Enroll — Chabad Jewish Center Troy

Chabad Hebrew School of the Arts

Student Information:

Name

First Name

Last Name

Hebrew Name:

Grade Entering In September:

Birthday:

YYYY

School Currently Attending:

Previous Jewish Education:

Familiy Information:

Father's Name:

Mother's Name:

Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Father's Email:

Parents Marital Status:

Married, Separated, Divorced

Fathers Religion:

Mother's Email:

Mothers Religion:

Any conversions in the family? If yes, please specify

Medical Information:

Is There Any Special Medical Or Other Information That We Should Be Aware Of:

Yes

If Yes, Please Describe:

Does Your Child Have Any Allergies:

Yes

If Yes, Please Describe:

Additional Information:

Is There Anything Else You Would Want Us To Know?

Payment Information

School Year 2023-2024

Tuition Options:

Full Tuition - $950

Subsidized Tuition - $750

Further Subsidies Available. Please check our Long Lake Plaza Scholarship page

Registering two or more children - three hundred off each additional child

Upon completing this form, our office will reach out to figure out a payment plan, as well as schedule information!