Child's InformationChild's Name First Middle Last Hebrew NameGrade EnteringPre-KKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7School AttendingHome PhoneHas your information changed from last year?YesNoPlease fill out the new student form at https://demos.boostsearches.com/chai/register/Communication PreferencesPrimary Email CorrespondenceFatherMotherBothPrimary Phone CorrespondenceFatherMotherBothPreferred method of receiving information and schedule updatesEmailText MessageEmail Address* Emergency ContactName First Last Cell PhoneRelationship to ChildOther Person Authorized to Pick Up Your ChildName First Last PhoneRelationship to ChildSchool Pick UpWe offer school pick up at local Park Slope schools. A friendly, responsible Chai Hebrew staff member will pick up students from their school dismissal location (classroom or other meeting spot) and will safely chaperone them to Chai Hebrew on time for class. NOTE: We require a minimum of three students from each school (and/or from each pick-up route). Pickup fee is $200 for the yearI would like to register for School Pick UpPick Up Information School Grade School Dismissal Time Permissions* I hereby give permission for my child(ren) to attend all field trips and outings sponsored by Chai Hebrew School. I hereby give permission for my child(ren) to be photographed in Hebrew School activities, and for the photographs to be published on the Hebrew School's website and media. Tuition & BillingTuition Fee of $1000 covers all weekly programs, both Hebrew language & Jewish heritage studies, books, snacks & drinks. A non-refundable deposit of $100 per child is needed to secure your child’s spot in Chai Hebrew. This will be taken off the sum of your tuition.I would like to register my child(ren) for:*Sundays 10:00AM-12:00PMTuesdays 3:30-5:30PMDiscounts: Please check those that apply to you. Early Bird Registration: $50 off tuition if registered by July 10th Family Discount: 10% Discount for second and third siblings Referral Program: I was referred by an existing Chai Hebrew family [For the Referral Program] Family that referred you:Please choose a tuition payment option :* I will be paying tuition in full by September 1st, 2019. I will be paying the tuition in 2 payments. Payment #1 is due on September 1st, 2019 and payment #2 is due on January 1st, 2020. (If paying by check, a head check is required. If with Credit Card, your credit card will be charged on January 1st, 2020. I will be paying tuition in 9 monthly payments from September 1st 2019 to May 1st 2020. Credit card will be charged on the 1st of each month. I need a more flexible payment plan. I understand that my application will not be processed until a plan is in place." I will be paying the deposit of $100 and the yearly tuition by:Credit CardCheck or CashPlease note: Payments via credit card will be charged a 3% transaction feeCredit Card NumberExpiration DateSecurity CodeCardholder's NamePlease mail to Chabad of Park Slope, 331 13th St., Lower Level, Brooklyn, NY, 11215 Please note: Your registration will not be processed until payment has been received.