Returning Students Registration

Student Information
Full Name*
First NameLast Name
Hebrew Name
Birth Date*
MonthDayYear
Was your child born after night fall?*
YesNo
Grade Entering*
Has you address or any of your contact information changed since last year?*
YesNo
Please update
Sibling Information
Sibling 1 Full Name
First NameLast Name
Sibling 1 Hebrew Name
Sibling 1 Birth Date
MonthDayYear
Was your child born after night fall?
YesNo
Sibling 1 Grade Entering
Sibling 2 Name
First NameLast Name
Sibling 2 Hebrew Nae
Sibling 2 Birth Date
MonthDayYear
Was your child born after night fall?
YesNo
Sibling 2 Grade Entering
Tuition
Sundays 10:00 AM - 12:00 PM
Registration & Book Fee: $125
Tuition: $595
Total: $720
Registration & book fee must be paid in full at time of registration and are not included in tuition fees.
Payment Methods
You may choose from the following payment methods:
The tuition can be paid in full when registering your child.
Alternatively, it could be broken up into three equal payments over 3 months.
•Head-checks dated for each of these dates are due at registration. Please make all checks payable to Hallandale Hebrew School and submit them together with the registration form.
•Refunds for children withdrawing from school before the end of the school year will be pro-rated up to February 1st provided that the school office is given 30 days written notice and does not include the registration fee.
•There are no refunds or credits for days missed due to illness, holidays, or family vacations.
Billing Information

Payment*

Credit Card Check

Postal / Zip Code

Country

I would like to assist a child who cannot afford Hebrew School Education.
Yes
Amount
$18$36$54$72$180$360$500$720
Yes, I'd like to make this a monthly recurring payment.
Should be Empty:

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