Enroll

You’re ready to start your child on a journey of Jewish learning and growth. The final step left is to fill out the enrollment form and secure your spot at JUDA Hebrew.

Enrollment process:

1: Fill out the student enrollment form below and submit a registration fee.

2: Shortly after your form & deposit are received, you will receive an email confirming your child’s enrollment and, and for new students, asking you to schedule a meeting with the Director. Keep in mind that your enrollment won’t be finalized until you meet with the Director.

Tuition:

Yearly tuition at JUDA Hebrew is $1,300 plus a $100 registration fee.
Sibling, referral, and early bird discounts are available.

STUDENT'S INFORMATION

Child's Name*

First Name Last Name

Child's Hebrew Name*

Gender*

MaleFemale

Birth Date

Month Day Year

Grade Entering in September '23*

School Attending?*

Marital status*

Child lives with

Is the natural mother of the child Jewish*

Has there been any conversion in the family*

Please contact us to discuss your circumstance before continuing this enrollment process.

Was the conversion by an Orthodox Beth Din*

Please contact us to discuss your circumstance before continuing this enrollment process

If yes, please specify Rabbi and Congregation Before registering, please ensure that your conversion is recognized by The Rabbinical Council of America

PARENT 1

Full Name*

First Name Last Name

E-mail*

Phone Number*

Area Code Phone Number

Hebrew Name*

Born Jewish*

Gender*

occupation*

Address*

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

PARENT 2

Full Name*

First Name Last Name

E-mail*

Phone Number*

Area Code Phone Number

Hebrew Name*

Born Jewish*

Gender*

Occupation*

Any additional notable information about the family

Primary Correspondence should be with*

Preferred method of communication*

Emergency Contact*

First Name Last Name

Phone Number*

Area Code Phone Number

Relationship to child*

Does your child take any medications or have any allergies or other medical conditions we should be aware of?* If yes, please describe. if no, please write no

ADDITIONAL PERSON AUTHORIZED TO PICK UP YOUR CHILD

Full Name*

First Name Last Name

Phone Number*

Area Code Phone Number

Relationship to child*

I hereby confirm my child’s enrollment in JUDA Hebrew Academy's afternoon 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*

Yes

Full Name*

First Name Last Name

Date*

Month Day Year

I hereby give permission for my child(ren) to attend all field trips and outings sponsored by JUDA Hebrew*

Yes

I hereby give permission for my child(ren) to be photographed in JUDA Hebrew activities, and for the photographs to be published on the JUDA Hebrew's website and media.*

Yes

Philanthropic Leadership Circle:

Would you like to join our philanthropic leadership circle that donates $360 to the JUDA Hebrew scholarship fund?

Yes

Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Registration Form

PARENTS

EMERGENCY INFORMATION