New Student Registration

We are currently accepting application forms for the 2026–27 school year. Please fill out ALL fields of this form.

Are you an existing student, returning for the new year? Register here.

We look forward to providing your children with an outstanding Hebrew and Jewish education!

If you have any questions or concerns you'd like to discuss with us feel free to call our director Tzippy Mann at 305-496-3433 or email [email protected].

For tuition rates, please click here.
How many children are you registering today?*

123
Child 1 Information
Student 1 Full Name*
First Name Last Name Hebrew Name
Age*
Date of Birth*

Month Day Year
at Hour Minutes
Gender*

BoyGirl
Grade Entering*
School Entering*
Child 2 Information
Student 2 Full Name*
First Name Last Name Hebrew Name
Age*
Date of Birth*

Month Day Year
at Hour Minutes
Gender*

BoyGirl
Grade Entering*
School Entering*
Child 3 Information
Student 3 Full Name*
First Name Last Name Hebrew Name
Age*
Date of Birth*

Month Day Year
at Hour Minutes
Gender*

BoyGirl
Grade Entering*
School Entering*
Family Information
Previous Jewish Education

YesNo
Where
Please describe your family's Jewish background/education (if applicable)
Is the natural mother of the child Jewish?*

YesNo
If no, please explain*
Is the natural maternal grandmother of the child Jewish? *

YesNo
If no, please explain*
Have there been any conversions or adoptions in the family? *

YesNo
If yes, please explain.*
Parent Information
Mother's Name*
First Name Last Name Hebrew Name
Home Phone
Mother's Cell*
Mother's Occupation*
Mother's Email*
Father's Name*
First Name Last Name Hebrew Name
Home Phone
Father's Cell*
Father's E-mail*
Father's Occupation*

Address*

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

Synagogue Affiliated with (if any)
Persons to be contacted in case of an emergency when parents cannot be reached. Please provide two contacts.
Name 1*
First Name Last Name
Phone Number*
Relationship to child*
Name 2*
First Name Last Name
Phone Number*
Relationship to child*
Does your child have any allergies or other medical conditions we should be aware of?*

YesNo
Please describe them and indicate special precautions or care needed.
Does your child have an IEP or receive any behavioral or educational support in school? (Sharing this information with us enables us to create a Hebrew School Environment in which your child can thrive)*

YesNo
Please Explain
Tuition Agreement

Annual tuition: $900 (+ $100 security fee per family.)
Early Bird Special! Register by May 25 for 10% off.

Sibling Discount: 10% for each additional child
Payment Plan*

Payment in full upon submissionTwo installments to be paid by Sept. 1 and Jan. 4
1 Student*

Full tuition $900 + $100 security feeHalf tuition $450 + $100 security fee
2 Students*

Full tuition $1,800 + $100 security feeHalf tuition $900 + $100 security fee
3 Students*

Full tuition $2,700 + $100 security feeHalf tuition $1,350 + $100 security fee
Additional Comments
Total to be charged today

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment

Credit Card Paypal

Postal / Zip Code

Country

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

I accept
Signature*
Full Name Initials
We look forward to providing your children with an outstanding Hebrew and Jewish education!
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Child 1 Information

Child 2 Information

Child 3 Information

Family Information

Parent Information

Tuition Agreement

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