Hebrew School Registration

Applicants Name:*

First Name Last Name

Address:*

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

Child 1 - Full Name:*

First Name Last Name

Child's Hebrew Name:*

Child 1 - Birth Date:*

Month Day Year

Time of Day Born:*

Before SunsetAfter Sunset

Is CHild 1 attending Ckids HS for the 1st time? or Is Child 1 a returning Student?

1st Yearreturning

Child 1 - School:

Child 1 Grade:*

Child 2 - Full Name:

First Name Last Name

Child's Hebrew Name:

Child 2 - Birth Date:

Month Day Year

Time of Day Born:

Before SunsetAfter Sunset

Is Child 2 attending Ckids HS for the 1st time? or Is Child 1 a returning Student?

1st Yearreturning

Child 2 - School:

Child 2 - Grade:

Child 3 - Full Name:

First Name Last Name

Child's Hebrew Name:

Child 3 - Birth Date:

Month Day Year

Time of Day Born:

Before SunsetAfter Sunset

Is Child 3 attending Ckids HS for the 1st time? or Is Child 1 a returning Student?

1st Yearreturning

Child 3 - School:

Child 3 - Grade:

Additional notable Information: Please let us know any important information we should be aware of: (Allergies, Disabilities, Behaviors, etc.

Father's Name:*

First Name Last Name

Father's Cell:*

Area Code Phone Number

Father's E-mail:*

Father's Hebrew Name:* *If you are unsure, please write NA

Father Jewish by:*

BirthChoice

Is there anyone on the childs paternal lineage who converted to Judaism?

YesNo

Mother's Name:*

First Name Last Name

Mother's Cell:*

Area Code Phone Number

Mother's E-mail:*

Is there anyone on the childs maternal lineage who converted to Judaism?

YesNo

Mother's Hebrew Name:* *If you are unsure, please write NA

Contact 1:* *Other than parents*

First Name Last Name

Phone Number:*

Area Code Phone Number

Relationship:*

Contact 2:* *Other than parents*

First Name Last Name

Phone Number:*

Area Code Phone Number

Relationship:*

Physician Name:*

Phone Number:*

Area Code Phone Number

Address*

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

Does your child have any allergies?*

YesNo

If YES, please specify:

Does your child carry an Epi-Pen?*

YesNo

Is there any other medical information that we need to know about?*

YesNo

If YES, please specify:

Tuition Fees:

$1,000.00: Total per student - Chabad Member
(Monterra and SWB Only)
$1,300.00: Total per student - Non Chabad Member

*Sibling discount* - $75 per sibling

Trial Day: $50 credit towards the price of tuition.
Additional 3.5% charge for credit cards

Please Choose your tuition amount:*

Total: (Please add 3.5% if using a credit card)

$0.00

Yes, I'd like to donate the cost of processing this transaction by adding 3.5%

Payment Plan:* Please select your preferred payment plan

One Check or Credit Card paymentDivide tuition into 5 payments charged on the 5th of every month.

Payment Method:*

⚠ You have not yet connected a credit card processor.

Credit Card Check

Postal / Zip Code

Country

Agreement

CKids Hebrew School Tuition & Refund Policy

We appreciate your interest in CKids Hebrew School! Please review our tuition and refund policy carefully:

Admissions & Enrollment:

Tuition is Non-Refundable: Once registration is submitted and processed, tuition payments are non-refundable.

Enrollment Requirements: For your child to be officially enrolled and permitted to attend classes, we require a signed registration form along with either full tuition payment or a completed and approved payment plan. Please note that registration is only considered complete once your payment plan is approved and all applicable registration fees have been received.

Membership Discount Policy:The discounted tuition rate is a benefit reserved exclusively for paid annual members of Chabad at Monterra or Chabad of Southwest Broward.

Families who are not current, paid annual members of one of these Chabad centers will automatically be charged the full, non-discounted tuition price upon registration.

If you become a qualifying paid annual member of Chabad at Monterra or Chabad of Southwest Broward after initial registration, please contact the CKids Hebrew School office. We will gladly adjust your tuition to reflect the membership discount at that time.

Refund Policy:

CKids Hebrew School does not issue refunds or credits for any days missed from class. This includes absences due to student illness, school holidays, or family vacations.

Miscellaneous Policies
Photo Release - I grant permission for my child to be photographed while participating in CKids Hebrew School activities. I understand these photographs may be used for marketing and promotional purposes related to Chabad activities.

Liability and Indemnification I understand that I am responsible for all liability and costs resulting from any damage to property or personal injury caused by my child(ren). I agree to fully indemnify and hold harmless Chabad Lubavitch of Southwest Broward, Inc., CKids Hebrew School, and its associates, teachers, and agents from any such claims or costs.

Participation in Trips - I authorize my child(ren) to participate in trips conducted by CKids Hebrew School.

Parent/Guardian Agreement I certify that I am the parent or legal guardian of the child(ren) listed in this registration. I confirm that I have read and understand the full agreement as published online at ChabadSWB.com, agree to pay the full amount due, and accept all policies set forth by CKids Hebrew School.

Do you agree with all the above mentioned policies?

Yes! I agree and will sign my name below to be accepted as a signiture

Electronic Signature * Please enter name as signature

I would like to receive news and updates by email

Hebrew School Registration Form 2024/2025

Hebrew School Registration 2025/2026

Student Information

Parents Information

Emergency Contact and Medical Information

Payment

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