Printed from DixHillsHebrewSchool.com

Registration

  • Hebrew School Registration 2019/2020

  • CHILD 1:


  • CHILD 2:
    (if applicable)


  • Parents

  • PARENT 1:

  • PARENT 2:

  • HOME:

  • Emergency Information

  • EMERGENCY CONTACT:

  • MEDICAL AND SPECIAL NEEDS:

  • PHYSICIAN:

  • General Information

  • OTHER PERSON AUTHORIZED TO PICK UP CHILD:

  • TRIPS:

    I give permission for my child to participate on class trips throughout the school year:

  • Tuition and Billing

  • TUITION SCHEDULE:

    K - 2ND GRADE         ONE DAY      Member $250 and 7 Payments of 92.86 =$900
                                                               Non member $250 and 7 Payments of 128.57 =$1,150

    3RD - 6TH GRADE       ONE DAY      Member $250 and 7 Payments of 107.15 = $1,000
                                                                 Non member $250 and 7 Payments of 142.85 = $1,250

    3RD - 6TH GRADE       TWO DAYS     Member $250 and 7 Payments of 135.72 = $1,200
                                                                   Non member $250 and 7 Payments of 200.00 = $1,650

    CTEEN JR. (7TH GRADE)  TWO DAYS     Member $250 and 7 Payments of 135.72 = $1,200
                                                                           Non member $250 and 7 Payments of 200.00 = $1,650


    Now offering 10% Sibling discounts

  • PROGRAM & TUITION AGREEMENT:

    I hereby confirm my child’s enrollment in The Chai Center Noskin Hebrew School.

    I represent that I am the custodial parent or legal guardian of the child that I am enrolling and that the information I have provided is true and correct. 

    I fully understand that this enrollment, as part of my commitment to a long-term Jewish education at Noskin Hebrew School, is accepted only on the basis of the full year program, and agree to pay the full annual fees accordingly. I understand that no refunds or adjustments will be made for absences including, but not limited to, illness or vacation.

    I agree to the following Mandatory Fees:
    $54 Student Activity Fee per family
    $100 Security Fee per family 

  • Pick a Date
  • PAYMENT OPTIONS:


  • 7 post-dated checks from September through March (The checks should be dated for the 1st of every month) OR
      7 Automatic monthly credit card payments on the 1st of the months: September through March

  •   
    Credit Card
    Billing Address
  • Disclaimer

  • Accident: As the parent(s) or legal guardian of the above child/ren, I/we authorize any adult acting on behalf of Noskin 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, Noskin Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment.

    Trips and Outings: I hereby give permission for my child to attend and participate in all trips and outings organised as part of the program by The Chai Center Noskin Hebrew School.

    Privacy: I hereby give permission for my child’s photographs/videos to be used in newsletters, local newspapers, The Chai Center and Noskin Hebrew School website or for promotion of our program.

  • Pick a Date
  • Should be Empty:
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