Register - Chabad of Coronado

CHS 2025

Ages 4-12 9:30am -11:00am

We are currently accepting application forms for Coronado Hebrew School. If you are registering for the first time, please fill out ALL fields of this form. If your child has been enrolled previously, only fill out the questions noted with a red asterisk (*). If you have any questions or concerns you'd like to discuss with us, please contact us.

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

How many children would you like to register?*

CHILD 1 INFORMATION

Full Name*

First Name Last Name Hebrew Name

Birth Date*

Month Day Year

Time of Day: To calculate Jewish Birth date

Hour Minutes

Gender*

MaleFemale

School

Grade entering in September

Previous Jewish Education

CHILD 2 INFORMATION

Full Name*

First Name Last Name Hebrew Name

Birth Date*

Month Day Year

Time of Day: To calculate Jewish Birth date

Hour Minutes

Gender*

MaleFemale

School

Grade entering in September

Previous Jewish Education

CHILD 3 INFORMATION

Full Name*

First Name Last Name Hebrew Name

Birth Date*

Month Day Year

Time of Day: To calculate Jewish Birth date

Hour Minutes

Gender*

MaleFemale

School

Grade entering in September*

Previous Jewish Education

PARENTS INFORMATION

Marital Status

Father's Name*

First Name Last Name

Father's Cell*

Area Code Phone Number

Father's E-mail*

Mother's Name*

First Name Last Name

Mother's Cell*

Area Code Phone Number

Mother's E-mail*

Is the biological mother of the child Jewish?*

YesNo

FAMILY INFORMATION

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have there been any conversions in your family?*

YesNo

If yes, who? And who was the Rabbi?*

Have there been adoptions in your family?*

YesNo

If yes, please explain?*

EMERGENCY INFORMATION & TERMS

Emergency Contact*

First Name Last Name Relationship

Phone Number*

Area Code Phone Number

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.

Terms of Agreement**

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad Hebrew School 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, Chabad Hebrew School 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 Chabad Hebrew School activities and that these pictures may be used for marketing purposes.

Additional notable information

Payment Information
$800 Registration

Total

$0.00

Payment

Credit Card Paypal