Previously Enrolled Students - Chabad of the Main Line

Previously Enrolled Students Registration
Child 1 Information
Child's Name*
First NameLast Name
Hebrew Name*
Birth Date*
MonthDayYear
School*
Grade entering*
Updated Address, Phone, Email or any other info
Child 2 Information
Child's Name
First NameLast Name
Hebrew Name
Birth Date
MonthDayYear
School
Grade entering
Updated Address, Phone, Email or any other info
Enrollment
Program Choice
Sunday Program - $850Sunday & Tuesday Program - $1,200Deposit only (non-refundable) - $100 (applied toward your tuition)
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 Other

Postal / Zip Code

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