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* PreschoolKindergarden 1st2nd3rd4th5th6th7th8th9th Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther 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 1st2nd3rd4th5th6th7th8th9th 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 Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2024202520262027202820292030203120322033 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.
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