Hebrew School

Hebrew School

Registration Form, CSFA Hebrew School: 2023-2024

Please fill out a separate form for each child

Child's Name

Hebrew Name

Birth Date

Age

Name of School

Grade in September, 2022

Address

Address Line 2

City

State

Zip code

Parent #1 Name

Parent #1 Email

Home Phone

Work Phone

Cell

Parent #2 Name

Parent #2 Email

Home Phone

Work Phone

Cell

Caregiver Name

Caregiver Email

Home Phone

Work Phone

Cell

Please list any allergies

THIS SECTION MUST BE COMPLETED

IN CASE OF EMERGENCY NOTIFY

PHYSICIAN’S NAME

PHONE

I, ______________________________, the undersigned, the parent or legal guardian of the child named on this registration form, do hereby give authorization for professional medical personnel to provide emergency medical treatment in the event that neither parent (guardian) can be contacted for such permission.

Name

Signature

Date

Thanks for submitting!

The fee for each child for the Hebrew School is $2050 for the academic year 2023-24.

In order to attend CSFA Hebrew School, the family must be a member of CSFA. Family dues for this year are $1950.

Please click here to pay Hebrew School tuition only or here for Hebrew School tuition and Membership dues by Paypal or Credit Card.

If you wish you may send a check to CSFA, 11 East 11th Street, N.Y., N.Y. 10003. If you have any questions, please call us at 212-929-6954 or email us at csfa11e11@aol.com.