Register Online

We are currently accepting application forms for the 2019-2020 school year. Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us.

Please note that one registration form per child is needed.

We look forward to a wonderful year of learning and growth.

Student Profile
Hebrew Name
Grade Entering
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Parent Information
Father's Name
Cell Phone
Is the child's father Jewish?  Yes    No
Mother's Name
Cell Phone
Is the child's mother Jewish?  Yes   No
Email Address
Were there any conversions or adoptions in the family?  Yes  No
if yes, please explain:
Emergency Information
Emergency Contact 1
Emergency Contact 2

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 Hebrew School of the Arts 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, Hebrew School of the Arts 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 properties and allow my child to be photographed while participating in Hebrew School of the Arts activities and that these pictures may be used for marketing purposes.

I Accept

Name: Initials:



• Tuition for the 2019/20 school year is $700 per Child (registration & book fee included).

I will pay by check (full amount or up to three post-dated checks).

Please write and mail check to: Chabad Lubavitch of Delaware County - 19 Mather Ave, Broomall, PA 19008

I will pay by credit card
(Please call the Rabbi if a payment plan or scholarship is necessary. A payment plan MUST be in place before the school year starts)

Name on card   Card Type
Charge Amnt.   Card Number
Exp. Date   CVV Code 3 digits on back of card


We look forward to a wonderful year of learning and growth!