Register Online - NYHebrew.org

Returning Students Click Here

First Name

Last Name

Hebrew Name

Gender

Male Female

Date of Birth

Time of Birth

School Attending (2023/24)

Grade (2023/24)

Past Hebrew Lessons

New York Hebrew Private Tutor Other

Please choose the program you would like your child to attend:

Hebrew School Primary Program - Chelsea/Flatiron Location

40 West 22nd Street
Grades K through 5: Tuesdays: 3:45 - 5:45 PM

Hebrew School Primary Program - Gramercy Park Location

337 2nd Avenue
Grades PreK through 5th: Mondays 3:30 - 5:30 PM

Bar and Bat Mitzvah Class

121 West 19th Street
Grades 6 - 7: Tuesdays: 4:00 - 6:00 PM

Bat Mitzvah Academy

121 West 19th Street
Girls Grades 6 - 7: Every Other Tuesday 6:00 - 7:15 PM

First Name

Last Name

Hebrew Name

Gender

Male Female

Date of Birth

Time of Birth

School Attending (2023/24)

Grade (2023/24)

Past Hebrew Lessons

New York Hebrew Private Tutor Other

Please choose the program you would like your child to attend:

Hebrew School Primary Program - Chelsea/Flatiron Location

40 West 22nd Street
Grades K through 5: Tuesdays: 3:45 - 5:45 PM

Hebrew School Primary Program - Gramercy Park Location

337 2nd Avenue
Grades PreK through 5th: Mondays 3:30 - 5:30 PM

Bar and Bat Mitzvah Class

121 West 19th Street
Grades 6-7: Tuesdays: 4:00 - 6:00 PM

Bat Mitzvah Academy

121 West 19th Street
Girls Grades 6 - 7: Every Other Tuesday: 6:00 - 7:15 PM

First Name

Last Name

Hebrew Name

Gender

Male Female

Date of Birth

Time of Birth

School Attending (2023/24)

Grade (2023/24)

Past Hebrew Lessons

New York Hebrew Private Tutor Other

Please choose the program you would like your child to attend:

Hebrew School Primary Program - Chelsea/Flatiron Location

40 West 22nd Street
Grades K through 5: Tuesdays: 3:45 - 5:45 PM

Hebrew School Primary Program - Gramercy Park Location

337 2nd Avenue
Grades PreK through 5th: Mondays 3:30 - 5:30 PM

Bar and Bat Mitzvah Class

121 West 19th Street
Grades 6-7: Tuesdays: 4:00 - 6:00 PM

Bat Mitzvah Academy

121 West 19th Street
Girls Grades 6 - 7: Every Other Tuesday: 6:00 - 7:15 PM

First Name

Last Name

Hebrew Name

Gender

Male Female

Date of Birth

Time of Birth

School Attending (2023/24)

Grade (2023/24)

Past Hebrew Lessons

New York Hebrew Private Tutor Other

Please choose the program you would like your child to attend:

Hebrew School Primary Program - Chelsea/Flatiron Location

40 West 22nd Street
Grades K through 5: Tuesdays: 3:45 - 5:45 PM

Hebrew School Primary Program - Gramercy Park Location

337 2nd Avenue
Grades PreK through 5th: Mondays 3:30 - 5:30 PM

Bar and Bat Mitzvah Class

121 West 19th Street
Grades 6-7: Tuesdays: 3:45 - 5:45 PM

Bat Mitzvah Academy - Gramercy Park Location

337 2nd Avenue
Girls Grades 5-6: Every Other Monday: 5:45 - 7:15 PM

First Name

Last Name

Hebrew Name

Gender

Male Female

Date of Birth

Time of Birth

School Attending (2023/24)

Grade (2023/24)

Past Hebrew Lessons

New York Hebrew Private Tutor Other

Please choose the program you would like your child to attend:

Hebrew School Primary Program - Chelsea/Flatiron Location

40 West 22nd Street
Grades K through 7: Tuesdays: 3:45 - 5:45 PM

Hebrew School Primary Program - Gramercy Park Location

337 2nd Avenue
Grades PreK through 5th: Mondays 3:30 - 5:30 PM

Bar and Bat Mitzvah Class

121 West 19th Street
Grades 6-7: Tuesdays: 3:45 - 5:45 PM

Bat Mitzvah Academy - Gramercy Park Location

337 2nd Avenue
Girls Grades 5-6: Every Other Monday: 5:45 - 7:15 PM

First Name

Last Name

Hebrew Name

Gender

Male Female

Date of Birth

Time of Birth

School Attending (2023/24)

Grade (2023/24)

Past Hebrew Lessons

New York Hebrew Private Tutor Other

Please choose the program you would like your child to attend:

Hebrew School Primary Program - Chelsea/Flatiron Location

40 West 22nd Street
Grades K through 7: Tuesdays: 3:45 - 5:45 PM

Hebrew School Primary Program - Gramercy Park Location

337 2nd Avenue
Grades PreK through 5th: Mondays 3:30 - 5:30 PM

Bar and Bat Mitzvah Class

121 West 19th Street
Grades 6-7: Tuesdays: 3:45 - 5:45 PM

Bat Mitzvah Academy - Gramercy Park Location

337 2nd Avenue
Girls Grades 5-6: Every Other Monday: 5:45 - 7:15 PM

Amount of Children

Track

All classes will be taking place in person. If you would prefer our virtual track please make mention of that in our comments section below

Parents

Marital Status

Child lives with

Is the natural mother of the child Jewish?

Yes No

Have there been any conversions or adoptions in the family?

Yes No

If yes, please specify Rabbi and Congregation

Parent 1

Title

First Name

Last Name

Work Phone

Cell Phone

Occupation

Email

Parent 2

Title

First Name

Last Name

Work Phone

Cell Phone

Occupation

Email

Home

Address

City

State

Zip

Home Phone

Emergency Information

Emergency Contact

Name

Phone Number

Relation

Medical and Special Needs Details

Is your child taking permanent medications?

Yes No

Any known allergies (incl. reactions to medications) and any present medical conditions?

Yes No

If yes, please explain

Physician

Family Physician

Phone Number

Address

General Information

Other Person Authorized to Pick Up Child

Name

Cell Phone

Relation

Trips

I give permission for my child to participate on class trips throughout the school year

Tuition and Billing

Tuition

Hebrew School Primary Program: $2050 + $75 Book

Bat Mitzvah Academy: $900 + $25 Book Fee

Tuition fee covers all weekly programs, both Hebrew language & Jewish programs, snacks & drinks.

No child will be turned away due to lack of funds. Please contact the office at 212-924-3200 to discuss further.

Program & Tuition Agreement

I hereby confirm my child’s enrollment in New York Hebrew’s afternoon school.

I represent that I am the custodial parent or legal guardian of the child that I am enrolling and that the information

I have provided is true and correct. I agree to New York Hebrew’s terms and conditions as outlined in the Parent Handbook (mailed to parents).

I fully understand that this enrollment, as part of my commitment to a long-term Jewish education at New York Hebrew, is accepted only on the basis of the full year program, and agree to pay the full annual fees accordingly. I understand that no refunds or adjustments will be made for absences including, but not limited to, illness or vacation.

Signature of Parent or Legal Guardian

Date

Payment Information

Please Choose Payment Plan

Payment Method

Credit Card

Card Holder First Name

Last Name

Card Number

Expiration Date

Security Code

Billing Address is same as home address

Billing Address

City

State

Zip

Payment Info

Payment #1 is due on or before September 15, 2023 and payment # 2 is due on December 15, 2023. Postdated check must be submitted prior to September 15, 2023. If paying by credit card, your card will be charged on the above dates.

When clicking ‘Submit’ you will automatically be charged $150 as a deposit. The remainder will be charged on the above mentioned dates.

Disclaimer

Accident: As the parent(s) or legal guardian of the above child/ren, I/we authorize any adult acting on behalf of NY 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, NY Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment.

Trips and Outings: I hereby give permission for my child to attend and participate in all trips and outings organised as part of the program by NY Hebrew.

Privacy: I hereby give permission for my child’s photographs/videos to be used in newsletters, local newspapers, NY Hebrew website or for promotion of our program.

Digital Signature of Parent or Legal Guardian

Date

Additional Comments

Pick Up Service - $275 Fee Per Child

We now offer a pick up service from several schools in the area. Once filled out we will contact you.

I would like to have my child picked up from school

Comments

Philanthropic Leadership Circle:

Would you like to join our philanthropic leadership circle that donates $360 to the NY Hebrew scholarship fund?

Yes No

Philanthropic Leadership Circle

Referred By

Total

Deposit

Total Charged Today