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Register Online

Register Online

 
Please fill out this form as an initial registration for the CJC Hebrew School. To register and pay via check please send to our office 4010 Park Street North • St. Petersburg, FL 33709-4034
 
Student Information
Male Female
 
Does your child have previous Jewish Education Yes No  
If yes, please describe:
What school does your child attend? Grade entering:
Synagogue affiliated with:  
Is the natural mother of the child Jewish? Yes No  
Were there any conversions or adoptions in your family? Yes No  
If yes, please describe:
Does your child read basic Hebrew? None Somewhat Well
Does your chld have any difficulty with general studies?
   
Parent Information  
   
     
     
Emergency Contact Information
Please list two contacts to be used in case of emergencies (other than your home and business numbers).
 
     
 
     
     
Accept Do Not Accept
 

Method of Payment
Payment in Full | $525 includes tuition, registration & book fee. 
Three-Payment Option  ($175 three times a year)  
           I, do hereby state that I will pay 's Hebrew School tuition of $525.00 to Chabad Jewish Center Greater S. Petersburg in three equal payments of $175.00. The first payment will be paid with registration, and each payment following will be paid on or by December 2017 and March 2018.

Card Information

     
Card Number
Expiration
CVV Security Code
Name on Card

Charge Amount

 

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