Registration

New Student 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!
RETURNING Student Registration : If you are a returning student, please CLICK HERE.
Student Information
Number of Children*
Full Name*
First NameLast Name
Hebrew Name*
Gender*
MaleFemale
E-mail
Date of Birth*
MonthDayYear
School*
Grade Entering*
Previous Jewish Education
Child 2
Full Name 2*
First NameLast Name
Hebrew Name*
Gender*
MaleFemale
E-mail
Date of Birth*
MonthDayYear
School*
Grade Entering*
Previous Jewish Education
Child 3
Full Name 3*
First NameLast Name
Hebrew Name*
Gender*
MaleFemale
E-mail
Date of Birth*
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 (or Rabbinical Court) information
Cell Number*
Area CodePhone Number
E-mail*
Mother's Name*
First NameLast Name
Hebrew Name
Cell Number*
Area CodePhone Number
E-mail*
Mothers Jewish Status*
Born JewishConvertedNot Jewish
If Converted, Please provide Conversion Rabbi's information
Parents are
MarriedDivorcedSingle
Emergency Contact Info
Persons to be contacted in case of an emergency when parents cannot be reached
Emergency Contact*
First NameLast Name
Emergency Number*
Area CodePhone Number
Relationship to the Child*
CONFIDENTIAL: Any allergies or medical condition we should be aware of?*
YesNo
If YES please describe. Please specify which Child if more than one.
Confidential: Does child have any learning or physical disabilities? (SHARING THIS INFORMATION WITH US ENABLES US TO CREATE A HEBREW SCHOOL ENVIRONMENT IN WHICH YOUR CHILD CAN THRIVE)*
YesNo
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).
Annual Tuition*Tuition Fees cover all weekly activites, snacks, and drinks
Tuition Assistance Requested
Donate to the Scholarship Fund for families in need
$36$100$180$360$540$1000
Payment Plan*
Pay in full9 Equal Payments charged the 1st of each month (September-May) (5% additional fee)Other: Please complete the field below with a payment proposal you can manage
Total
$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%
Payment Terms:If checked 'other' above
Your card will only be charged for the deposit fee. Monthly and Annual Payments will be Charged starting September 1st.

Payment*Payment will NOT be charged at this time. It will be set-up based on your preferences checked above.

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
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.*
I Accept
2. PAYMENT AND CANCELLATION: Payment in full must be received at time of registration. For all other 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.*
I Accept
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.*
I Accept
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.*
I Accept
5. INDEMNIFY & HOLD HARMLESS: I further release and agree to indemnify and hold harmless Chabad of Sheepshead Bay 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.*
I Accept
SIGNATURE*
My e-signature will be legally binding as a printed signature.
Date*
MonthDayYear
Additional Comments
Referred By
Should be Empty:

This page uses TLS encryption to keep your data secure.

Educate Your Child... Educate a Generation

Student Information

Child 2

Child 3

Parents Information

Emergency Contact Info

Tuition Schedule