Chabad Hebrew School Online Registration Form - COVID-19 Virtual Option

 

Student Information

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 2019-2020? 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: 

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.

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 for the full tuition in the amount of $500

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]