Online Quick Registration!

Note: Please use a separate form for each child. If you would like to register more than one child, hit the back button after you submit the form and change the necessary information.

Once your registration is received you will be contacted to complete the registration. $50 deposit deducted from total tuition fees is due at registration

Student Profile
Family Name
Name of Child

prefers to be called

Grade Entering Sept 2018
Male Female  
Home Address
Home Phone

Registering for: 
Does your child have any allergies or other medical condition we should be aware of?
Any considerations, such as learning disorder or difficulty, the school should be aware of?
Family Information
Father's Name
Father's Phone
Father's Cell
Father's Email
Mother's Name
Mother's Phone
Mother's Cell
Mother's Email
Please fill in for each of the following family members yes or no if they are Jewish:
Father Mother
Paternal Grandmother Paternal Grandfather Maternal Grandmother Maternal Grandfather

Were there any conversions or adoptions in the family?

If yes please specify who: please e-mail all information and documentation to the director at

Emergency Information
Emergency Contact 1
Emergency Contact 2
Doctor's Name
Doctor's Phone Number
Tuition Agreement
Registration Fee: $50 (deducted from total tuition cost)
* Sunday and Wednesday: (grades 2-6) $1,000 + $50 book fee
* Sunday Only (grades K-6): $600 + $50 book fee
* CTeen Jr. (grades 7-8): $600 + $50 book fee  
Discounts: Sibling Discount; 5% off each additional child
limited scholarships available; contact Rochi Silberstein at for more information

Please check box with your choice for method of payment.

Prepayment in full before September.

Pay ½ of tuition before September, and ½ by January 15.

Total cost split by 10 equal monthly payments.
Method of payment:
Credit Card
Please mail checks to Chabad Minneapolis: 2845 Hedberg Dr., Minnetonka, MN 55305
Registration Payment
CC Type   Card Number
Billing Address   City, State, Zip
Charge Amount   Exp Date
security code

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad Hebrew School 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 Hebrew School 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 trips on and beyond school properties and allow my child to be photographed while participating in Chabad Hebrew School activities and that these pictures may be used for marketing purposes.

I Accept

Name: Initials: Date:

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