Registration Form - Chabad of Malibu

Hebrew School Classes (Thursdays at 3:30 - 4:30 PM)
Looking to get your child excited about Hebrew and Jewish learning? Join our fun, creative classes with Chana and Rochel!

Group classes for ages 4–10 meet Thursdays at 3:30 PM, starting September, for $150/month.

Private and semi-private lessons are also available for $50/hour at Chabad, or message us for in-home pricing.
Number of Kids Enrolling* $150 a month
Parent/Guardian Information:
Full Name*
First Name Last Name
E-mail*
Phone*

Address*

Child Information
Full Name*
First Name Last Name
Date of Birth*

Month Day Year
Gender*

MaleFemale
Grade/Year in School*
Allergies/Medical Conditions (if any)
Special Needs/Requirements (if any)
Emergency Contact Information
Emergency Contact Name*
First Name Last Name
Relationship to Child*
Phone Number
Alternative Phone Number*
Additional Information
Additional Information
How did you hear about Chabad Hebrew School of the Arts?*
Are you affiliated with any synagogue or Jewish community center?*

YesNo
If yes, please specify*
Consent and Agreement
By submitting this form, I confirm that all information provided is accurate to the best of my knowledge. I consent to my child's participation in activities organized by Chabad Hebrew School of the Arts and understand that photos/videos may be taken during events for promotional purposes.
Signed by*
Date Signed*

Month Day Year
Total

$0.00

Payment*

Credit Card Paypal

Postal / Zip Code

Country

This page uses TLS encryption to keep your data secure.

Hebrew School Classes (Thursdays at 3:30 - 4:30 PM)