Registration

Address*

Please check all that apply*

Mother converted to JudaismFather converted to JudaismMother Jewish by choiceFather Jewish by choice
Number of children registering*
Child Information
Full Name*
First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
School*
Grade for the 2026–2027 School Year*
Please check all that apply*

Child was born JewishChild converted to JudaismChild is adopted
Previous Jewish Education (if any)
Additional Information Please let us know about any allergies, learning needs, or other important information we should be aware of.
2nd Child Information
Full Name*
First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
School*
Grade for the 2026–2027 School Year*
Please check all that apply*

Child was born JewishChild converted to JudaismChild is adopted
Previous Jewish Education (if any)
Additional Information Please let us know about any allergies, learning needs, or other important information we should be aware of.
Communication & Parent Involvement
Preferred way to receive Hebrew School updates:*

Cell PhoneEmailHandout
I’d be happy to help with Hebrew School activities. Please contact me.
Payment
No one will be turned away for lack of funds.
For payment arrangements, please select "other" and contact Rabbi Levi or Chana Reizes.
Tuition Tiers*

$750 Full Cost$600 Partially Subsidized$475 Subsidized
Tuition Tiers 2nd child*

$700 Full Cost$550 Partially Subsidized$425 Subsidized
Donation

$36$54$72
Total

$0.00

Payment

Credit Card Other

Postal / Zip Code

Country

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