Returning Student Registration - Chabad Lubavitch of Fountain Hills

We are currently accepting application forms for the upcoming school year. Please fill out ALL fields of this form. We will only be accepting limited amount of new student applications for the coming year. If you have any questions or concerns you'd like to discuss with us, please contact us at 480-795-6292.
Please note that one registration form per child is needed.
We look forward to a wonderful year of learning and growth.
Tuition Cost is $750 per child.
Student Profile
Full Name*
Last Name*
Please indicate any information that has changed since last year:
As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of the 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, the 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 the Chabad Hebrew School activities and that these pictures may be used for marketing purposes.
*
I hereby give permission for my child to attend all field trips and outings sponsored by Chabad Hebrew School.
*
I hereby give permission for my child to be photographed. Photos may be used for promotional purposes for Chabad Lubavitch of Fountain Hills.
Full Name of Parent:*
First NameLast Name
Initials:*
Payment Information
Your application is not complete without a payment plan.Chabad Hebrew School does not reject anyone due to lack of funds. If you feel that you need a special payment plan please call our office at 480-795-6292. .Tuition Cost is $750 per child.
Payment options:*
Pay in full - $750Pay in two installments; Today and 1/1. ($375)
Total to be charged today:
$0.00

Payment*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

This page uses TLS encryption to keep your data secure.

Student Profile

Payment Information