Registration for returning students - Chabad of Pembroke Pines

HEBREW SCHOOL REGISTRATION FORM

We are currently accepting application forms for the 2026 - 2027 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.

Confirmation of acceptance will be acknowledged only after this registration form is reviewed and an acceptance letter is received.
Student Information
Student 1 Name*
First Name Last Name
Student 2 Name
First Name Last Name
Student #3 Name
First Name Last Name
Parent Information
Parents
Dad Mom

Address

Home Phone Number

Area Code Phone Number
Dad Mobile Number

Area Code Phone Number
Dad E-mail
Mom Phone Number

Area Code Phone Number
Mom E-mail
Family Information
Please click here to become a member and join the Chabad of Pembroke Pines family.
Select amount of children*
Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

In these unstable times of the Covid pandemic, Chabad has lowered the price of Hebrew School tuition and is offering a payment plan.
Please choose an option below that best suits your family's needs.
Please consider sponsoring a child's tuition as well.
* A 3% surcharge will be added to all credit card payments.
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