Student Registration Form

  • Gan Chabad of the Main Line

    Registration Form
  • Student's Information

  • Parent's Information

  • Emergency Contact

  • Additional Information:

  • A $500 non refundable deposit is required to hold your child's spot; it will be applied towards your tuition.

  • Credit Card
  • Gan Chabad of the Main Line is an Equal Opportunity Provider!

  • Should be Empty:
Secure This page uses TLS encryption to keep your data secure.