HS Returning Student Registration

Chabad Hebrew School
of Manhattan Beach
Registration Form
School Year 2024-2025

We are excited for a new year at Chabad Hebrew School of Manhattan Beach.

This form is for returning students.

A separate Student Registration Form must be filled out for any siblings joining for the first time.

We look forward to another wonderful year of learning and growth with your family!

Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact Shula 646-413-9092.
How many children are you registering as returning students?*
STUDENT INFORMATION
Child 1
Full Name - Child 1*
First Name Last Name
Grade Entering*
Does this student have any allergies?*

YesNo
If yes, please list them:*
Does this student have an IEP?*

YesNo
If yes, please explain:*
Child 2
Full Name - Child 2*
First Name Last Name
Grade Entering*
Does this student have any allergies?*

YesNo
If yes, please list them:*
Does this student have an IEP?*

YesNo
If yes, please explain:*
Child 3
Full Name - Child 3*
First Name Last Name
Grade Entering*
Does this student have any allergies?*

YesNo
If yes, please list them:*
Does this student have an IEP?*

YesNo
If yes, please explain:*
OTHER INFORMATION
Primary email for parent communication:*
I would like to receive news and updates by email
Does either parent have any special skill or resource to offer our children or teachers?*

Yes, please contact me to discuss further.No
As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of the Chabad Hebrew School to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, the Chabad Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in the Chabad Hebrew School activities and that these pictures may be used for marketing purposes.
Confirmation*

I Accept
Full Name*
First Name Last Name
Initials*
PAYMENT PLAN
Your application is not complete without a payment plan.

COSTS PER CHILD:
Sundays $900 + Registration and Security Fee: $150
Tuition* Child 1

Sundays 10:30am-12:30pm - $900+$150
Tuition* Child 2

Sundays 10:30am-12:30pm - $900+$150
Tuition* Child 3

Sundays 10:30am-12:30pm - $900+$150
Optional: I'm aware that there are students on scholarship. I'd like to contribute this additional amount towards the tuition of a fellow student in need.
Amount

Payment type*

Credit Card Cash or Check

Postal / Zip Code

Country

Total

$0.00
Confirmation*

I understand that by submitting this form I am comitting to pay the above outlined tuition fees.
Full Name*
First Name Last Name
Initials*
Date*

Month Day Year
Should be Empty:

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Educate Your Child... Educate a Generation

STUDENT INFORMATION

OTHER INFORMATION

PAYMENT PLAN

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