Registration Form - Chabad of Camden & Burlington Counties
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Registration Form

  • Child Information

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  • Family Information

  • Emergency Contact Information

    In case of emergency, when neither parent can be reached, please give names of two people who will take responsibility for your child.
  • Medical Information

  • The information on this form may be shared confidentially with Chabad Hebrew School staff and emergency responders as needed. In the event of a medical emergency with my child, I understand every effort will be made to contact me. If emergency care is needed, I authorize qualified professionals to provide assessment, diagnosis and any necessary emergency treatment. I understand that Chabad Hebrew School assumes no financial liability for expenses incurred due to accident, injury and/or unforeseen circumstance. 

    Parent acknowledges that Chabad Hebrew School serves children who are able to function successfully in a group setting. If, in the judgment of the school's Director, the child is not able to function in a group setting, the parent may be asked to withdraw the child. In the event that the parent is request to withdraw the child, the Director will work with the parent to identify possible alternative programs suitable for the child.

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  • Parent acknowledges that s/he has read the School Handbook and the Covid-19 Guidelines (both links located on admissions page).

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  • Tuition Information

  • A minimum $100 deposit per child is required with this form to secure a spot for your child/ren.

    Enrollment is considered to be for the entire scholastic year. There will be no refunds even if the child is absent due to illness, holidays, vacations and snow days, or should the parents decide to withdraw the child from the program.

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  • Credit Card
    Billing Address
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Dec. 02, 2020
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