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Hebrew School Registration 


Student Information

           



Please describe your child's previous Jewish education
 


Any considerations, such as learning disorder or difficulty, the school should be aware of? 
   

Parent Information  

      
      
 
    

   
 

Emergency Contact Information 
Please list a contact to be used in case of emergencies (other than your home and business numbers). 

  
   


   

Up to date with vaccinations? Yes No           Date of last tetanus shot:

 

Payment Information
 

2014-2015
Option A: Pay $375 now for the fees and tuition for the Winter and Spring semesters (save $25!). 
Option B: Pay $225 (Fall 2014 semester + fee) upon registration and $175 two weeks prior to the spring semester.

There are no membership fees. 
 

Discount: To redeem the referral discount, deduct $100 per a family referred from
the total and note family name/s in the box below. Subject to approval.

Please make checks payable to
Chabad HS 6684 SW Capitol Hwy, Portland, OR 97219.
 
Click here to pay by credit card
Thank you!

Comments:

Your FULL name here:  

I heard about the The Hebrew School of Greater Portland from: 

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