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Chabad Bethesda Hebrew School
Reservation/Registration Form

Scholastic Year 2020-2021

UPDATED Aug 2020 to reflect most recent COVID-19 decisions
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Dear parents: Please fill in this form in its entirety so that we may have a full record of your child. Please fill out a separate form for each child you wish to send. If you have any questions or comments, please feel free to contact us at the Hebrew School office: [email protected] or 240-370-8819. Thank you and looking forward to a wonderful year!

STUDENT INFORMATION

Last Name
First Name 
Hebrew Name

 

Home Address

Home Phone
Email

DOB / /
Age
School
Entering Grade

PARENT INFORMATION
Fathers Name
Hebrew Name

Occupation
Work Address

Mobile Phone
His Email
Mothers Name
Hebrew Name
Occupation
Work Address

Mobile Phone
Her Email

RELIGIOUS & EDUCATION INFORMATION
Synagogue Affiliation
Previous Hebrew School
Level of Hebrew Reading Proficiency:
None Basic Intermediate Advanced
Learning Disabilities? Yes No If yes, please describe:
Conversions or Adoptions in Family? Yes No If yes, please specify:
MEDICAL INFORMATION (Confidential)
Family Physician
Phone
Insurance Policy #
Up to date w/ vaccinations? Yes No Date of last tetanus:
Any special medical conditions?
Emergency Contact
Phone
Relation to Child
FORMAT OPTIONS

In-Person Sessions: Sunday Mornings, 1.5 - 2 Hour Length

This option includes in-person, small sized classes by grade. We will be meeting at the Chabad Center of Bethesda. The spacious, high-ceilinged Sanctuary with its high capacity air circulation and filtration systems will allow for upgraded preventative measures and proper social distancing. Staff and students over 5 yrs old will be wearing masks at all times, all who enter the premises will be screened, and we will be sanitizing surfaces regularly throughout the day. We will also be utilizing the outdoors as much as possible.

We are consulting with medical experts who are guiding us on the safest and best protocols to put in place for the in-person classes, and we will share all the details once they are finalized. Please be assured, the safety of our students is our first priority, above all else. 

'Out-Of-The-Box' Live Virtual Sessions: Sundays (alt days possible) 1 - 1.5 hour length

Students will remain at home and log on for live Zoom sessions with a teacher. We understand that virtual learning is challenging for many children, and we are doing our best to make this option as "out of the box" and as engaging as possible. We are working again with the CKIDS Global Network that have done a stellar job in preparing materials at the end of last year's school semester and throughout the summer forthe camp programming. They are currently working with professionals to create engaging curricula for remote learning, and will be training our staff in Zoom proficiency and in making this platform interactive and relational.

In addition, we will be preparing exciting, individualized boxes with materials needed for each week's lesson that will be available for each student who is joining this track. 
 

TUITION COSTS FOR BOTH TRACKS $850 + $50 Book/Materials Fee 

Payment Options: 

Full payment now ($900)   50% payment now ($450) and 50% payment by Jan 1, 2021

Monthly ($200 Deposit now, $75 for 10 months (includes $50 installment fee) 

Deposit only ($200 - spot reserved only)
 

Mode of payment:

Online Credit Card Payment Please fill out CC information below. Payment processed and spot reserved immediately

Mail In Check Please make checks payable to 'Chabad of Bethesda' with 'Hebrew School Tuition' in memo line. All checks must be mailed to Chabad of Bethesda, 5324 Goldsboro Rd, Bethesda, MD 20817
NOTE: Space reserved only upon receipt of check and payment processed

 Online Credit Card Form
First name  Family name 

Billing Address  Apt # 

City  State   Zip 

Phone #   Email  

Purpose of Charge    Amount: $ 

Card Type  Card# 

Exp Date: /  CVV Code  (3 or 4 digits on back)

 

AGREEMENT

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of B-CC 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, B-CC 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 B-CC Hebrew School activities and that these pictures may be used for marketing purposes.

COVID-19 ADDENDUM: (For those opting for the In-Person Sessions): I hereby agree to follow all protocols as defined in the chart below, I also agree to retain sole responsibility for the decision to send my child(ren) to Chabad of Bethesda and participate in these In-Person Hebrew School Sessions. I will not hold Chabad of Bethesda responsible for any and all Covid-related developments that may result from this arrangement.

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Digital Signature (please type full name)  Date