Hebrew School Registration 2024 2025

We are currently accepting application forms for the 2024-2025 school year.
Please share this with your family and friends that may benefit from this special opportunity of attending Sunny Isles Beach Hebrew School! We look forward to an enjoyable and successful upcoming school year together! Please email [email protected] for more information.

Child Information

How many children are you registering*

Family Name*

Child First Name*

Hebrew Name*

Gender*

MaleFemale

Birth Date1*

Month Day Year

11*

Month Day Year

Does your child have previous Jewish education?*

YesNo

If yes please explain:

What school Does your Child attend?*

Grade Entering*

Has your child ever had a psychological assessment? *

YesNo

Is there anything else we should know about your child?

Additional Child Information

Child First Name*

Hebrew Name*

Gender*

MaleFemale

Birth Date 22*

Month Day Year

Birth Date 22*

Month Day Year

Does your child have previous Jewish education?*

YesNo

If yes please explain:

What school Does your Child attend?*

Grade Entering*

Has your child ever had a psychological assessment? *

YesNo

Is there anything else we should know about your child?

Additional Child Information

Child First Name*

Hebrew Name*

Gender*

MaleFemale

Birth Date 3*

Month Day Year

Birth Date 33*

Month Day Year

Does your child have previous Jewish education?*

YesNo

If yes please explain:

What school Does your Child attend?*

Grade Entering*

Has your child ever had a psychological assessment? *

YesNo

Is there anything else we should know about your child?

Fathers Information

Full Name*

First Name Last Name

Address*

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

E-mail*

Cell Phone Number*

Area Code Phone Number

Home Phone Number*

Area Code Phone Number

Dad Jewish*

YesNo

Dad*

By BirthBy Choice

Mothers Information

Full Name*

First Name Last Name

Address

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

E-mail*

Cell Phone Number*

Area Code Phone Number

Phone Number

Area Code Phone Number

Mom Jewish*

YesNo

Mom*

By BirthBy Choice

Family Information

Marital status*

MarriedDivorcedSeperated

Synagogue affiliated with*

Any conversions or adoptions?*

YesNo

Please explain, for conversions please include the name of the Rabbi.

Emergency Contact Information

Plese list two contact.

Full Name*

First Name Last Name

Phone Number*

Area Code Phone Number

Relationship to Child*

Full Name*

First Name Last Name

Phone Number*

Area Code Phone Number

Relationship to child*

Confidential

Does your child have any allergies, other medical conditions or special needs we should be aware of?*

YesNo

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 Chabad Russian Center Hebrew School to hospitalize or secure treatment for my/our child,

· I/we further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad Russian Center Hebrew School personnel will try,but are not required, to communicate with me/us prior to such treatment.

· I/we hereby give permission for my/our child to participate in all school activities, join in class and school trips on and beyond school properties and allow my/our child to be photographed while participating in Hebrew School activities.

· I/we also understand that all liability and costs resulting from damage to property and/or personal injury caused or attributable to my/our child/children will be my/our responsibility.

· I/we agree to fully indemnify and save Hebrew School and it’s associates, teachers and agents harmless therefrom.

· I/we consent to Chabad Russian Center Hebrew School’s use of our personal information and of our child/children at its discretion in pursuit of school activities.

Initial*

Date*

Month Day Year

Volunteer opportunity

I'd love to volunteer at Hebrew School!

I can assist with Aleph ChampI can assist with occasional schoolwide eventsI can contribute with a talent (ex. music, art, entertainment)

Specify Talent.

Tuition Fees

Reg & Book Fee	Tuition	Total
$100.00*	$895.00**	$995.00

Day
Sunday 10:00 -12:30 pm

*This is non-refundable and due in full at the time of registration.

**Additional child Reg & book fee waived

*** UNTIL JULY 1ST NO REG & BOOK FEE!!!

Choose one please*

New FamilyReturning Family

Payment

I would like to assist a child who cannot afford Hebrew School Education.

You may choose from the following payment methods:

o The tuition can be paid in full when registering your child.

o Alternatively, it could be broken up into 10 equal payments of tuition fee

10 payment will be charged at registration.

Registration and book fee* UNTIL JULY 1ST NO REG & BOOK FEE!!!

Per form

Sunday 10:00 - 12:30*

Referred by

Total

$0.00

Payment

Credit Card Other

Postal / Zip Code

Country

Thank you for your interest in the SIB Hebrew School. We are glad you are here and would like to get to know you. Please submit the form and we will contact you to set up a meeting. Looking forward!