamily experiences with activities for both adults and childrenMommy & Me programs Parenting workshops and family educationOutdoor activities and local adventuresYoung professionals networking and social events
The Best Compliment Is a Referral :)
Know a family who would be interested in Hebrew School or future programs?
Please include their name and number, and we will reach out to them.
Thank you for helping us grow our community, one wonderful family at a time.
Name/Number?
Payment Information
Please note that no child will be turned away due to a lack of funds.
Please contact us at [email protected] to discuss any financial considerations.
Scholarship Fund Please consider donating towards our scholarship fund. Choose from $360 or your own amount

I would like to donate $360 towards covering a child's scholarship in Hebrew School
Total

$0.00

Payment

Credit Card Paypal

Postal / Zip Code

Country

Authorization
Terms & Conditions*

I hereby confirm my child's enrollment in the Chabad Lower East Side Hebrew School. I represent that I am the custodial parent or legal guardian of the child I am enrolling, and that the information I have provided is true and correct.
Enrollment & Fees

I understand that enrollment is a full-year commitment to my child's Jewish education and is accepted only on the basis of the full-year program. I agree to pay the full annual fees accordingly, and I understand that no refunds or adjustments will be made for absences, withdrawal, or dismissal for any reason, including illness or vacation.
Medical Care.*

I authorize any adult acting on behalf of Chabad Lower East Side to administer general first aid and, in an emergency, to secure medical treatment, hospitalization, or ambulance transport for my child, and I agree to pay all charges for that care. I understand that staff will make every reasonable effort to reach me first, but are not required to delay treatment when time and circumstances do not permit.
From time to time, Chabad Lower East Side photographs and records children during school activities. These images help us share the joy of our programs and promote future events and Hebrew School enrollment for other families. Please choose one:
PHOTO/AUDIO/VIDEO CONSENT*

Yes, I give permission. I grant Chabad Lower East Side and its representatives permission to use, without charge, photographs and video of my child from school activities and events. These may appear in any Chabad Lower East Side publication or marketing, including the website, social media, print, and advertising, to promote future events and Hebrew School. I release and hold harmless Chabad Lower East Side from any liability arising from the use of these images.No, I do not give permission. I prefer that my child not be photographed or recorded for publication or marketing. I understand that staff will make reasonable efforts to keep my child out of promotional images, and that my child can still fully participate in all school activities.
Release*

On behalf of myself and my child, I release and agree to hold harmless Chabad Lower East Side and its members, officers, directors, employees, volunteers, and agents from any and all liability arising out of my child's participation in the Hebrew School, except where caused by gross negligence or willful misconduct.
Agreement*

I have read and agree to all of the terms and conditions in this enrollment form.
E-Signature of Parent or Guardian**
Date*

Month Day Year
I would like to receive news and updates by email
Please note that registration serves as an initial application. Chani will contact you personally to confirm your acceptance or to arrange a meeting to discuss your enrollment.
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Parent's Information

Childs Information

Medical Information

Pick-Up Authorization

Emergency Contacts

Program

Be Part of Building Our Community

Parent Interests & Hobbies

The Best Compliment Is a Referral :)

Payment Information

Authorization