Returning Family Registration Form

Welcome to Returning Families Hebrew School Registration
Please note: Most classes are at capacity. We are working to open more space. Submit your registration and we will contact you to confirm acceptance.

Early Bird SPECIAL! prices until August 1st.

Family Discount! 10% for each additional sibling.

Refer A Friend Program! You and your friend both receive $50 off Hebrew School tuition!

Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us.

A printable PDF form can be faxed to 403-281-0338 or emailed to [email protected].

We look forward to a wonderful year of learning and growth.
Section 1: Family Information
Home Address*

Same as last yearChanged since last year

New Home Address

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

Home Phone Number*

Same as last yearChanged since last year
New Home Phone Number

Area Code Phone Number
Father's Full Name*
Father's First Name Father's Last Name
Father's Work Number

Area Code Phone Number
Father's Mobile Number*

Area Code Phone Number
Father's E-mail*
Father's Home Address*

Same as aboveDifferent than above

Father's Home Address

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

Father's Home Phone*

Same as aboveDifferent than above
Father's Home Phone Number

Area Code Phone Number
Mother's Full Name*
Mother's First Name Mother's Last Name
Mother's Work Number

Area Code Phone Number
Mother's Mobile Number*

Area Code Phone Number
Mother's E-mail*
Mother's Home Address*

Same as aboveDifferent than above

Mother's Home Address

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

Mother's Home Phone*

Same as aboveDifferent than above
Mother's Home Phone Number

Area Code Phone Number
Parents Marital Status*
Is the family a member of a Synagogue?

YesNo
Please specify
_____________________________________________________________________
Next Section:

Child Information
Section 2: Child Information
Child One Full Name*
First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
Time of Birth In Judaism the day begins at nightfall. Time of Birth helps determine the exact date of the Jewish birthday.
Hour Minutes
School Attending* 2025/2026
Grade* 2025/2026
_____________________________________________________________________
Next Section:

Add Another ChildSkip to Consent and Payment
Child Two Full Name*
First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
Time of Birth In Judaism the day begins at nightfall. Time of Birth helps determine the exact date of the Jewish birthday.
Hour Minutes
School Attending* 2025/2026
Grade* 2025/2026
_____________________________________________________________________
Next Section:

Add Another ChildSkip to Consent and Payment
Child Three Full Name*
First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
Time of Birth In Judaism the day begins at nightfall. Time of Birth helps determine the exact date of the Jewish birthday.
Hour Minutes
School Attending* 2025/2026
Grade* 2025/2026
_____________________________________________________________________
Next Section:

Consent and Payment
Section 3: Consent and Payment
Consent for Emergency Medical Treatment
I do hereby give permission to Calgary Yachad Hebrew School administration to take whatever medical measures they deem necessary for my child in the event of a medical emergency.
Emergency Medical Consent*

YesNo
In case of illness or injury of a child at school, every effort will be made to contact the parent or guardian. If parent can not be reached please contact:
Emergency Contact Name*
First Name Last Name
Relation to Child*
Emergency Contact Phone Number*

Area Code Phone Number
Family Physician*
First Name Last Name
Physician Phone Number*

Area Code Phone Number
Does your child have any allergies or other medical condition we should be aware of?* All information will be kept strictly confidential

YesNo
Please describe them and indicate special precautions or care needed.*
Photo Release
I do hereby permit the use of pictures and videos that may have my child in them for Chabad and Calgary Yachad Hebrew School's website, social media and publications.
Photo Release Consent*

YesNo
Payment Information
Payments are manually processed. Any discounts (i.e. Early Bird and/or 10% off additional sibling registrations) have been applied. Refer A Friend Program discounts (i.e. $50 off) will be adjusted before the payment is processed.
Early Bird special! If you register before August 1st.

Family Discount! 10% for each additional sibling.

Refer A Friend Program! You and your friend both receive $50 off Hebrew School tuition!
Tuition Amount* Sibling discounts are applied
I'd like to help with sponsorship towards another child at Hebrew School!

$940 CAD$180 CAD$100 CAD$54 CAD
Payment Plan* $72 Fee should be paid with first payment. Please post-date payments for the end of Aug, Sep, Oct * Nov 2025

Pay in full4 post-dated payments

Payment*

⚠ You have not yet connected a credit card processor.

Credit Card Cheque, Cash or Etransfer

Postal / Zip Code

Country

Total

$0.00 CAD
Joining Calgary Yachad Hebrew School is not an acknowledgment of my Halachik Jewish status
Should be Empty:

This page uses TLS encryption to keep your data secure.

Welcome to Returning Families Hebrew School Registration

Section 1: Family Information

_____________________________________________________________________

Section 2: Child Information

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Section 3: Consent and Payment

Consent for Emergency Medical Treatment

Photo Release

Payment Information