Bar Mitzvah Lessons

We are currently accepting application forms for the 2021-2022 school year.

If you have any questions or concerns you'd like to discuss with us, please contact us. We look forward to a wonderful year of learning and growth.

RSF Hebrew School Students:

Student Profile

First Name

Last Name

Hebrew Name

DOB

School

Grade Entering

Hebrew Reading Proficiency

Previous Jewish Education

Where?

Parent Information

Father's Name

Phone

Mother's Name

Phone

Address

City

State

Zip

Email Address

Emergency Information

Emergency Contact 1

Phone

Emergency Contact 2

Phone

Doctor

Address

Phone

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.

FOR IN PERSON STUDENTS:
Due to Covid-19: The morning of in person classes, each Parent is responsible to submit an online Health Screening Questionaire, as well as inform us if any family members have been exposed to or have any symptoms associated with COVID-19, such as fever, difficulty breathing, coughing or loss of smell throughout the year.

I will notify CHS of any Covid exposure/symptoms.

Payment Information

Bar Mitzvah Lessons:
Full Payment $1800 | Monthly Payment $180
Hebrew School Student Discount:
Full Payment $1500 | Monthly Payment $150

Selection:

Please consider an added donation to our scholarship fund

Amount to be charged today:

Credit Card Number

CVV

Expiration Date (MM/YYYY)

As always, no child will be turned away due to lack of funds! SCHOLARSHIP AVAILABLE

Authorization

Transport / Emergency Care as listed above Authorization

I hereby give permission for my child to be transported to and from field trips, and to participate in them in all RSF Hebrew School activities. I understand that during the course of RSF Hebrew School my child can be hurt. I accept the risk of possible injury and authorize any member of the Chabad RSF Hebrew School staff to render any necessary first aid. Furthermore, in an emergency case, I hereby authorize Devorah Raskin, Rabbi Levi Raskin or another staff member to have my child taken care of by a physcian or other medical person in any way the situation calls for.

I give permission I don't give permission | Initials Here:

Media Authorization

I give permission to Chabad Jewish Center of RSF and RSF Hebrew School, and those authorized by Chabad, to take photographs and to make recordings of my children and my family, and to use them in original or modified form in all media now or hereafter known, with or without my name or information about me, for the promotion, public education, and/or fundraising activities of Chabad Jewish Center of RSF.

I give permission I don't give permission | Initials Here:

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