We are currently accepting application forms for the 2014-2015 school year. Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us.

2 Hebrew School Locations: 

Litchfield - Thursdays 5:00 - 6:30 PM               Waterbury - Sundays 10:30- 12:15   

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

PLEASE FILL OUT THE WHOLE FORM

Student Information
Child 1:      
Child's Name Hebrew Name
Date of Birth School
Grade Entering Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No Where?
       
Child 2: (if applicable)    
Child's Name Hebrew School
Date of Birth School
Grade Entering Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education? Yes No Where?
       
Is the natural mother and maternal grandmother of the child Jewish? Yes No
Have there been any conversions or adoptions in the family? If Yes, please explain.

 
Parent Information
Father's Name Email
Work Phone Cell Phone
Mother's Name Email
Work Phone Cell Phone
Address City
State Zip
 
Emergency Informaion
Emergency Contact Home Phone
Work Phone Cell Phone
Doctor Address
Phone Number    
 
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.
 
Parent Involvement
Yes! I am able to help organize/ volunteer at:
Family Shabbat Dinner CHS Chanukah Party
CHS Purim Carnival End of Year Celebration
Field Trips    
 
Payment Information

Chabad Hebrew School Tuition

FIRST TASTE PROGRAM 
Ages 4-6: 
First taste is designed to grab the very young child’s attention with song, art, drama and games. By exposure to the aleph-bet, Torah tales, prayer through song and holiday studies, a child gains a sense of pride and love for Judaism.

Annual Tuition: $475  
(includes supplies/book fee)

HEBREW SCHOOL 
Ages 7-13: 
This program offers a more advanced Hebrew and Jewish studies curriculum. Children learn to read and write Hebrew and gain an appreciation for the ‘why’s and ‘how’s, of contemporary Jewish life. 

Annual Tuition: $475 
(includes supplies/book fee)

 

**Our goal is to provide every Jewish child with an excellent Hebrew School experience.

If necessary, please inquire about other payment plans or scholarships.

Payment Method   
Amount to Charge $  Billing Address  
Card Number   Billing City/State/Zip //
Expiration   CVV Code    What's This?
 
 
Terms of Enrollment

As the parent(s) or legal guardian of the above child(ren), 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 attend all field trips and outings sponsored by Chabad Hebrew School.

I Accept Name: Initials:
 

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