Register Online

Enroll your child in the Hebrew School where kids don't want to miss a day!

At Aleph Champ Hebrew School we try to keep the admissions process as simple as possible. We also offer several opportunities to get to know the school, before you apply. Please contact us for more information.

Complete the form below. If you have any questions, we'll be happy to help!

Rabbi Shalom Lipszyc - 347 853 9992

Due to limited space and a high number of applicants each year, we are unfortunately unable to accept every child for admission. Applications are processed in the order they are received.

Child 1*

First Name Middle Name Last Name

Hebrew Name

Birth Date*

Month Day Year

Gender*

MaleFemale

Child...*

's Natural Mother is Jewishconverted to Judaismis adopted

Child Reads Basic Hebrew?*

YesNo

School Attending*

This child will be...*

age 10+ on the first day of Hebrew School, or a returning student.a first year student age 9 and under on the first day of Hebrew School.

Child 2

First Name Middle Name Last Name

Hebrew Name

Birth Date

Month Day Year

Gender

MaleFemale

Child...

's Natural Mother is Jewishconverted to Judaismis adopted

Child Reads Basic Hebrew?

YesNo

School Attending

This child will be...

age 10+ on the first day of Hebrew School, or a returning student.a first year student age 9 and under on the first day of Hebrew School.

Child 3

First Name Middle Name Last Name

Hebrew Name

Birth Date

Month Day Year

Gender

MaleFemale

Child...

's Natural Mother is Jewishconverted to Judaismis adopted

Child Reads Basic Hebrew?

YesNo

School Attending

This child will be...

age 10+ on the first day of Hebrew School, or a returning student.a first year student age 9 and under on the first day of Hebrew School.

If you have additional children please contact us.

Phone Number*

Area Code Phone Number

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mother's info

First Name Last Name

E-mail Primary email

Cell Phone

Area Code Phone Number

Child's Father and Mother are...

MarriedDivorced

Father's info

First Name Last Name

E-mail

Cell Phone

Area Code Phone Number

Emergency Contact*

First Name Last Name

Phone Number*

Area Code Phone Number

Relationship*

Pediatrician

First Name Last Name

Phone Number

Area Code Phone Number

Total

$0.00

Skip this field unless otherwise instructed by the Hebrew School

$0

Payment

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Agreement*

I am signing up my child/ren for Hebrew School. I give my child/ren permission to attend all trips and receive medical care in the case of emergency, G-d forbid. I give Aleph Champ Hebrew School permission to photograph and videotape my children and use the photos and videos (without their names) for whatever the school sees fit. Refunds for children withdrawing from school before the end of the school year will be granted provided that the school office is given 30 days written notice. Tuition refunds will not be granted to children withdrawing from school after April 1st. A limited number of scholarships are available upon request; no child will be turned away for lack of funds.

General comments

1. Child/ren’s Information

2. Parent information

3. Emergency Information

4. Payment Information