2026/27 Online Registration - Chabad of Northeast Portland

Welcome to Hebrew School 5787 2026/27

Please fill out ALL fields of this form and note that one registration form PER CHILD is needed (please enter n/a if necessary).

Hebrew School will be held Tuesdays from 3:00-5:00pm starting October 12.

Register Now & Save 10%

Transportation is available from school to the Chabad Torah Center. Please email us to arrange.

We look forward to a wonderful year of learning and growth!

Student Information

First Name*

Last Name*

Hebrew Name*

Birth Date*

Month Day Year

School*

Grade Entering *

Hebrew Reading Proficiency*

nonesomewhatwell

Previous Jewish Education*

yesno

Where?*

Name of Synagogue Affiliated With*

Parent Information

Address*

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

Phone Number*

Area Code Phone Number

E-mail*

Father's Name*

First Name Last Name

Father's Name

Father's Mobile*

Father's Occupation*

Is Father Jewish?*

yesno

Mother's Name*

First Name Last Name

Mother's Name

Mother's Mobile*

Mother's Occupation*

Is Mother Jewish?*

yesno

Emergency Information

Emergency Contact 1*

Relationship to Student*

Phone Number*

Area Code Phone Number

Emergency Contact 2*

Relationship to Student*

Phone Number*

Area Code Phone Number

Doctor's Name*

Doctor's Phone Number*

Area Code Phone Number

CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.

Authorization

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad Hebrew School to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Chabad Hebrew School activities and that these pictures may be used for marketing purposes.

I accept

Name*

Initials*

Date*

Month Day Year

Tuition Payment

Registration Deposit: $50 (due at sign up)
Tuition: $825
Register by August 11th to Save 10%

We offer transportation from Portland Public Schools to Hebrew School for a fee of $150.

Payment Options

Pay in Full TodayPay Deposit Today & Pay in Full October 13thPay Deposit Today & Send in 2 Post Dated Checks (September 1st & January 1st) for Remaining Balance

Portland Public School Pick-Up & Drop-Off at Hebrew School

Yes - $150No

Total Due Today

$0.00 USD

Payment*

Credit Card Paypal Check

Postal / Zip Code

Country

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