Registration - JewishUtah.com

Educate Your Child...Educate a Generation!
Chai Hebrew School Registration
Child's Name*
First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
School*
Previous Jewish Education
Grade Entering*
Will your child be absent during the skiing season?*
Please specify which months

Address*

Additional Important Information
Parents Information
Parent 1 Name*
First Name Last Name
Parent 1 Cell*

Area Code Phone Number
Parent 2 Name*
First Name Last Name
Parent 2 Cell*

Area Code Phone Number
E-mail Address*
Tuition
-$750 per student (fee covers all classes, textbooks, extra-curricular activities, and trips).
-Sibling discounts and limited scholarships are available. Email [email protected] for more information.
Registration Fee

I understand that I will be charged a $180 nonrefundable registration fee that will be deducted from tuition once application is processed.

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

This page uses TLS encryption to keep your data secure.

Educate Your Child...Educate a Generation!