$100 Deposit due with registration is deducted ONLY if registered by August 1, 2019.

Special Referral Program:  For every family you refer to Chabad Hebrew School, both you and the 
new family will receive $100 credit toward tuition. 


Family Information
Family Name      
Child Information
1. Child's Name

Grade Entering 2019/2020
2. Child's Name Grade Entering 2019/2020
3. Child's Name Grade Entering 2019/2020

Please indicate any changed to phone #s, emails, addresses, allergies, or anything pertinent
Please list name(s) of those (other than parents) who are authorized to pick up from school                        
Tuition & Payment                     All classes meet 10:00am - 12:30pm
$100 deposit, per child, is due with registration by credit card.  
The deposit will be deducted from the total tuition if registered by August 1, 2019.  
Tuition includes security and book fee.
Grades K-7                                   $ 885   
      Indicate # of children         
                                                           Total Tuition for the year:   
Payment Options:
 Pay in Full August 31, 2019 by credit card on file
 Pay in Two Equal Payments (August 31, 2019 and December 31, 2019) by credit card on file
For an alternative payment plan, or to make payments by check, please call Marina at the Chabad office  561-994-6257 
By registering your child(ren) you are agreeing to the tuition payment schedule 
and your credit card will be charged accordingly.
Card Holder Name Card Holder Address:
Credit Card Number Total to charge at Registration
Exp Date    
Enrollment Agreement
To enroll your child(ren) in Chabad of Boca Raton Central Hebrew School all forms must be submitted with the required fees.  
Enrollment is considered to be for the entire school year.  The school cannot issue refunds or credits for illness, holidays, family vacations or early withdrawal.  In the event that the school is closed due to or resulting from a weather emergency or other unforeseen circumstances, there will be no make-up days, refunds or credits for days that school is not in session.
Upon processing a tuition payment, if sufficient funds are not available or the credit card is not approved, your account will be charged $25 for each transaction that could not be processed.
Parent(s) acknowledge that Chabad Hebrew School serves children who are able to function successfully in a group setting. If, in the judgment of the school's Director, the child is not able to function in a group setting, the parent may be asked to withdraw the child. In the event that the parent is requested to withdraw the child, the Director will work with the parent to identify possible alternative programs suitable for the child.

We give permission to use photographs of our child(ren) in print materials, on our website and/or emails.  Last names of children are never listed.  We give permission for our name and telephone number to be include in any class list that may be distributed. 

Medical Emergencies
I authorize the director or director's designee to seek appropriate medical care for my child, if necessary.
A. In case of emergency, when neither parent can be reached, give names of two people who will take responsibility for your child:
Emergency Contact 1      
Home Phone    
Cell Phone    
Relationship to Student    
B. If parents cannot be reached and emergency medical advice is needed, permission is given to the Hebrew School staff to phone my child's doctor:
Doctor Phone
Address City
Hospital Affiliation    
C. In case of medical emergency requiring immediate emergency care, I authorize the paramedics to take my child to the nearest hospital if necessary. It is understood that I will hold Chabad of Boca Raton Central and Hebrew School harmless for the nature and outcome of any emergency medical treatment. It is also understood that I leave the decision of what constitutes an emergency to the sole direction of the staff.
By submitting this form, and signing below, parents accept the terms outlined above and agree to the charges on the credit card for the deposit and tuition.  Please sign (type) and date.
Name of registering parent Date