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YJP, CT
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Read more about the program
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Father
First Name
*
Last Name
*
Hebrew Name
Email
*
Phone Number
*
Occupation
Instagram
Gender
Female
Male
Other
Mother
First Name
*
Last Name
*
Hebrew Name
Email
*
Phone Number
*
Occupation
Instagram
Gender
Female
Male
Other
Share address of
- None -
Father
How many childrens are you registering?
1
2
3
Child 1
First Name
*
Last Name
*
Hebrew Name
Gender
*
- Select -
Female
Male
Birth Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
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30
31
Year
Year
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Birth Date Before Sunset
- None -
Yes
No
Unknown
Allergies and medical info
Is there any special medical or other information that we should be aware of?
*
Yes
No
Please describe
*
Does your child have any allergies?
*
Yes
No
Allergies details
*
Is your child currently taking any medication?
*
Yes
No
Medication details
*
Educational Background
Grade entering in September
*
School Currently Attending
*
Your child's previous Jewish education
*
Does your child read basic Hebrew?
*
- Select -
None
Somewhat
Well
Does your child have any learning difficulties with General Studies?
*
Yes
No
Does your child have an IEP?
*
Yes
No
Learning difficulties
*
Child 2
First Name
*
Last Name
*
Hebrew Name
Gender
*
- Select -
Female
Male
Birth Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Birth Date Before Sunset
- None -
Yes
No
Unknown
Allergies and medical info
Is there any special medical or other information that we should be aware of?
*
Yes
No
Please describe
*
Does your child have any allergies?
*
Yes
No
Allergies details
*
Is your child currently taking any medication?
*
Yes
No
Medication details
*
Educational Background
Grade entering in September
*
School Currently Attending
*
Your child's previous Jewish education
*
Does your child read basic Hebrew?
*
- Select -
None
Somewhat
Well
Does your child have any learning difficulties with General Studies?
*
Yes
No
Does your child have an IEP?
*
Yes
No
Learning difficulties
*
Child 3
First Name
*
Last Name
*
Hebrew Name
Gender
*
- Select -
Female
Male
Birth Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Birth Date Before Sunset
- None -
Yes
No
Unknown
Allergies and medical info
Is there any special medical or other information that we should be aware of?
*
Yes
No
Please describe
*
Does your child have any allergies?
*
Yes
No
Allergies details
*
Is your child currently taking any medication?
*
Yes
No
Medication details
*
Educational Background
Grade entering in September
*
School Currently Attending
*
Your child's previous Jewish education
*
Does your child read basic Hebrew?
*
- Select -
None
Somewhat
Well
Does your child have any learning difficulties with General Studies?
*
Yes
No
Does your child have an IEP?
*
Yes
No
Learning difficulties
*
Family Information
Street Address
*
City
*
State/Province
*
Postal Code
*
Marital Status
*
- Select -
Married
Separated
Divorced
Natural Father is
*
Jewish at Birth
Adopted
Converted
None
Natural Mother is
*
Jewish at Birth
Adopted
Converted
None
Maternal Grandmother is
*
Jewish at Birth
Adopted
Converted
None
Pre-k Class
Are you interested in a Pre-k Class? (based on demand)
Grandparents 1
We like to update your child's grandparents throughout the year - whether it's a Nachas report or Pre-Holiday card etc.
First Names
Last Name
Maternal or Paternal?
- None -
Maternal
Paternal
Street Address
City
Postal Code
State/Province
Phone Number
Email
Grandparents 2
First Names
Last Name
Maternal or Paternal?
- None -
Maternal
Paternal
Street Address
City
Postal Code
State/Province
Phone Number
Email
Emergency Information
Family Physician
*
Physician's Phone Number
*
Medical Insurance Company
*
Policy
*
Emergency Care Authorization
*
I hereby give consent to the administration of the Hebrew School to take whatever medical measures they deem necessary, at my expense, for my child/ren in the event of a medical emergency
Emergency Contact
*
Relation
*
Phone Number
*
Field Trip & Photography Permission
*
I hereby give permission to my child to participate in all school outings and field trips beyond school properties and to use any transportation selected by the Hebrew School. I also grant permission for my child to be photographed in individual or group pictures which may be used by Hebrew School for PR
Tuition Info
The fees will include a $1500 Tuition Fee, a non-refundable $150 Registration Fee and a $100 Book Fee. For a total of $1750. Additional Children will get a Sibling Discount of $10% off their $1500 Tuition. Earlybird: $1400 tuition fee if you sign up before July 2025.
No child will be turned away on a monetary basis. We firmly believe that every child deserves a Jewish education, regardless of financial situation.
Please reach out to our office at Info@schneersoncenter.org to discuss scholarship options.
Tuition Child 1
Tuition Child 2
Tuition Child 3
Total Registration fee
$150/Child
Total Book Fee
$100/Child
I would like to donate to the Scholarship Fund
$360
$500
$1000
Payment Schedule
Pay in Full
Pay in 2 installments
Pay in 3 installments
Interval of Installments
discount code
todays date
Month
Month
Dec
Day
Day
31
Year
Year
2025
The Chabad Schneerson Center for Jewish Life, CT
info@schneersoncenter.org
|
203.635.4118
|
228 Saugatuck Ave, Westport, CT 06880 Mailing address: 16 Railroad Place, Suite 770, Westport, CT 06880
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