Hebrew School Registration | www.jewishloudoun.com

Parent 1

First Name *

Last Name *

Email *

Phone Number *

Parent 2

First Name *

Last Name *

Email *

Phone Number *

How many children are you registering? *

Child 1

First Name *

Last Name *

Hebrew Name

Example: David or דוד

Gender *

Birth Date *

Month

Day

Year

Street Address

State/Province

City

Postal Code

Tuition and Fees

The fees will include a $1150 Tuition Fee, a $75 Registration Fee and a $50 Book Fee. For a total of $1275. No child will be turned down based on tuition costs. Please email us at rabbi@jewishloudoun.com so that we can ensure your child can attend JUDA.

Please check the box next to the year you would like to register your child for *

Hebrew School 2021-2022

Tuition $

Book Fee $

Registration Fee $

Hebrew School Sudent Questions

What is the name of the school your child currently attends?

Which grade will your child be entering?

What previous jewish education, if any, does your child have?

Does your child have any physical/mental conditions we should be aware of?

Yes

Please elaborate on the physical/mental condition of your child

Child 2

First Name *

Last Name *

Hebrew Name

Example: David or דוד

Gender *

Birth Date *

Month

Day

Year

Street Address

State/Province

City

Postal Code

Tuition and Fees

Please check the box next to the year you would like to register your child for *

Hebrew School 2021-2022

Tuition $

Book Fee $

Registration Fee $

Hebrew School Sudent Questions

What is the name of the school your child currently attends?

Which grade will your child be entering?

What previous jewish education, if any, does your child have?

Does your child have any physical/mental conditions we should be aware of?

Yes

Please elaborate on the physical/mental condition of your child

Child 3

First Name *

Last Name *

Hebrew Name

Example: David or דוד

Gender *

Birth Date *

Month

Day

Year

Street Address

State/Province

City

Postal Code

Tuition and Fees

Please check the box next to the year you would like to register your child for *

Hebrew School 2021-2022

Tuition $

Book Fee $

Registration Fee $

Hebrew School Sudent Questions

What is the name of the school your child currently attends?

Which grade will your child be entering?

What previous jewish education, if any, does your child have?

Does your child have any physical/mental conditions we should be aware of?

Yes

Please elaborate on the physical/mental condition of your child

Chai Discount Code

If you are a Chai club member please contact yehudis at yehudis@jewishloudoun.com for your discount code.

Chai Discount $

Chabad of Loudoun Hebrew School Registration Form

Chabad of Loudoun County