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Hebrew School Registration
Last Name of Student
*
First Name of Student
*
Hebrew Name of Student
(If Applicable) Example: David or דוד
Hebrew Name of Father
(If Applicable)
Hebrew Name of Mother
(If Applicable)
Address
*
City
*
Postal Code
*
Phone
*
Birth Date of Student
*
Tribe
*
- select Tribe -
Israelite
Levi
Cohen
Email
*
Hebrew School Tuition
Please Contact Us For Alternate Payment Options.
*
Registration Fee:
-
$ 100.00
Registration + Half Year Tuition:
-
$ 500.00
Registration + Full Year Tuition:
-
$ 900.00
Total
Authorize.net (Credit Card)
Card Type
- select -
Visa
MasterCard
Amex
Discover
Card Number
*
Security Code
*
Expiration Date
*
-month-
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-year-
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
My billing address is the same as above
Billing Name and Address
Billing First Name
*
Billing Middle Name
Billing Last Name
*
Street Address
*
City
*
Country
*
- select -
Canada
Israel
United Kingdom
United States
State/Province
*
Choose country first
Postal Code
*
Register
Chabad of Canton
Rabbi@jewishcanton.com
|
(781) 821-2227
|
576 Washington St. Canton MA, 02021
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