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Register Online

  • Please fill out this form as an initial registration for the CJC Hebrew School.

  • Student Information

  • Parent Information

  • Emergency Contact Information

    Please list two contacts to be used in case of emergencies (other than your home and business numbers).
  • 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 trip on and beyond school properties and allow my child to be photographed while participating in Chabad Hebrew School activities.

  • Payment Information

  •   
    Credit Card
    Checks can be mailed to:
    Chabad Jewish Center
    4010 Park Street North
    St. Petersburg, FL 33709-4034
    Billing Address
  • Should be Empty:
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