Registration

We are currently accepting application forms for the 2022/23 school year!
Our CKids Hebrew School club is catered to children ages 5-12.
We meet on Mondays from 4:00-6:00 PM at 945 Evelyn Lane.
For any questions please call or email Raizel: (916) 239-9006 | [email protected]

Please note that one registration form per child is needed.
We look forward to a wonderful year of learning and fun!
Child's Name*

First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
School*
Previous Jewish Education
Grade entering*
Hebrew Reading Proficiency*

None Knows the Hebrew letters Knows some vowels Reads well

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Parents Information
Father's Name*

First Name Last Name
Father Cell

Area Code Phone Number
Mother's Name*

First Name Last Name
Mother Cell

Area Code Phone Number
Primary contact email*
Jewish

Mother Father Both In the process of converting
Conversions or adoptions?

Yes No
If yes, please explain:
Emergency Information
Emergency Contact*

First Name Last Name
Phone Number*

Area Code Phone Number
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 Chabad of Sacramento 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 of Sacramento 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 grounds and allow my child to be photographed while participating in Chabad of Sacramento Hebrew School activities and that these pictures may be used for marketing purposes.
I Agree - Full Name*

First Name Last Name
Initials*
Payment
Registration Fee* You can pay full tuition now, or pay the second half in January at the start of the second semester. If a scholarship is needed, please contact us via the email listed above.

$500 $250
Total

$500.00

Payment*

Credit Card Paypal Other

Postal / Zip Code

Country

Should be Empty:

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Parents Information

Emergency Information

Payment