ECO_012 - reg download.jpg If you have any questions, feel free to contact Chabad Hebrew School at 303-792-7222 or email

Register Online - Tuition is $575 + $50 Registration - Scholarships available.

Please note that one registration form per child is needed. We look forward to a wonderful year of learning and growth.


Student Profile
Hebrew Name
DOB (For calculating Hebrew Birthday)
Grade Entering  
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No


Parent Information
Father's Name
Mother's Name
Email Address
Is Child(ren)'s Father Jewish? Yes No
Is Child(ren)'s Mother Jewish? Yes No


Emergency Information
Emergency Contact 1
Emergency Contact 2


Payment Information
Credit Card Check (Please make checks to Chabad Jewish Center 9950 Lone Tree Parkway Lone Tree, CO 80124)
First Name On Card
Last Name on Card
Card Number
Exp. Date (MM/YYYY)
Zip Code
Please consider an added donation to our scholarship fund  
Tuition is $575 + 50 Registration & book fee

CONFIDENTIAL: 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.

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.

I Accept

Name: Initials:

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