JUDA Returning Student Enrollment 2026/27

Father's Name*

First Name Last Name

Mother's Name*

First Name Last Name

Number of children being registered:*

Child 1:*

First Name Last Name

School child is attending in the fall*

Grade child is entering in the fall *

Does the child have any changes in medical or allergy conditions?*

If so, please explain:*

Child 2:*

First Name Last Name

School child is attending in the fall*

Grade child is entering in the fall*

Does the child have any changes in medical or allergy conditions?*

If so, please explain:*

Child 3: Name*

First Name Last Name

School child is attending in the fall*

Grade child is entering in the fall*

Does the child have any changes in medical or allergy conditions?*

If so, please explain:*

Consent:*

1. PARENTAL CONSENT: I hereby give consent for my child to participate in all activities at Chabad Hebrew School unless I advise you otherwise in writing.2. PAYMENT AND CANCELLATION: Payment must be received at time of acceptance. For all payment arrangements, a payment schedule must be coordinated with our office and post-dated checks submitted at time of registration. Hebrew School tuition is non-refundable.3. MEDICAL CARE: In case of emergency, I hereby give permission to the physician selected by the Hebrew School Director, to hospitalize, to secure proper treatment for and to order injection, anesthesia, or other procedure deemed necessary for my child by an M.D. as named on this form or if unavailable another M.D.. Every effort will be made to contact the parent / guardian and emergency contacts first. Should it be necessary for the well being of the student to utilize outside medical or dental services all expenses involved will be paid for by the parent. To the best of my knowledge, my child is in good health and I will notify Chabad if he/she is exposed to any infectious diseases.4. IMAGES, ETC.: Permission is hereby given to use in promoting Hebrew School and in other ventures directly relating to Chabad (i) digital, photographic and video images or likenesses of student; audio of student; and (ii) statements, articles, names, music, art, photographs, audio recordings, films and videos created by student or originating from Hebrew School or related activity.5. INDEMNIFY & HOLD HARMLESS: I further release and agree to indemnify and hold harmless Boca Beach Chabad and its officers, servants or assigns from any liability concerning our child’s involvement in Hebrew School activities and further agree that the use of any premises during Hebrew School is made at the risk of the registrant.

Tuition & Fees

Total tuition: $1,750 per child (includes registration fee and security fee)

Discounts

Early bird: Registration fee waived
Refer a new family: Receive $150 off tuition

Scholarships Available
No child will be turned away due to financial constraints.

Child 1 Payment Plan:

1: Full Payment2: Two payments: half today and half November 1st

Child 2 Payment Plan:

1: Full Payment2: Two payments: half today and half November 1st

Child 3 Payment Plan:

1: Full Payment2: Two payments: half today and half November 1st

Total (tuition payment will not be processed until registration is confirmed):

$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

City

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Please tell us how you heard about us:*

Family Info

Child Information

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