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 407-636- 5994 .

Please note that one registration form per child is needed.

We look forward to a wonderful year of learning and growth.

Student Profile
Hebrew Name
Grade Entering
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No

Please choose your child's division:

Hebrew school Kita Alef, Grades K, $500.00

Hebrew school Kita Bet, Grades 1-3, $500.00

Hebrew school Kita Gimmel, Grades 4-5, $500.00

Hebrew school Kita Dalet, Grades 6-7, $500.00

Parent Information
Father's Name
Mother's Name
Are the natural father and mother of the child Jewish? Yes No
If no please explain
Her Email Address
His Email Address

Emergency Information
Emergency Contact 1
Emergency Contact 2

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.

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 Accept

Name: Initials:

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 407-636- 5994.

Early bird Discount 10% registration discount if submitted by June 29th.
Payment options: Pay in full
  Pay in two installments 8/1 and 1/1.
Card Type
Name (on card)

Credit Card Number

Expire Date
Amount $