Register - JewishOrlando.com

Student Information
Full Name*

First Name Last Name
Gender*

Male Female
Birth Date*

Month Day Year
Grade Entering*
School Attending*
Synagogue affiliated with*
Hebrew School Branch*

South Orlando Winter Garden
Does your child have previous Jewish Education?*

Yes No
Please describe
Is the natural mother of the child Jewish?*

Yes No
Is the father of the child Jewish?*

Yes No
Were there any conversions or adoptions in your family?*

Yes No
Please describe
Parent Information
Father's Name*

First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Occupation*
Mother's Name*

First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Occupation*

Address

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

Names and Ages of other siblings
Emergency Contacts & Information
Contact #1*

First Name Last Name
Cell Phone*

Area Code Phone Number
Relationship to child*
Contact #2*

First Name Last Name
Cell Phone*

Area Code Phone Number
Relationship to child*
Physician*
Phone Number*

Area Code Phone Number

Address*

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

As the parent(s) or legal guardian of the above child, 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, Chabad 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 trip on and beyond school properties and allow my child to be photographed while participating in Chabad Hebrew School activities.
Agreement*

I agree
Tuition Agreement
The following is a tuition agreement for the Chabad Hebrew School. The agreement explains the tuition fees, payments plans and refund policies. Please read it through carefully. If paying by check or cash, full payment must be submitted to the school office before any child will be permitted to attend classes. (or continue below... to pay online.)

The tuition for Chabad Hebrew School is $1,000/year.

The Tuition is to be paid in full. Refunds are not given for absent days.

There is a $60 registration fee unless the discount below is applied.

Available DISCOUNTS:
- Registration fee is waived for tuition PAID IN FULL before 1st Day of Hebrew School ($60 discount)
- Additional children registered receive 10% off of the base tuition.
($900 + $60 registration fee (unless paid in full) = $960)
Payment Plan

Weekly or Monthly Payments Payment in Full (Registration fee is waived)
You may pay via Auto Bank Withdrawal or by credit card - on a MONTHLY - or - WEEKLY basis.

You must sign up and create your own account at our FACTS Payment program. To do so please click here .

Once you open an account, we will enter your Hebrew School bill on your FACTS account.

Payment

Credit Card Check

Postal / Zip Code

Country

Should be Empty:

Student Information

Parent Information

Emergency Contacts & Information

Tuition Agreement