Welcome to Chabad Hebrew School of Vernon Hills, where the joys and traditions of Judaism are brought to life! Please fill out the enrollment form. If you have any questions feel free to contact [email protected] Once you register, a Hebrew School calendar and a welcome packet will be emailed to you. We look forward to a productive and special year with your child. Student 1 Profile First Name Last Name Hebrew Name Age DOB Month Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sept. Oct. Nov. Dec. Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 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 Grade Entering Select Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth Does your child have any learning difficulties? Please specify This information will help us better cater to the needs of your child. Child's Favorite Activities Does your child have any special abilities, habits. behaviors or anything else which you want us to be aware of? This information will help us better cater to the needs of your child. Student 2 Profile First Name Last Name Hebrew Name Age DOB Month Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sept. Oct. Nov. Dec. Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 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 Grade Entering Select Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Does your child have any learning difficulties? Please specify This information will help us better cater to the needs of your child. Child's Favorite Activities Does your child have any special abilities, habits. behaviors or anything else which you want us to be aware of? This information will help us better cater to the needs of your child. Student 3 Profile First Name Last Name Hebrew Name Age DOB Month Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sept. Oct. Nov. Dec. Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 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 Grade Entering Select Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Does your child have any learning difficulties? Please specify This information will help us better cater to the needs of your child. Child's Favorite Activities Does your child have any special abilities, habits. behaviors or anything else which you want us to be aware of? This information will help us better cater to the needs of your child. Family Information 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. What would you like your child to gain by joining Chabad’s Hebrew School? Parent Information Father's Name Cell Email Mother's Name Cell Email Address City Zip 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 Sundays, 10:00 AM – 12:00PM - September 2022 through May 2023 Complete Year, Ages 5-13 - $895 Early Bird Discount $845 until August 1 Includes: Books, Supplies and Snack Fee Payment Options: All billing for Hebrew School tuition will begin in October. Entire payment in full with a check, cash or credit card I would like to pay 50% billed on October 9, and 50% by January 1, 2023 by check or credit card (please include your card information below) I would like to pay my tuition over a 5 month school period (please include your card information below) Optional Sponsorship Please consider sponsoring a Jewish holiday program at Chabad Hebrew School to bring the Jewish holidays to life for our students. Rosh Hashana Fun Day Sukkot Experience Chanukah Celebration Purim Festivities Passover Experience Shavuot Sundaes Amount Sponsored: $ The sponsorship will be added to the total cost of tuition. We appreciate your support. Payment Information Payment Method Credit Card Check Checks can be mailed to 271 Hunter Court, Vernon Hills, IL 60061 Total Registration Cost Card Number Expiration CVV Additional Comments (optional): Terms of Agreement I agree that in the event of an emergency, Chabad Hebrew School has my permission to arrange for any necessary first-aid or care by a licensed physician/first-aid worker. Chabad Hebrew School has my permission to use my child's photo in its publicity materials. I give permission for my child/ren to attend all field trips and outings sponsored by Chabad Hebrew School. I have completed the Enrollment Form and agree to pay any balance according to the terms of agreement outlined above. Name: Initials: We look forward to a wonderful year of learning and growth! This page uses 128 bit SSL encryption to keep your data secure.
