Hebrew School Registration 2025-2026

We are Looking Forward to Another Wonderful Year At Our Lebovitch Family Hebrew School.

Please Note Every Child Attending Hebrew School Must Have A Complete Registration Form on the first day of class.
Child Information
Registering Child's Name*
Child's First Name Child's Last Name
Child's Hebrew Name*
Child's Date Of Birth*
Child's Time of Birth*
Hour Minutes
Child's Gender*
Child's Age (as of 9/2025)*
Child's Grade (as of 9/2025)*
Name of Attending School (as of 9/2025*
Family Information
Mother's Name*
Mothers First Name Mothers Last Name
Mother's Hebrew Name*
Mother's Cell*

Area Code Phone Number
Mother's Email*

Mothers Address:*

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

Mother's Occupation*
Mother Jewish By*

BirthChoiceOther
Father's Name*
Fathers First Name Fathers Last Name
Father's Hebrew Name*
Father's Cell*

Area Code Phone Number
Father's E-mail*
Father's Occupation*
Father Jewish By*

BirthChoiceOther

Fathers Address (Only if Different Than Mother's Address)

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

Home Phone Number (If Used)

Area Code Phone Number
Parents Are:*
Does your child have an IEP?*

YesNo
If yes, please explain:
List Allergies
Shul Affiliation (If None, write None):*
How Did you Hear About Us? (Who Can We Thank)
Please Tell Us Any Needed Information About Your Child
Please upload a Current Photo Of Child
School Media Agreement - Please Initial Below
I hereby give permission for my child to participate in all school activities, join in class and school trips and beyond school properties. I hereby give permission for Chabad at Short Hills Hebrew School to photograph my child and to use the images in website, newsletter and flyers.
Initial Here*
Authorized Names For Pick Up (Other Than Parent)*
Emergency Contact (Other Than Parent)*
First Name Last Name
Emergency Contact Phone Number*

Area Code Phone Number
Financial Information:
- There Is An Added Mandatory Security Fee Of $150 Per Child (This Allows for extra Security including an Essex County Sheriff every Sunday).
- Special Rate! 1/2 Price Tuition For Students Entering Pre K & K Students Only
- Sibling Discount Off Third Child or more will be taken off automatically - please select a payment plan for the third sibling discount to be automatic
Make Sure You Sign up Before July 6th To Receive Our Early Bird Pricing

3 Easy Payment Options:

Option 1) Pay Now in Full $1800
Option 2) Two Payments of $900 ( one now, one in January)
Option 3) Four Payments of $450 (one now, November, January, March)
Financial Information:

The Remaining days of Hebrew School are

4/12, 4/19, 4/26, 5/3, 5/10, 5/17, 5/31, 6/7, 6/14

The Tuition includes security fee.
Payment Options

$900 (Twice A Year- First Payment, Second payment January)$450 (4x a Year-automatic billing First payment, November, February, April))$900 (Introductory Rate For Children entering Grades Pre K and K ONLY)
Payment Options (April 12-June 14)

$432 (Pay In Full)
Required Security Fee:

$150 (Pay In Full)
Total

$0.00 USD

Payment

Credit Card

We accept Visa, MasterCard, American Express
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Terms of Agreement & Financial commitment.
Enrollment is considered to be for the entire scholastic year from September 2025 - May 2026. There will be no refunds due to absence, holidays, vacations, snow days, or withdraw from the program without prior discussion with The Hebrew School Director.

Please make sure your credit cards do not expire as payments will be automatic. Please notify the office at 973-535-1800 with any credit card issues.

Should you need an alternative payment plan, please contact the office at 973-535-1800 and ask for Debbie
To Confirm Agreement - Initial Here*
Please note all students must be registered to attend Hebrew School. To arrange an alternate payment, please contact Debra Marcus at 973-535-1800 to discuss.
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Educate Your Child... Educate a Generation

Child Information

Family Information

Please note all students must be registered to attend Hebrew School. To arrange an alternate payment, please contact Debra Marcus at 973-535-1800 to discuss.