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Registration Page

  • Chabad Hebrew School
    Online Registration Form

    NEW STUDENTS:
    Please fill out ALL fields of this form.


    RETURNING STUDENTS WITH NO NEW INFORMATION:
    Go straight to payment. With payment you are agreeing to all the clauses contained in the form below.

    If you have any questions or concerns that you would like to discuss with us, please contact us at 703.476.1829.

    If you would prefer to fill out a hard copy and mail it into our office, simply print this form, and mail to Chabad of Reston-Herndon. 11654 Plaza America Dr. #775 Reston, VA 20190.

    Please note that one registration form per child is needed. 

    Tuition:  $995. ($950 before August 18). Included in the tuition are all the family events held at Hebrew School.

    Our pre-school class will open subject to interest. 50% reduction in pre school tuition fees with sibling attending K +.

    No child will ever be turned away for lack of funds. Please reach out to us, we are committed to working with you. 

    If you are in position to contribute towards helping our tuition scholarship fund, we would be most appreciative. To donate  CLICK HERE.

    We look forward to a wonderful year of learning and growth.

    Student Profile
    First Name
    Last Name
    Hebrew Name
    DOB
    Gender Male Female
    School
    Grade Entering
    Hebrew Reading Proficiency None Somewhat Well
    Hebrew Speaking Proficiency None Somewhat Well
    Previous Jewish Education/Hebrew School Yes No
    If yes, please describe
    Synagogue affiliated with
    Natural mother of child Jewish? Yes No
    Conversions / adoptions in family i.e parents, grandparents? Yes No
    If yes, please describe
    Any considerations, such as special learning needs or difficulty, the school should be aware of? (Confidential):
    Parent Information
    Father's Name
    Father Home Phone
    Father Work Phone
    Father Cell Phone
    Father Email
    Mother's Name
    Mother Home Phone
    Mother Work Phone
    Mother Cell Phone
    Mother Email
    Address
    City
    State
    Zip
    Spouse Address (if different):

    CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? 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 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 trips on and beyond school properties and allow my child to be photographed while participating in Chabad Hebrew School activities and that these pictures may be used for marketing purposes.

    I Accept

    Name:  Initials:

    Pay Online

    This page uses a secure connection and your information will not be shared with anyone.

    Annual tuition: $900. $100 discount for registered referral. If you have chosen to add a contribution towards our scholarship fund, thank you! You can add it to tuition below, or go to our Donate Page.


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