Previously Enrolled Students - ChabadMainLine.org

Previously Enrolled Students Registration

Family Information

Parent(s) Name(s)*

First Name Last Name

Parent(s) Email(s)*

Child 1 Information

Child's Name*

First Name Last Name

Hebrew Name*

Birth Date*

Month Day Year

School*

Grade entering*

Updated Address, Phone, Email or any other info

Child 2 Information

Child's Name

First Name Last Name

Hebrew Name

Birth Date

Month Day Year

School

Grade entering

Updated Address, Phone, Email or any other info

Enrollment

$1,300 Tution (Security and Book Fee included)

Child 1*

$1,300 - Full Payment Today$1,300 - $200 due today + 8 monthly auto payments, stating SepPlease contact me in regard to a scholarship application.

Child 2

$1,300 - Full Payment Today$1,300 - $200 due today + 8 monthly auto payments, stating SepPlease contact me in regard to a scholarship application.

Permissions

I/we give permission for my child/ren to to attend all field trips and outings that are part of the Chabad Hebrew School.I/we grant permission for my child to have their photo/image and name published by Chabad.As the parent(s) or legal guardian(s) of the above entered student, I/we authorize any adult acting on behalf of the Chabad Hebrew School to hospitalize or secure treatment for my child/ren. I further agree to pay for all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, The Chabad Hebrew School will try to communicate with me prior to such treatment

Payment

Total

$0.00

Payment

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

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

CCV

The duties and obligations of Chabad Hebrew School under this agreement may be modified or suspended immediately and without notice because of force majeure events including, but not limited to, fire, flood, war, government action, terrorism, epidemic, pandemic, or any other event beyond CHS’s control. If such an event occurs, CHS’s duties and obligations may be modified, suspended, or postponed until such time as CHS, in its sole discretion, may safely resume operations. The sole financial remedy for a force majeure event is future service delivery and not a tuition refund. CHS may, at its option, amend the school year as needed in the event of an emergency that disrupts the normal academic calendar with circumstances beyond its control.