Printed from JewishContraCosta.com

Re-Registration

Re-Registration

  • Re-Registration Form

    This form is only for children who have attended Chabad Hebrew School before. For new students please click here

  • If any of your contact or emergency medical information has changed since last year please indicate below:

  • As the parent(s) or legal guardian of the above child, I / we authorize any adult acting on behalf of Chabad of Contra Costa 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 Contra Costa 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 grounds and allow my child to be photographed while participating in Chabad of Contra Costa Hebrew School activities and that these pictures may be used for marketing purposes.

  • Payment Information

  • $0.00
  •   
    Credit Card
    -
    /
    Please mail your check to Chabad of Contra Costa 1671 Newell Ave. Walnut Creek, CA 94595
    Billing Address
  • Please note: Your child is not registered in the Chabad Hebrew School until you receive a confirmation phone call or email.

  • Should be Empty:
Secure This page uses TLS encryption to keep your data secure.
Updates
Hebrew School Begins Sunday September 11th 2016