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Hunt Valley Hebrew

Hebrew School Registration

Parents Information
Father's Name*
First NameLast Name
Mother's Name*
First NameLast Name
Mother's Cell*
Area CodePhone Number
Mother's Email*
Mother Jewish by:*
BirthChoice
Mother's Hebrew Name

Home Address*

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

Parents are
MarriedSeparatedDivorced
Student Information
Full Name*
First NameLast Name
Hebrew Name*
First NameLast Name
Birth Date*
MonthDayYear
Gender*
MaleFemale
School*
Previous Jewish Education (If applicable)
Grade entering*
Additional notable InformationPlease let us know if there are any allergies or other important information we need to be aware of.
Best way to send Hebrew School updates:*
Cell PhoneEmailHandout
Payment Information
E-mail
Please calculate the amount to charge your card based on what you have signed up for. If we have agreed upon a monthly payment plan, please pay the first month's agreed upon price.
If your child is entering kindergarten, tuition is free of charge for either the Virtual option or a six week Hebrew-School-To-You option, and we only request that you pay the $50 (for registration fee ).
**Chabad will NEVER turn away a family from Jewish education because they cannot pay. Please be in touch with Nuchie if you need a scholarship.
My child will be attending
Zoom School - Full Session ($400 for the year)Zoom School - Fall Session ($150)Zoom School -Winter Session ($150)Zoom School - Spring Session ($150)Hebrew School To You (Price will be calculated after we discuss what you plan to sign up for)Monthly Social Club ($100 for all 9 sessions)Monthly Social Club (Pay per month Sebtember $15)Weekly Hebrew Social Club- begins Mid-October ($400 for the year)
Amount to Charge
$
Total
$0.00

Payment

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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