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CHS Registration 26-27 Returning Students

CHS 26-27

Directors: Rabbi Yehuda and Dina Kantor

Registration 2026-2027
Please complete one form for each returning student.
FAMILY INFORMATION
Parent Name*
First Name Last Name
Parent E-mail*
Home Number*

Area Code Phone Number

Home Address*

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

Are there any conversions in your family (including parents / grandparents)?
If yes, paternal or maternal?

PaternalMaternalNo Conversions
Father's Name
First Name Last Name
Father's Hebrew Name
Father's Cell #

Area Code Phone Number
Father's Work #

Area Code Phone Number
Father's E-mail
Parent Name
First Name Last Name
Mother's Hebrew Name
Mother's Cell #

Area Code Phone Number
Mother's Work #

Area Code Phone Number
Parent E-mail
EMERGENCY CONTACT
Full Name*
First Name Last Name
Relationship*
Phone Number*

Area Code Phone Number
STUDENT INFORMATION
Full Name*
First Name Last Name
Hebrew Name
Called By*
Age*
Birth Date*

Month Day Year
Grade (September 2026)*
Previous Hebrew Education *
Number of Years *
Please list any health concerns, medications, or general information we need to know*
Does your child have an IEP or does he/ she receive any services at school? It is important for us to know this so we can best support your child.*

YesNo
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 and Grade 1 Students (Graduates from Little Gan - Special discount): $975

K-Grade 2: Sunday Only $1,850

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

Grades 3-6 Sunday OR Tuesday  $1,850

Grade 7 Sunday: A separate email / form will go out for 7th graders

PARTNERSHIP DISCOUNT: (Click here to become a partner)

K-Grade 2: Sunday Only $1,600

Grades 3-6: Sunday AND Tuesday  $2,050

Grades 3-6 Sunday OR Tuesday $1,600

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

Kindergarten (Little Gan Student)Grade 1 (Little Gan Student)K-Grade 2: Sunday ONLYGrades 3-6 Sunday AND TuesdayGrades 3-6 Sunday ONLYGrades 3-6 Tuesday 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!
Join Partnership --2026/27*

YesNo
Due Today:* Select one:

$500 Deposit - Mandatory at time of applying.Full Payment Little Gan Kindergarten or Grade 1 Students: $975Full Payment for 1 day $1,850Full Payment for 2 days $2,450Partnership Discount: Full payment for 1 day $1,600Partnership Discount: Full payment for 2 days $2,050
Mandatory Security Fee:* Our office will follow up regarding this payment per family.

$350 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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Please complete one form for each returning student.

FAMILY INFORMATION

EMERGENCY CONTACT

STUDENT INFORMATION

TUITION FEE

PAYMENTS

PARTNERSHIP DISCOUNT

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