Registration

We are currently accepting application forms for the 2026-2027 school year. Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us.

We look forward to a wonderful year of learning and growth.
Student Details
How many children are you registering?*
First Child
Full Name*
First Name Last Name
Hebrew Name
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
Grade Going Into for 26-27 School Year:
What school does your child attend?
Can your child read basic Hebrew?

NoneSomewhatWell
Has your child been previously enrolled in a Hebrew/Jewish educational program?

YesNo
If yes, please specify:
Does the child have any allergies or illnesses that we should know about?*

YesNo
If yes, please specify:
Does your child take medication for ADHD on a daily basis?*

YesNo
2nd Child
Full Name*
First Name Last Name
Hebrew Name
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
Grade Going Into for 26-27 School Year:
What school does your child attend?
Can your child read basic Hebrew?

NoneSomewhatWell
Has your child been previously enrolled in a Hebrew/Jewish educational program?

YesNo
If yes, please specify:
Does the child have any allergies or illnesses that we should know about?*

YesNo
If yes, please specify:
Does your child take medication for ADHD on a daily basis?*

YesNo
Third Child
Full Name*
First Name Last Name
Hebrew Name
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
Grade Going Into for 26-27 School Year:
What school does your child attend?
Can your child read basic Hebrew?

NoneSomewhatWell
Has your child been previously enrolled in a Hebrew/Jewish educational program?

YesNo
If yes, please specify:
Does the child have any allergies or illnesses that we should know about?*

YesNo
If yes, please specify:
Does your child take medication for ADHD on a daily basis?*

YesNo
Parent Details

Address

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

Synagogue Affiliation
Father's Name*
First Name Last Name
Father's Number*
Mother's Name*
First Name Last Name
Mother's Number*
Family E-mail*
Are both parents Jewish?

YesNo
Were there any conversions and/or adoptions in the family?*

YesNo
If yes, please specify:
Emergency Information
Emergency Contact
First Name Last Name
Phone Number
As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad Israeli Arizona to hospitalize or secure treatment for my child. I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad Israeli Arizona personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trip on and beyond school properties and allow my child to be photographed while participating in Chabad Israeli Arizona activities.
Click to Accept

AcceptDo Not Accept
Full Name
First Name Last Name
Tuition Agreements
The tuition for the Chabad Hebrew School is $700.00 per year per child plus a $90.00 registration & book fee.

Discounts: There is a 5% discount off of the regular tuition for each additional child of the same family. There is a 5% additional discount off your total tuition for each child of another family you successfully introduce to the Chabad Hebrew School.

You may choose from the following payment methods:
PLAN A: Pay the entire amount in full

PLAN B: Your credit card will be billed in three payments. When you register, December & March. First payment will include registration fee.

PLAN C: Your credit card will be billed in ten monthly payments. First payment is today and will include the registration fee.
Payment Schedule* 1 Child

Plan A: Pay the full balance of $700 + $90 today. Total $790Plan B: Pay the registration fee of $90 and the first of 3 installments ($233.33) today. Today's total $323.33Plan C: 10 Monthly Payments of $70 each. Today's total $160 ($70 + Registration Fee)
Payment Schedule* 2 Children

Plan A: Pay the full balance of $1,365 + $180 today. Total $1,545Plan B: Pay the registration fee of $180 and the first of 3 installments ($455) today. Today's total $635Plan C: 10 Monthly Payments of $136.50 each. Today's total $316.50 ($136.50 + Registration Fee)
Payment Schedule* 3 Children

Plan A: Pay the full balance of $2,030 + $270 today. Total $2,300Plan B: Pay the registration fee of $270 and the first of 3 installments ($676.67) today. Today's total $946.67Plan C: 10 Monthly Payments of $203 each. Today's total $473 ($203 + Registration Fee)
Total

$0.00
Coupon Code:
Payment Info

Payment*

Credit Card

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

Should be Empty:

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Educate Your Child... Educate a Generation

Student Details

First Child

2nd Child

Third Child

Parent Details

Emergency Information

Tuition Agreements

Payment Info