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Additional Hebrew School Student Form 25 26

Additional Hebrew School Student Form

Directors: Rabbi Yehuda and Dina Kantor

Registration 2025-2026
Additional Hebrew School Student Form
This form is only if you completed the CHS Family Registration form and you have an additional Hebrew School Student. Please complete one form per additional student.
*

I have completed the CHS FAMILY FORM
Name of Parent Completing This Form*
First Name Last Name
E-mail*
ADDITIONAL STUDENT INFORMATION
Full Name*
First Name Last Name
Hebrew Name
Called By*
Age*
Birth Date*

Month Day Year
Grade (September 2025)*
Previous Hebrew Education *
Number of Years *
Please list any health concerns, medications, or general information we need to know*
PAYMENTS
TUITION FEE
Students in Grades 3 through 6, have class on both Sundays and Tuesdays. We know schedules are full and challenging yet wish to emphasize the old aphorism - "the more you put in the more you take out". No doubt, the more we invest in our children’s Jewish Education, the more they will benefit and grow!

If you / your child can only commit to once a week, please check off the once a week option and we’ll take it from there.

Kindergarten Students (Graduate from Little Gan - Special discount): $875

K-Grade 2: Sunday Only $1,750

Grades 3-6: Sunday AND Tuesday $2,450

Grades 3-6 Sunday OR Tuesday $1,750

Grade 7 Sunday $1,750

PARTNERSHIP DISCOUNT: (Click here to become a partner)

K-Grade 2: Sunday Only $1,500

Grades 3-6: Sunday AND Tuesday $1,950

Grades 3-6 Sunday OR Tuesday $1,500

Grade 7 Sunday $1,500

*Times: Sunday 9:30-11:30 AM & Tuesday 4:00-6:00 PM
Select one:*

Little Gan Kindergarten Students Sunday OnlyK-Grade 2: Sunday ONLYGrades 3-6 Sunday AND TuesdayGrades 3-6 Sunday ONLYGrades 3-6 Tuesday ONLYGrade 7 Sunday ONLY
PARTNERSHIP DISCOUNT
Thank you so much for becoming a partner / member. Together, we will ensure a vibrant community and a sustainable future to ensure that Am Yisrael Chai isn’t a mere slogan rather the unyielding and joyous truth - Dor L’dor!

Want to know what partnership is and why you should join? Click here to read more about it and join!
Are You/Will be A Partner 2025-26?*

YesNo
Due Today* Select one:

$500 Deposit - Mandatory at time of applying.Full Payment Kindergarten (Little Gan Student) $875Full Payment for 1 day $1,750Full Payment for 2 days $2,450Partnership Discount: Full payment for 1 day $1,500Partnership Discount: Full payment for 2 days $1,950
Mandatory Security Fee* Our office will follow up regarding this payment per family.

$300 per family
I would like to help a child! CHS Scholarship Fund*

YesNot Today
Donation Amount

$0
Total

$0.00
Almost There!
- If you selected $500 deposit payment today, the office will contact you with a payment schedule for your remaining balance.

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Please include all names of siblings being registered in CHS
Check off:

I hereby permit my Child(ren) to participate in all school activities and join in school trips on and beyond school properties. In case of emergency, I hereby authorize the school to have my child taken care of by a physician in any way the situation may call for. (Please note - checking this box constitutes a signed authorization.)I am willing to assist in school activities. Please contact me.
Should be Empty:

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Additional Hebrew School Student Form

ADDITIONAL STUDENT INFORMATION

PAYMENTS

TUITION FEE

PARTNERSHIP DISCOUNT

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