Printed from ChabadVernonHills.org

Register

Register

Welcome to Chabad Hebrew School of Vernon Hills, where the joys and traditions of Judaism are brought to life!

Please fill out the enrollment form. If you have any questions feel free to contact Rochel@chabadvernonhills.org. Once you register, a Hebrew School calendar and a welcome packet will be mailed to you. We look forward to a productive and special year with your child.

Student 1 Profile
First Name
Last Name
Hebrew Name
Age
DOB


In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day.
School
Grade Entering
Does your child have any learning difficulties? Please specify

This information will help us better cater to the needs of your child.
Child's Favorite Activities
Does your child have any special abilities, habits. behaviors or anything else which you want us to be aware of?

This information will help us better cater to the needs of your child.
 
Student 2 Profile
First Name
Last Name
Hebrew Name
Age
DOB
Time of Birth

In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day.
School
Grade Entering
Does your child have any learning difficulties? Please specify

This information will help us better cater to the needs of your child.
Child's Favorite Activities
Does your child have any special abilities, habits. behaviors or anything else which you want us to be aware of?

This information will help us better cater to the needs of your child.
 
Student 3 Profile
First Name
Last Name
Hebrew Name
Age
DOB
Time of Birth

In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day.
School
Grade Entering
Does your child have any learning difficulties? Please specify

This information will help us better cater to the needs of your child.
Child's Favorite Activities
Does your child have any special abilities, habits. behaviors or anything else which you want us to be aware of?

This information will help us better cater to the needs of your child.
Family Information
Are the natural father, mother and maternal grandmother of the child Jewish? Yes No
If no, please explain.

Have there been any conversions or adoptions in the family? Yes No
If yes, please explain.  

What would you like your child to gain by joining Chabad’s Hebrew School?
Parent Information
Father's Name
Cell
Email
Mother's Name
Cell
Email
Address
City
Zip
Emergency Information
Emergency Contact 1
Phone
Relationship
Emergency Contact 2
Phone
Relationship
Family Physician
Phone
 
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.
Tuition Agreement

Sundays, 10:00 AM – 12:00PM - September 2017 through May 2018
Complete Year, Ages 5-13 - $725
Includes: Books, Supplies and Snack Fee

Early Bird Registration Special: $30 off total tuition before August 1st.
$25 discount for each additional child of the same family attending Chabad Hebrew School.

Payment Options:
Payment Information
Payment Method   Checks can be mailed to 271 Hunter Court, Vernon Hills, IL 60061
Total Registration Cost   Card Number
Expiration   CVV
Additional Comments (optional):
Terms of Agreement
I agree that in the event of an emergency, Chabad Hebrew School has my permission to arrange for any necessary first-aid or care by a licensed physician/first-aid worker. Chabad Hebrew School has my permission to use my child's photo in its publicity materials. I give permission for my child/ren to attend all field trips and outings sponsored by Chabad Hebrew School. I have completed the Enrollment Form and agree to pay any balance according to the terms of agreement outlined above. 
Name:
Initials:

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

Secure This page uses 128 bit SSL encryption to keep your data secure.