Registration Form

Click here for the 'Returning Family Registration Form'.

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 Youth@ChabadAlberta.org.

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

Home Address*

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

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

Fathers Home Address

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

Father's Home Phone*

Same as aboveDifferent than above

Fathers 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

Mothers Home Address

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

Mother's Home Phone*

Same as aboveDifferent than above

Mothers Home Phone Number

Area Code Phone Number

Parents Marital Status*

Is child's father Jewish?*

YesNo

Is child's mother Jewish?*

YesNo

Have there been any conversions in the family?*

YesNo

Who?

FatherMotherBoth Parents

Please specify Rabbi & congregation Please send a copy of the documents to youth@chabadalberta.org

Are there any adoptions in the family?*

YesNo

Is anyone in your family a "Kohen" or a "Levi"?*

YesNo

Is the family a member of a Synagogue?*

YesNo

Please specify

How Did You Hear About Calgary Yachad Hebrew School?

Next Section:

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

Gender*

MaleFemale

School Attending* 2026/2027

Grade* 2026/2027

Hebrew Reading Proficiency

NoneSomewhatWell

Hebrew Language Proficiency

NoneSomewhatWell

Previous Jewish Education*

YesNo

Where

Does your child have any learning difficulties? Please specify This information will help us better cater to the needs of your child

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

Gender*

MaleFemale

School Attending* 2026/2027

Grade* 2026/2027

Hebrew Reading Proficiency

NoneSomewhatWell

Hebrew Language Proficiency

NoneSomewhatWell

Previous Jewish Education*

YesNo

Where

Does your child have any learning difficulties? Please specify This information will help us better cater to the needs of your child

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

Gender*

MaleFemale

School Attending* 2026/2027

Grade* 2026/2027

Hebrew Reading Proficiency

NoneSomewhatWell

Hebrew Language Proficiency

NoneSomewhatWell

Previous Jewish Education*

YesNo

Where

Does your child have any learning difficulties? Please specify This information will help us better cater to the needs of your child

Next Section:

Consent and Payment

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.

PARENTAL CONSENT
Parental consent for participation in all activities of Calgary Yachad Hebrew School is fully implied unless specifically excluded during the registration process.

MEDICAL CARE
In the event of an emergency, serious illness, or accident Calgary Yachad Hebrew School I has permission to arrange for any necessary first-aid or care by a licensed physician for any child/ren attending Hebrew School. Every effort will be made to contact the parent/guardian and emergency contacts first. Should it be necessary for the well-being of the camper to utilize outside medical or dental services all expenses involved will be paid for by the parent.

Parents are required to notify Calgary Yachad Hebrew School in a timely manner of any infectious diseases or infestations acquired by a student.

IMAGES & PHOTO RELEASE.
Permission is hereby given for Calgary Yachad Hebrew School and Chabad to use in promoting Calgary Yachad Hebrew School and in other ventures directly relating to the Calgary Yachad Hebrew School including the Chabad Facebook page & Instagram page (i) digital, photographic, video, and audio images or likenesses of student; and (ii) statements, articles, names, music, art, photographs, audio recordings, films and videos created by student or originating from Calgary Yachad Hebrew School or from a Calgary Yachad Hebrew School related activity.

INDEMNIFY AND HOLD HARMLESS
I agree to indemnify and hold harmless Calgary Yachad Hebrew School, Chabad, and its officers, employees, volunteers or assigns from any liability concerning my child’s involvement in Calgary Yachad Hebrew School and further agree that the use of any premises during the program is made at my own risk.

ACKNOWLEDGEMENT
By typing my name below as a signature for this agreement, I certify that I have legal capacity to act as the parent/guardian of the named minor. I further understand that this form and the terms of this agreement are legally binding and certify that I am signing this agreement, after having carefully read it, of my own free will.

I have read and agree to the Calgary Yachad Hebrew School waiver. Parent or Legal Guardian Signature*

Type your name here

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!

Payment Plan* $72 Fee should be paid with first payment. Please post-date payments for the end of Aug, Sep, Oct & Nov 2026

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

Welcome to Calgary Yachad Hebrew School Registration

Section 1: Family Information

_____________________________________________________________________

Section 2: Child Information

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Section 3: Consent and Payment

Emergency Medical Contact

Calgary Yachad Hebrew School Waiver

Payment Information