CHABAD OF PLANO HEBREW SCHOOL 2012-2013 REGISTRATION FORM B”H Upon completion, mail to: Chabad of Plano Hebrew School, 3904 West Park Blvd.,Plano,TX 75075 or fax to (972) 769-7554 For more information, call (972) 596-8270 or email us at [email protected] You can also register online at www.chabadplano.org/hebrewschool STUDENT REGISTRATION 1.Child’s Name Hebrew Name

Previous Hebrew School attended/years attended Age M Grade Entering D.O.B. F / / 2.Child’s Name Hebrew Name

Previous Hebrew School attended/years attended Age M Grade Entering D.O.B. F / / PARENT INFORMATION

Mother’s Full Name Mom’s Home No. Dad’s Home No.

Mom’s Work No. Dad’s Work No. Father’s Full Name Mom’s Mobile No. Dad’s Mobile No.

Mom’s Hebrew Name Dad’s Hebrew Name Mom’s E-Mail Dad’s E-Mail

Address City, State, Zip Synagogue Affiliation

Were there any conversions or adoptions in your family? yes no If yes, please explain:

EMERGENCY CONTACTS (Other than parents) Name Relationship PhoneNumber

MEDICAL QUESTIONAIRE Does your child have allergies? (food or medication) Does your child take medication regularly? If yes, what kind?

Family Doctor’s Name Phone Number

Medical Insurance Carrier Policy Number

Does your child have any mental or social handicap or other problems of which we should be aware in caring for him or her?

PAYMENT OPTIONS $150 deposit per child must accompany each registration to be applied towards tuition. Balance is due by Wednesday, August 1st, 2012. BYCHECK: Special Request for Full Tuition Enclosed (You may send post-dated checks) Deposit Only Invoice me for the balance Financial Arrangements BYCREDIT CARD: Our financial chair will talk to you personally and a mutually agreed Charge Full Tuition Enclosed Charge Deposit Only upon fee will be arranged. This will occur in a strictly confidential man- Indicate date(s) to have balance charged:Date______Amount______/ Date______Amount______ner. No person or family will be Name on Card:______Cardholder’s Signature ______turned away due to lack of financial needs. Visa MC Amex Card Number ______Exp. Date ______All arrangements must be taken care of by Wed., August 1, 2012. Security Numbers on back of credit card (last three or four digits) ______Phone number where you can I would like to volunteer at Chabad of Plano Hebrew School. be reached: ______

PERMISSION FORM I hereby give permission for my child to be transported to and from field trips, and to participate in them in all Hebrew School activities. I understand that during the course of Hebrew School my child can be hurt. I accept the risk of possible injury and authorize any member of the Chabad of Plano Hebrew School staff to render any necessary first aid. Furthermore, in an emergency case, I herebyauthorize Esther Horowitz or another staff member to have my child taken care of by a physician or other medical person in any way the situation calls for.

Parent Signature:______Date:______B”H Our Program Chabad of Plano Hebrew School SUBJECTS INCLUDE: Hebrew Reading ~ Prayer Torah Studies ~ Jewish History ~ Hebrew Language 2012 - 2013 Registration and Information Form Music & Art ~ Holidays & Traditions Ages:ges: Our program is for Boys and Girls in Grades K - 8

Hebrew School Hours: Classes meet once a week, every Sunday morning. K & 1st Grade 10:00 a.m. - 11:00 a.m. First Taste Program Grades K-1: Every Sunday for the duration of the scholastic year. 2nd - 7th Grade 9:00 a.m. - 12:00 p.m. From 9 AM - 11 AM: (aftercare available for students with siblings in older Bar Mitzvah Club 10:45 a.m. - 12:00 p.m. grades) Aftercare available for K-1 students until 12:00 p.m. Cost: $40/year. First Taste is designed to grab the very young child’s attention with song, art, drama and games. By exposure to the aleph-bet, Torah tales, prayer through song and holiday studies, a child gains a sense of pride and love for Judaism. Dates: The 2012/13 school year begins September 9, 2012 and Hebrew School ends May 19, 2013. Our calendar follows the Plano ISD schedule Grades 2-7: Every Sunday for the duration of the scholastic year. for seasonal breaks and weekends off. From 9 AM - 12 PM

This program offers a more advanced Hebrew and Jewish studies curriculum. Registration Fees per child: Children learn to read and write Hebrew and gain an appreciation for the ‘whys $50 per child and hows’ of contemporary Jewish life. The learning process is enthusiastic, involved and impactful. Our goal is to nurture Jewish children into Non-Members Non-Members Members Members after knowledgeable, responsible and involved Jewish adults. Tuition Fees Before June 18 After June 18 before June 18 June 18 K & 1st Grade $645 $695 $490 $540 Bar / Bat Mitzvah Preparation 2nd -7th Grade $685 $735 $530 $580 At Chabad of Plano we offer spiritual and meaningful Bar/Bat Mitzvah training and celebration. Our Bar/Bat Mitzvah tutors have many years of experience Hebrew High $295 $295 $235 $235 working with children as they prepare for this momentous occasion in their lives. Contact us to receive our Bar/Bat Mitzvah guide and to schedule a meeting with the Rabbi. Synagogue membership is not required to attend Hebrew School. Payment plans and scholarships are available . Bar/Bat Mitzvah Club Bar Mitzvah Club Membership: If you are interested in becoming a member of The Bar Mitzvah Club is a great opportunity for boys who have recently Chabad of Plano, please call the office at (972) 596-8270 and ask celebrated or are about to celebrate their Bar Mitzvah, to gain a deeper for a membership package to be mailed to you. appreciation for Torah study and to enjoy special trips and events together. This club meets weekly and is led by Rabbi Horowitz for boys, ages 12-14. For your child to have a Bar or Bat Mitzvah at Chabad of Plano, your family must be members. Bat Mitzvah Club The Bat Mitzvah Club is a place to grow, have a great time, and get involved. The monthly events take place at participants' homes. Each event is an Location: The Learning Center atThe Lang Chabad Center, opportunity for members to socialize, learn and be creative with girls of Bat 3904 West Park Blvd., (just east of Coit) in Plano. Mitzvah age. Bat Mitzvah Club is led by Esther Horowitz for girls, ages 11-13. For more information or to schedule an appointment to tour the facility, please contact the school director, Mrs. Esther Horowitz at (972) 596-8270 or email her at [email protected]