Student Form

Welcome (back) to The Community Hebrew School by Chabad Ville s Laurent & Bois Franc and to our online registration form!

We are looking forward to a year filled with fun and excitement as children engage in fantastic hands-on classes.

Please contact us with any questions and concerns you may have! Your child is certian to make friends, however we do encourage you to bring some with you to join the Chabad Hebrew School family! They will thank you for the experience!

We hope our new system provides a user-friendly experience. Please contact us if you need any assistance!

Office: office@chabadvsl.com or message Leah on 514-808-1418

STUDENT REGISTRATION FORM

First Name *

Last Name *

Gender ID *

Female Male

Hebrew Name

Example: David or דוד

Birth Date *

Birth Date Before Sunset *

Yes

Unknown

Please insert child's Hebrew birthdate if known

Hebrew Date of Birth

Please list schools child attended in the past

Schools Past Years

Please write name of school child is/will be attending while they will be attending Hebrew School.

School Current Year *

Current Grade *

Please share with us if your child has any special talent or interests! We would love to highlight their strengths!

Talents or Interests

Please describe your child's relationship with school, teachers and learning. Hebrew School is a fun, unique atmosphere and we aim to customize the experience for each child. By describing your child's behaviors, concerns and needs we can better accommodate him/her. Please include whether you have any tips and tricks that work best for your child.

Behaviors *

Please write name as printed on Medicare Card

Medicaid Card Name *

Medicare Number *

Medicare Expiration Date *

Please check all allergies that apply.

Please list any allergy which is not in the above list.

Additional Allergies

Please provide any relevant information regarding child's allergy and whether an EpiPen is required.

Allergy Protocol

Please check all that apply

Please add any relevant information regarding adoptions and conversions.

Additional Judaism Information

Pick Up / Drop Off *

If you choose for us to pick up, please check at which entrance we will be meeting your child. Generally it will be the SAME ENTRANCE/EXIT as they usually use.

Gardenview Pick Up Exit

Please notify the school in writing (email). I, _____________ (PARENT NAME), give Chabad Hebrew School staff permission to pick up my child from school each Wednesday this year (ENTER YEAR). First Name of Child ______________________ Last Name of Child ______________________ Class ______________________

By pressing next, you will be automatically redirected to an additional student form. If you are not registering another child, scroll to the bottom of that form and press next. This will bring you to one more student form. Scroll down to the bottom and press next. This will bring you to the parent form. Thank you!

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