B-Club JPG.jpg

 

 

B Club Online Registration

Returning Students Please Complete the Form Below

New Students ONLY Please Complete The New Student Form First

 

 

Student 1. info:

First Name

Last Name
Hebrew Name (if known)
DOB
School
Grade Entering
 
Hebrew Reading Proficiency
Previous Jewish Education

 

Child 2. info (Optional):

First Name
Last Name
DOB
School
Grade Entering
Hebrew Name (if known)
 
Is the natural mother of the child/ren Jewish? YES NO

Where there any conversions or adoptions in the family? Please explain.
 
 

I would like to sign my child up for the in person amazing Hebrew School

YES NO

I would like to sign my child up for the virtual engaging Hebrew School

YES NO

Comments
 

 

Parent Info:
Address
City
Zip
Home Phone
 
Father's Name
Cell Phone
Email
 
Mother's Name
Cell Phone
Email
 

 

Emergency Info:
Emergency contact 1
Phone
 
Emergency contact 2
Phone
 

 

Allergies

Does your child/ren has any allergies or other medical conditions we should be aware of?

YES NO

If yes, please share the basics with us
 
 
 
 
 

I/we give permission for my child/ren to to attend all field trips and outings part of the Chabad Hebrew School.

As the parent(s) or legal guardian(s) of the above entered student. I/we authorize any adult acting on behalf of the Chabad Hebrew School to hospitalize or secure treatment for my child/ren. I further agree to pay for all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, The Chabad Hebrew School will try to communicate with me prior to such treatment.
 

 

Payment Options Per Child:

 

Option 1: 1 payment of $899 Fee in full.

Option 2: 3 Installments 1. $300 due Sep 1st, 2. $300 Dec 1st, 3. $299  March 1st

If you would like to arrange a different payment plan, please discuss and we will work it out.

 

You can pay using your Credit Card or check.

 

Mail check to the Chabad Center of Sudbury, 100 Horse Pond Road Sudbury, MA 01776

 

Please make checks payable to the Chabad Center of Sudbury and make sure to write Hebrew School and your child's name on the check.

 

1 payment of $899
3 Part Installment Plan
Other 

Check


Card Number

Name on Card

Amount

Expiration Date

CCV