Aleph Bay Registration

Aleph Bay Registration
Dear Parents,
While things are still uncertain, one thing remains certain, and that is that we are committed to giving your children a quality Jewish education no matter the circumstances. We are aiming to begin the new Aleph Bay year with an orientation on September 13, 2020 and officially begin classes on October 18, 2020. We are cautiously hopeful that we will be able to begin physically, in the building with our friends, but remain flexible to the circumstances, and will adjust where necessary.
We are currently accepting application forms for the 2020-2021 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:Chayale@ChabadSheepsheadBay.com.

Please submit a separate form for each child.
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
Full Name*
First NameLast Name
Hebrew Name*
*
MaleFemale
E-mail
Birth Date*
MonthDayYear
School*
Grade Entering*
Previous Jewish Education
Any Learning Dificulties
YesNo
If yes please specify
Parents Information
Father's Name*
First NameLast Name
Hebrew Name
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
Conversions in the family*
YesNo
Please provide details:
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
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*10% off all additional siblings. Tuition fee covers all weekly programs & snacks & drinks.
Pay by Year: $600 Tuition + $50 Supplies Fee + $50 Deposit feePay by Month (Sep.- June): $70 Tuition + $50 Supplies Fee + $50 Deposit fee
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 Paypal

Postal / Zip Code

Country

For Credit Card only: 3 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:

Student Information

Parents Information

Medical Information

Tuition Schedule