We are currently accepting application forms for the 2024-2025 school year. Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us feel free to email us at [email protected]. For returning families, click here to re-register your child/ren. Student 1 Profile First Name Last Name Hebrew Name Age DOB Month Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sept. Oct. Nov. Dec. Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Time of Birth In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day. School Grade Entering Select Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth Hebrew Reading Proficiency None Somewhat Well Previous Jewish Education Yes No Where? Does your child have any learning disabilities? Please specify This information will help us better cater to the needs of your child. Address City, State, Zip Home Phone Email Cell Phone Student 2 Profile First Name Last Name Hebrew Name Age DOB Month Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sept. Oct. Nov. Dec. Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Time of Birth In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day. School Grade Entering Select Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth Hebrew Reading Proficiency None Somewhat Well Previous Jewish Education Yes No Where? Does your child have any learning disabilities? Please specify This information will help us better cater to the needs of your child. Address City, State, Zip Home Phone Email Cell Phone Student 3 Profile First Name Last Name Hebrew Name Age DOB Month Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sept. Oct. Nov. Dec. Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Time of Birth In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day. School Grade Entering Select Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth Hebrew Reading Proficiency None Somewhat Well Previous Jewish Education Yes No Where? Does your child have any learning disabilities? Please specify This information will help us better cater to the needs of your child. Address City, State, Zip Home Phone Email Cell Phone Parent Information Father's Name Father's Hebrew Name Cell Email Mother's Name Mother's Hebrew Name Cell Email Home Phone Synagogue Affiliation To enhance our curriculum we have school events and programs. Can you assist in event planning? Yes No * Email allows us to communicate in the most efficient and economical manner. We do not use your address for other purposes. Emergency Information Emergency Contact 1 Phone Relationship Emergency Contact 2 Phone Relationship Family Physician Phone CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed. Tuition Agreement Tuition for the 2024-2025 school year is $700 per child including registration and book fee. (No one will be turned away due to lack of funds, please speak to us about scholarships) Full payment plan must be submitted to the administration office before any child will be permitted to attend classes. Installments: Payment in full upon submission Two installments to be paid on Sept. 2 and Jan. 2 For other payment plans, please contact us. Refer a friend and save 10% per family! (Friend must be new to Hebrew School and will be registering their child for this coming year) Name of Family Referring Payment Information Payment Method Credit Card E-transfer Checks can be mailed to 1506 Victoria Avenue, Windsor Ontario N8X 1P5 Total Registration Cost Card Number Expiration CVV Additional Comments (optional): Terms of Agreement As the parent(s) or legal guardian of the above child(ren), I/we authorize any adult acting on behalf of 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, 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 Chabad Hebrew School activities and that these pictures may be used for marketing purposes. Name: Initials: We look forward to a wonderful year of learning and growth! This page uses 128 bit SSL encryption to keep your data secure.