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- New Student Registration
- Returning Student Regisration
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RETURNING STUDENTS

Register your returning child to Hebrew School.

RETURNING STUDENT REGISTRATION

If you are a returning student, you can fill out the brief registration form below.

Click here for tuition information.

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

How many children are you registering today?
- 1
- 2
- 3
Child 1 Name*
First Last
Hebrew Name
DOB*
Date Format: MM slash DD slash YYYY
Age*
Gender*
- Boy
- Girl
School
Grade Entering*
Second Child
Child 2 Name*
First Last
Hebrew Name
DOB*
Date Format: MM slash DD slash YYYY
Age*
Gender*
- Boy
- Girl
School*
Grade Entering*
Third Child
Child 3 Name*
First Last
Hebrew Name
DOB*
Date Format: MM slash DD slash YYYY
Age*
Gender*
- Boy
- Girl
School*
Grade Entering*
Parent Information
Is the contact and address information we have on record correct?*
- Yes
- No
Parent 1*
First Last
Hebrew Name
Main Contact Number*
Parent 1 Email*
Parent 2
First Last
Hebrew Name
Main Contact Number
Parent 2 Email
Address*
Street Address Address Line 2 City State ZIP Code
Persons to be contacted in case of an emergency when parents cannot be reached. Please provide at two contacts.
Name 1*
First Last
Phone*
Relationship to child*
Name 2
First Last
Phone
Relationship to child
CONFIDENTIAL: Does your child have any allergies or other medical condition, require medication, or any special abilities or disabilities we should be aware of?*
- Yes
- No
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 Jewish Learning Academy to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment.*
- I Accept
It is understood that if time and circumstances reasonably permit, Jewish Learning Academy 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.*
- I Accept
I hereby give permission for my child to be photographed while participating in Jewish Learning Academy activities and that these pictures may be used for marketing purposes.
- I Accept
Options
- Sundays Mornings - 9:30am - 12:00pm
- Wednesday Afternoons - 4:00 pm - 6:00 pm
Bar / Bat Mitzvah Private Tutoring
- Day & time to be determined.
In addition to the Ongoing Hebrew School lessons, special One-on-One Private Tutoring with the Rabbi preparing your child for their special day!
Payment Options*
- I will send a check for full payment
- Please charge my card in full (you will be redirected to payment after clicking Submit)
- Please charge my card in three installments (you will be redirected to payment after clicking Submit)
- Please have the office contact me to arrange payment
Please check one option.
Parent's Name / Signature*
Initials*
We look forward to a wonderful year of learning and growth!

Registration

New Student Registration
Returning Student Registration

Contact Us

(310) 214-4999
info@jccmb.com

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