Chabad Hebrew School Online Registration Form
SEE BELOW NEW SPECIAL TUITION INCENTIVE PROGRAM 2023
Student Information
Last Name: First Name: Hebrew Name:
Birth date: Entering grade:
Address:
City: Prov.: Postal Code:
Does your child read basic Hebrew? Yes No . If Yes:Good Fair Poor
What school does your child attend?
Was your child enrolled in a Jewish day or supplementary school in 2022-2023? Yes No . If yes, which one?
If you were referred to our school, who referred you?
Parent Information
Parent 1 Name:
Home Phone Number: Work Phone Number:
Mobile Phone: E-mail address:
Parent 2 Name:
Home Phone Number: Work Phone Number:
Mobile Phone: E-mail address:
General Information
Is the natural mother of the child Jewish? Yes No
Were there any conversions or adoptions in your family? Yes No
If yes please explain:
Conversion performed by Rabbi/Beth Din:
Is the family a member of a Synagogue? No Yes
If yes which one:
Names and ages of other siblings:
Emergency Information
In case of emergency, when neither parent can be reached, please provide a contact who will take responsibility for our child.
Emergency contact (other than parent):
Home Phone: Work Phone:
Relationship:
Child's Doctor: Phone Number:
Address:
Health Card Number:
Allergies or Special needs:
If we, our emergency contact, or our physician (as noted on this form) cannot be reached in case of medical/surgical emergency, we hereby give permission to the physician or hospital selected by the school or its selected representative, to hospitalize, secure proper treatment for our child as named above. We understand that any cost will be our responsibility.
I accept Name: Initials:
Photo Release
I hereby give permission to Chabad Hebrew School to use school photos of my children in any Chabad Hebrew school publication to promote the school. This includes print and online publications as well as social media.
The Jewish Federation of Ottawa (JFO) is proud to launch a two-year tuition incentive program to ensure Jewish education is accessible to everyone. For families who are enrolling students for the first time in supplementary schools in the fall of 2023 JFO will cover $500 of the tuition in the first year and $250 in the second year.
If you qualify, please check the following boxes. If not, continue to payment information below.
I understand that this tuition incentive program is for families enrolling students for the first time and confirm that I meet this criteria.
By applying to the Tuition Incentive Program, I understand that my personal information can and will be shared with the Jewish Federation of Ottawa.
Payment Information
Pay Online: For your convenience, you can now pay for Hebrew School online.
This page uses a secure connection and your information will not be shared with anyone.
First Name Last Name
VISA Master Card
Card number: exp.(mm/yyyy) /
Credit Card CVV Number:
Please charge my credit card today for the full tuition in the amount of $800.
I would like to have the following payment schedule, please charge my credit card accordingly:
My post dated cheques payable to OTC are in the mail.
Please make all cheques payable to Ottawa Torah Centre and mail to:
Ottawa Torah Centre
111 Lamplighters Drive
Ottawa, ON K2J 0C2
Thank you and looking forward to a productive year of learning and growth.
If you have any questions, please don't hesitate to contact us: [email protected]
CHS is a proud beneficiary of the
