Jams Hebrew School Registration Form

Mother's Information

First Name *

Last Name *

Street Address *

City *

State/Province *

Postal Code *

Home Phone *

Cell Phone

Email *

Father's Information

First Name *

Last Name *

Gender

Share address of Mother

Yes, share address

Street Address *

City *

State/Province *

Postal Code *

Home Phone *

Cell Phone

Email *

Marital Status *

How many children are you registering? *

Child 1

Choose the track that works for your child *

First Name *

Last Name *

Hebrew Name *

Example: David or דוד

Gender *

Which grade is your child entering? *

Birth Date *

Month

Day

Year

Does your child have any previous Jewish Education? *

Yes

Please describe your child's previous Jewish education *

Does your child have any allergies or medical conditions? *

Yes

Please describe your child's allergies or medical conditions *

Are the child’s biological parents Jewish by birth? *

Yes

Please Elaborate *

Are there any conversions or adoptions in the family history? *

Additional Info about your child *

Emergency Contact Info

Emergency Contact 1 Name *

Cell Phone *

Relationship to Child *

Registering For *

Jams Hebrew School 2020-2021

Child 2

Choose the track that works for your child *

First Name *

Last Name *

Hebrew Name *

Example: David or דוד

Gender *

Which grade is your child entering? *

Birth Date *

Month

Day

Year

Does your child have any previous Jewish Education? *

Yes

Please describe your child's previous Jewish education *

Does your child have any allergies or medical conditions? *

Yes

Please describe your child's allergies or medical conditions *

Are the child’s biological parents Jewish by birth? *

Yes

Please Elaborate *

Are there any conversions or adoptions in the family history? *

Additional Info about your child *

Emergency Contact Info

Emergency Contact 1 Name *

Cell Phone *

Relationship to Child *

Registering For *

Jams Hebrew School 2020-2021

Child 3

Choose the track that works for your child *

First Name *

Last Name *

Hebrew Name *

Example: David or דוד

Gender *

Which grade is your child entering? *

Birth Date *

Month

Day

Year

Does your child have any previous Jewish Education? *

Yes

Please describe your child's previous Jewish education *

Does your child have any allergies or medical conditions? *

Yes

Please describe your child's allergies or medical conditions *

Are the child’s biological parents Jewish by birth? *

Yes

Please Elaborate *

Are there any conversions or adoptions in the family history? *

Additional Info about your child *

Emergency Contact Info

Emergency Contact 1 Name *

Cell Phone *

Relationship to Child *

Registering For *

Jams Hebrew School 2020-2021

Tuition Information:

Registration Fee: $150 per child
Early Bird Registration Fee: $75 by August 31st
Tuition: $875 per child
Security: $100 per family (to help cover weekly police protection)
The registration fee will be charged when the form is submitted. The other fees and tuition will be invoiced and can be paid in installments.

Would you like to pay the Security Fee today? *

Yes

Would you like to pay the the full Tuition today? *

Yes

Chabad at Scotch Plains