RETURNING STUDENTS REGISTRATION FORM If you have any questions or concerns you would like to discuss with us, please feel free to call us at 619.836.0770 or email [email protected] How many children would you like to re-register?* 1 (Early-bird) $895 2 (Early-bird with sibiling discount) $1700 3 (Early-bird with sibiling discount) $2500 1 (Full tuition) $995 2 (Full tuition with sibiling discount) $1890 3 (Full tuition with sibiling discount) $2780 CHILD 1 INFORMATION Full Name* First Name Last Name Grade entering in September* Preschool Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th CHILD 2 INFORMATION Full Name* First Name Last Name Grade entering in September* Preschool Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th Preschool class is tentative. Class opening will be finalized once 3 or more students are registered. CHILD 3 INFORMATION Full Name* First Name Last Name Grade entering in September* Preschool Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th Preschool class is tentative. Class opening will be finalized once 3 or more students are registered. PARENT'S INFORMATION E-mail to receive copy of this form* MORE INFORMATION & TERMS 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. Additional notable information Terms of Agreement** As the parent(s) or legal guardian(s) of the above child, I/we authorize any adult acting on behalf of 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, 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 Chabad Hebrew School activities and that these pictures may be used for marketing purposes. TUITION Tuition: $995 per child (supplies, snacks & book fee included). | Sunday's 10am-12pm Early-bird special: $895 for registration completed by July 15 Sibling Discount: 10% discount for the second child. * Every Jewish child deserves a quality education. Please don't hesitate to reach out to us for a scholarship or payment plan that can work for your family. No child will be turned away due to lack of funds. SCHOLARSHIP FUND If you are in a position to contribute to our scholarship fund, please consider a $180-$995 or any amount donation I would like to make a contribution to the Scholarship Fund in the amount of: Partial Scholarship $180 Half Scholarship - $495 Full Scholarship - $995 PAYMENT INFORMATION Total $0.00 I would like to pay today: Full amount $100.00 minimum $ If paying just the deposit today: Please charge the balance in three payments (3 months) Please charge the balance in six payments (6 months) As per our discussion, an alternative payment plan has been arranged Payment Credit Card Check Credit Card Visa MasterCard American Express Discover Credit Card Type 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 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 Expiration Year Please mail check to: Chabad of Chula Vista 1910 Harrils Mill Ave Chula Vista, CA 91913 Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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