Register Online

NOTE: THIS IS THE FORM TO REGISTER FOR THE SUNDAY PRIMARY PROGRAM. TO REGISTER FOR THE WEDNESDAY SUPPLEMENTAL PROGRAM AS WELL, PLEASE CLICK HERE

The cost of the primary program per child is $950

Please fill out the form below carefully. When you press submit, this form will be sent to our administration office.

In order to reserve your child(ren)'s spot, you will need to submit a $200 Security Deposit for each child.
Household Info
Parent #1 Name

First Name Last Name
Parent #1 E-mail
Parent #1 Mobile #

Area Code Phone Number
Parent #2 Name

First Name Last Name
Parent #2 E-mail
Parent #2 Mobile #

Area Code Phone Number

Home Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Synagogue Affiliation
Conversions or adoption in family?

Yes No
If yes, please specify
Child(ren) Info
Number of Children You Are Registering*
Child #1 Name*

First Name Last Name
Child #1 Hebrew Name
Child #1 Birth Date

Month Day Year
Child #1 Age As of start of school year
Child #1 Allergies
Child #1 Medications
Child #1 Payment Options* $850 tuition + $50 book fee

Full Tuition Now ($950) 50% Now ($475), 50% by Jan 1st ($475) Monthly ($200 Deposit now, $80 for 10 Months - incl. $50 installment fee) $200 Deposit (reserves spot only)
Child #2 Name*

First Name Last Name
Child #2 Hebrew Name
Child #2 Birth Date

Month Day Year
Child #2 Age As of start of school year
Child #2 Allergies
Child #2 Medications
Child #2 Payment Options $850 tuition + $50 book fee

Full Tuition Now ($950) 50% Now ($475), 50% by Jan 1st ($475) Monthly ($200 Deposit now, $80 for 10 Months - incl. $50 installment fee) $200 Deposit (reserves spot only)
Child #3 Name*

First Name Last Name
Child #3 Hebrew Name
Child #3 Birth Date

Month Day Year
Child #3 Age As of start of school year
Child #3 Allergies
Child #3 Medications
Child #3 Payment Options $850 tuition + $50 book fee

Full Tuition Now ($950) 50% Now ($475), 50% by Jan 1st ($475) Monthly ($200 Deposit now, $80 for 10 Months - incl. $50 installment fee) $200 Deposit (reserves spot only)
Child #4 Name*

First Name Last Name
Child #4 Hebrew Name
Child #4 Birth Date

Month Day Year
Child #4 Age As of start of school year
Child #4 Allergies
Child #4 Medications
Child #4 Payment Options $850 tuition + $50 book fee

Full Tuition Now ($950) 50% Now ($475), 50% by Jan 1st ($475) Monthly ($200 Deposit now, $80 for 10 Months - incl. $50 installment fee) $200 Deposit (reserves spot only)
Child #5 Name*

First Name Last Name
Child #5 Hebrew Name
Child #5 Birth Date

Month Day Year
Child #5 Age As of start of school year
Child #5 Allergies
Child #5 Medications
Emergency Info
Child #5 Payment Options $850 tuition + $50 book fee

Full Tuition Now ($950) 50% Now ($475), 50% by Jan 1st ($475) Monthly ($200 Deposit now, $80 for 10 Months - incl. $50 installment fee) $200 Deposit (reserves spot only)
Emergency Contact

First Name Last Name
Relationship to child(ren)
Emergency phone #

Area Code Phone Number
Pediatrician Info
Child{ren)'s Pediatrician

First Name Last Name
Name of Practice
Pediatrician's Phone

Area Code Phone Number
Tuition Total: $950
Tuition Total: $1,900
Tuition Total: $2,850
Tuition Total: $3,800
Tuition Total: $4,750
Due Now

$0.00
Payment Info

Payment

Credit Card eCheck Other

Postal / Zip Code

Country

Terms & Conditions
As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad Hebrew School of Bethesda 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, Chabad Hebrew School of Bethesda 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 Chabad Hebrew School activities and that these pictures may be used for marketing purposes.
Confirmation*

I have read and agree to the above-stated terms. I hereby give my child permission to participate in Chabad Hebrew School of Bethesda including activities, trips, and the receiving of any medical care in the case of emergency. The above releases from liability also apply here, as well.
Signature* Typing your full name is the equivalent of providing your signature
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Updates

EARLY BIRD RATES!

Click here to register your child now for our new Hebrew School semester

Household Info

Child(ren) Info

Emergency Info

Pediatrician Info

Tuition Total: $950

Tuition Total: $1,900

Tuition Total: $2,850

Tuition Total: $3,800

Tuition Total: $4,750

Payment Info

Terms & Conditions