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Register/Apply

Register/Apply

We are currently accepting application forms for the 2017-2018 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 us.

For new students, please click HERE to begin the application process. 

We look forward to a wonderful year of learning and growth.

Tuition: $500 per child

Student Profile
 
First Name
Last Name
Hebrew Name
DOB
School
Parent Information
 
Address
City/Zip
Phone
Email Address
Father's Name
Father's Occupation
Father's Cell
Mother's Name
Mother's Occupation
Mother's Cell
Emergency Information
 
Emergency Contact 1
Phone
Emergency Contact 2
Phone
Doctor's Name
Doctor's Phone Number

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.



As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of the "Art & Alef-Bet Club" 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 "Art & Alef-Bet Club" 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 club activities, join in on club trips on and beyond Chabad properties, and allow my child to be photographed while participating in "Art & Alef-Bet Club" activities and that these pictures may be used for marketing purposes.

I Accept

Name: Initials:

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Payment Option
$500 Tuition
$125-4 Payments (credit card or post-dated checks)

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Exp. Date
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Upcoming events
Oct. 31, 2017
Discover stirring and surprising accounts that span two millennia of Jewish disputation, reflecting the panorama of Jewish history and its monumental political, ethical, and spiritual ...
Nov. 01, 2017
Explore the Chumash through the eyes of Rashi (Rabbi Shlomo Yitzchaki)
Nov. 04, 2017
Kick of the new month by joining our Monthly Minyan for a dose of uplifting prayer and Torah inspiration! Services at 10:00 am followed by Kiddush at 12:30 pm.
Nov. 07, 2017
Discover stirring and surprising accounts that span two millennia of Jewish disputation, reflecting the panorama of Jewish history and its monumental political, ethical, and spiritual ...