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Aleph Bay Registration

Aleph Bay Registration
Dear Parents,
We are currently accepting application forms for the 2022-2023 school year. Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact Chayale by Phone: 646 283 5126 or by Email:[email protected].
We look forward to a wonderful year of learning and growth.
The best compliment we can get is telling your friends about us! Please spread the word to any other potential new Hebrew School families!
Wishing you all a healthy and happy summer!
If you are reregistering your child/ren please CLICK HERE
Student Information
Number of Children*
Full Name*
First NameLast Name
Hebrew Name*
*
MaleFemale
E-mail
Birth Date*
MonthDayYear
School*
Grade Entering*
Previous Jewish Education
Child 2
Full Name 2*
First NameLast Name
Hebrew Name*
*
MaleFemale
E-mail
Birth Date*
MonthDayYear
School*
Grade Entering*
Previous Jewish Education
Child 3
Full Name 3*
First NameLast Name
Hebrew Name*
*
MaleFemale
E-mail
Birth Date*
MonthDayYear
School*
Grade Entering*
Previous Jewish Education
Parents Information
Father's Name*
First NameLast Name
Hebrew Name
Fathers Jewish Status*
Born JewishConvertedNot Jewish
If Converted, Please provide Conversion Rabbi's information
Cell Number*
Area CodePhone Number
E-mail*
Mother's Name*
First NameLast Name
Hebrew Name
Cell Number*
Area CodePhone Number
E-mail*
Parents are
MarriedDivorcedSingle
Mothers Jewish Status*
Born JewishConvertedNot Jewish
If Converted, Please provide Conversion Rabbi's information
Medical Information
All details remain confidential
Emergency Contact*
First NameLast Name
Emergency Number*
Area CodePhone Number
Pediatrician*
First NameLast Name
Pediatrician Number*
Area CodePhone Number
Any allergies or medical condition we should be aware of?*
YesNo
If YES please describe. Please specify which Child if more than one.
Tuition Schedule
These terms will apply should your child be accepted.
Program & Tuition Agreement
I hereby confirm my child’s enrollment in Aleph Bay Hebrew School.
I represent that I am the custodial parent or legal guardian of the child that I am enrolling and that the information
I have provided is true and correct. I agree to Aleph Bay Hebrew School's terms and conditions as outlined in the Parent Handbook.
I fully understand that this enrollment, as part of my commitment to a long-term Jewish education at Aleph Bay, is accepted only on the basis of the full year program, and agree to pay the full annual or Monthly fees accordingly. I understand that no refunds or adjustments will be made for absences including, but not limited to, illness or vacation.
I fully understand that by choosing monthly payment, Aleph Bay will charge my card automatically every month (upon acceptance).
Choose a Payment Option*Tuition fee covers all weekly programs & snacks & drinks.
Pay by Year: $700 Tuition + $50 Supplies Fee + $50 Deposit feePay by Month (Sep.- June): $80 Tuition + $50 Supplies Fee + $50 Deposit fee
Kids in the Kitchen: $90Extra 7 sessions of Holiday programs. AB Students get $50 off regular price
All Classes (save $50)
Click here to learn more about Kids in the Kitchen
Your card will only be charged for the deposit fee. Monthly and Annual Payments will be Charged starting September 1st.
Total
$0.00

Payment*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

CCV*
3 or 4 Digit Security Code
Important - Permissions
I (WE) HEREBY ENROLL OUR CHILD IN THE ALEPH BAY HEBREW SCHOOL OF SHEEPSHEAD BAY.

IN THE EVENT OF A MEDICAL EMERGENCY AND NEITHER PARENT CAN BE REACHED, MEDICAL TREATMENT MAY BE PROVIDED AS NECESSARY. I HEREBY GIVE PERMISSION FOR MY (OUR) CHILD/REN TO PARTICIPATE IN ALL HEBREW SCHOOL ACTIVITES, JOIN IN CLASS AND SCHOOL TRIPS ON AND BEYOND SCHOOL PROPERTIES. MY (OUR) CHILD MAY BE PHOTOGRAPHED AND THE PICTURES MAY BE USED FOR PUBLICATION BY
ALEPH BAY HEBREW SCHOOL OF SHEEPSHEAD BAY.
SIGNATURE*
My e-signature will be legally binding as a printed signature.
Date*
MonthDayYear
Additional Comments
Referred By
Should be Empty:

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Aleph Bay Registration

Student Information

Child 2

Child 3

Parents Information

Medical Information

Tuition Schedule