We are currently accepting application forms for the 2018-2019 school year.

Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us.

We look forward to a wonderful year of learning and growth.

Enrollment Form for Chabad Hebrew School 2018

Student Profile
First Name
Last Name
Hebrew Name
Age
DOB
School
Grade Entering
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Where?

 
Parent Information
Father's Name
Father's Cell Number

Mother's Name

 

                                                          

Mother's Cell Number
Home Phone 
Address
City
Zip
Mother's Email*

 

* Email allows us to communicate in the most efficient and economical manner. We do not use your email for other purposes.
 
Emergency Information
Emergency Contact 1
Phone
Relationship
Emergency Contact 2
Phone
Relationship
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.
 
Tuition Agreement

Tuition is 320,000 yearly

The payment is done twice a year before the beginning of each semester: February 12th and August 6th of 2018.

There is a 10% discount If the yearly tuition is paid in full by February 19th

Payment Plan

  Full Year 288,000

Which day will your child join                  Wendesday 3:30-5 PM        

                                                                Sunday 9-11 AM

 

 Payment
 

Scotia Bank


Account Name: Asociación Lubavitch de Costa Rica

Please make sure to state your childs name and CHS (chabad hebrew school)

Cédula Jurídica: 3-002-126820

Dollars: 13000418503 SINIPE 12300130004185039

Colones: 13000418502 SINIPE 12300130004185022
 
 
Terms of Agreement
I agree that in the event of an emergency, Chabad Hebrew School has my permission to arrange for any necessary first-aid or care by a licensed physician/first-aid worker. Chabad Hebrew School has my permission to use my child's photo in its publicity materials. I have completed the Enrollment Form and agree to pay any balance according to the terms of agreement outlined above.
Name
Initials