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. REGISTER TODAY FOR OUR EARLY BIRD PRICING. PRICES INCREASE AFTER JULY 5TH. 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* 123456789101112 Hour001020304050 MinutesAMPM Child's Gender* Child's Age (as of 9/2026)* Child's Grade (as of 9/2026)* PreKindergartenKindergarten1st2nd3rd4th5th6th7th8th GRADE GIRLS CLASS Name of Attending School (as of 9/2026* 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 CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther 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 CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Home Phone Number (If Used) Area Code Phone Number Parents Are:* MarriedDivorcedSeparatedSingle Parent 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 (Only GIF, JPEG, JPG, PNG, PDF)* 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 EARLY BIRD PRICING ENDS JULY 5TH. SIGN UP AND SAVE TODAY! 3 Easy Payment Options: Option 1) Pay Now in Full $1700 Option 2) Two Payments of $850 ( one now, one in January) Option 3) Four Payments of $425 (one now, November, January, March) Payment Options* $1700 (Paid In Full)$425 (4x a Year-automatic billing First payment, November, February, April))$850 (2x a Year One now and one in January)$850 (Half Price-Introductory Rate For Children entering Grades Pre K and K ONLY) 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 Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration Year Terms of Agreement & Financial commitment. Enrollment is considered to be for the entire scholastic year from September 2026 - May 2027. 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. I would like to receive news and updates from Chabad at Short Hills by email. I understand that information I provide to Chabad at Short Hills will be used according to its Privacy Policy and I can unsubscribe at any time. Submit Should be Empty: This page uses TLS encryption to keep your data secure.