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Registration

Registration

We are currently accepting application forms for the 2017-2018 school year.

Please fill out ALL fields of this form.

Student 1 Profile
First Name
Last Name
Hebrew Name
Age
DOB


In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day.
School
Hebrew Reading Proficiency
None Somewhat Well
Previous Jewish Education
Yes No
Where?
Does your child have any learning disabilities? Please specify

This information will help us better cater to the needs of your child.
 
Student 2 Profile
First Name
Last Name
Hebrew Name
Age
DOB
Time of Birth

In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day.
School
Hebrew Reading Proficiency
None Somewhat Well
Previous Jewish Education
Yes No
Where?
Does your child have any learning disabilities? Please specify

This information will help us better cater to the needs of your child.
 
Student 3 Profile
First Name
Last Name
Hebrew Name
Age
DOB
Time of Birth

In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day.
School
Hebrew Reading Proficiency
None Somewhat Well
Previous Jewish Education
Yes No
Where?
Does your child have any learning disabilities? Please specify

This information will help us better cater to the needs of your child.
Family Information
My child is a
Are the natural father, mother and maternal grandmother of the child Jewish? Yes No
If no, please explain.
Have there been any conversions or adoptions in the family? Yes No
If yes, please explain.
Parent Information
Father's Name
Cell
Email
Mother's Name
Cell
Email
Address
City
Zip
Home Phone
Synagogue Affiliation
 
To enhance our curriculum we have school events and programs.
Can you assist in event planning?
* Email allows us to communicate in the most efficient and economical manner. We do not use your address for other purposes.
Emergency Information
Emergency Contact 1
Phone
Relationship
Emergency Contact 2
Phone
Relationship
Family Physician
Phone
 
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.
Tuition Agreement

Tuition for the 2017-2018 school year is £350 for first child (£250 for members), and £250 for every additional sibling. This cost included registration and book fee.

A limited number of scholarships are available upon request; no child will be turned away for lack of funds.

Installments:
Refer a friend and save 10% per family! (Friend must be new to Hebrew School and will be registering their child for this coming year)
Name of Family Referring
Payment Information
Payment Method

 

  Checks can be mailed to: Chabad Wimbledon 42 St. Georges Road  London, SW19 4ED
Total Registration Cost   Card Number
Expiration   CVV
Additional Comments (optional):
Terms of Agreement
I agree that in the event of an emergency, Cheder has my permission to arrange for any necessary first-aid or care by a licensed physician/first-aid worker. Cheder has my permission to use my child's photo in its publicity materials. I have completed the Enrollment Form and agree to pay any balance according to the terms of agreement oulined above.
Name:
Initials:


We look forward to a wonderful year of learning and growth!

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