Inspiring Jewish Pride, Identity & Connection

A joyful and engaging Hebrew School experience where children connect to their heritage, build lasting friendships, and develop a meaningful love for Judaism.

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New Hebrew School Student Form

Enrollment Application
We are currently accepting application forms for the new school year.

If you have any questions or concerns you'd like to discuss with us, please email us.

We look forward to a wonderful year of learning and growth.
How many children will you be signing up today?*
Family Information
Name*
First Name Last Name
E-mail*
Phone Number*

Address*

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

Parents' Jewish Status
Mother's Jewish Status*

Mother's JewishFather's JewishOther
Father's Jewish Status*

Mother's JewishFather's JewishOther
Are there any conversions or adoptions in your family? *

YesNo
Please elaborate*
Student Information
Child's Name*
First Name Last Name
Gender*

MaleFemale
Date of Birth*

Month Day Year
Hebrew Name
Grade Entering*
School Attending
Hebrew Reading
Attended Chabad Hebrew School Previously

YesNo
Previous Jewish Ed. Describe Jewish Education to date.
Educational Learning Style Is there anything that you can share with us about your child that will help us provide for his/her educational needs
Child lives with
Student Information #2
Child's Name*
First Name Last Name
Gender*

MaleFemale
Date of Birth*

Month Day Year
Hebrew Name
Grade Entering*
School Attending
Hebrew Reading
Attended Chabad Hebrew School Previously

YesNo
Previous Jewish Ed. Describe Jewish Education to date.
Educational Learning Style Is there anything that you can share with us about your child that will help us provide for his/her educational needs
Child lives with
Student Information #3
Child's Name*
First Name Last Name
Gender*

MaleFemale
Date of Birth*

Month Day Year
Hebrew Name
Grade Entering*
School Attending
Hebrew Reading
Attended Chabad Hebrew School Previously

YesNo
Previous Jewish Ed. Describe Jewish Education to date.
Educational Learning Style Is there anything that you can share with us about your child that will help us provide for his/her educational needs
Child lives with
Student Information #4
Child's Name*
First Name Last Name
Gender*

MaleFemale
Date of Birth*

Month Day Year
Hebrew Name
Grade Entering*
School Attending
Hebrew Reading
Attended Chabad Hebrew School Previously

YesNo
Previous Jewish Ed. Describe Jewish Education to date.
Educational Learning Style Is there anything that you can share with us about your child that will help us provide for his/her educational needs
Child lives with
Emergency Contacts
Contact*
First Name Last Name

Address*

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

Phone Number*
Relationship*
Does your child have an IEP or does he/she receive any services at school?

YesNo
Does your child have any allergies or other medical condition we should be aware of?

YesNo
Please describe them and indicate special precautions or care needed.
Questions or comments
Location
Hebrew School takes place at Chabad NP in S. Mateo.
Please email [email protected] for the full address.

Tuition
Hebrew School tuition is $900 per child, with a 5% discount for each additional sibling.
For more information please email [email protected].
I am paying for:
Donate to the Hebrew School Scholarship Fund
Total

$0.00 USD

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

City

State / Province

Postal / Zip Code

Country

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Educate Your Child... Educate a Generation