Hebrew School of the Arts Registration Form 2024-25 Primary Contact First Name Last Name Student Information Full Name* First Name Last Name Hebrew Name Birth Date* Month Day Year School* Previous Jewish Education Grade entering in Fall of 2024* Preschool Kindergarden 1st 2nd 3rd 4th 5th 6th 7th 8th 9th Address* Street Address Street Address Line 2 City State / Province Postal / Zip Code Please Select United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile People's Republic of China Republic of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of. Do you have any other students to add? YesNo Full Name* First Name Last Name Hebrew Name Birth Date* Month Day Year School* Previous Jewish Education Grade entering in Fall of 2024* Kindergarden 1st 2nd 3rd 4th 5th 6th 7th 8th 9th Parents Information Father's Name* First Name Last Name Father's E-mail Father's Cell Phone Area Code Phone Number Mother's Name* First Name Last Name Mother's Email Mother's Cell Phone Area Code Phone Number Are both parents Jewish?* YesOnly MotherOnly Father Are any parents/grandparents Jewish by conversion?* YesNo If yes, what are the details? (Who underwent the conversion and which rabbi oversaw it?) Consent* In the event of an emergency, Chabad of Red Rock will try and reach the parents, but if no one can be reached, I authorize the staff of Chabad of Red Rock to take appropriate action, including medical care, and absolve them of any liability.I permit my child to participate in all activities at Hebrew School of the Arts. Parents will be notified in advance of any off-site activity.I permit Hebrew School of the Arts to takes pictures and videos of school activities and to use them at its discretion.I understand that most Hebrew School updates and communications are via the Hebrew School admin-only WhatsApp Group, and both parents' numbers can be added to the group. Tuition for the 2024-25 year is $675, plus an additional $65 security fee per child. There are several discounts available, and you can see below for details. If you are applying a discount, or if you are registering for more than one student, please enter the proper amount. Choose Amount $675$525$140$1250 Enter the number of students you are registering to calculate the security fee.* Total $0.00 Payment Credit Card Check or Cash Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 Expiration Year Submit Tuition - Base Tuition for the 2024-25 year is $675. You might be eligible for the following discounts: Sibling Discount - If you are sending more than one child to school, the tuition is $625 each. New Family Discount - If this is the first time that someone from your family is attending our Hebrew School, you can receive a $150 discount, for a final price of $525! New! Pay By Session - Not ready to commit for a full year? Sign up for a single session (6 Weeks) at a time for $140. Not combinable with any other discount. Scholarships - If you cannot pay the full tuition, please let us know and we will work out a payment plan and/or a reduced tuition amount. Every child deserves a Jewish education, no matter their financial ability! (To contribute towards a scholarship, add any amount in your total above.) Security Fee - There is an additional security fee of $65 per child, in addition to your tuition fee. (The security fee for a single 6-week session is $15) Should be Empty: This page uses TLS encryption to keep your data secure.