Register Online

No. of students registering*

Registration Type*

New StudentReturning Student

Full Name*

First Name Last Name

Hebrew Name*

Gender*

MaleFemale

Date and Time of Birth*

Month Day Year

at Hour Minutes

School Attending * 2024/25

Division* 2024/25

Grade* 2024/25

Past Hebrew Lessons*

New York HebrewPrivate Tutor

Programs

Hebrew School Primary Program

Chelsea/Flatiron Location

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

Gramercy Park Location

337 2nd Avenue
Grades Pre-K through 5: Monday: 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
Grades 6 Girls: Every Other Tuesday: 6:00 - 7:15 PM

Program Attending*

Hebrew School Primary ProgramBar and Bat Mitzvah ClassBat Mitzvah Academy

Location*

Chelsea/FlatironGramercy Park

Grade 1-5 Differential

Grade 6-7 Differential

Registration Type*

New StudentReturning Student

Full Name*

First Name Last Name

Hebrew Name*

Gender*

MaleFemale

Date and Time of Birth*

Month Day Year

at Hour Minutes

School Attending * 2024/25

Division* 2024/25

Grade * 2024/25

Past Hebrew Lessons*

New York HebrewPrivate Tutor

Programs

Hebrew School Primary Program

Chelsea/Flatiron Location

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

Gramercy Park Location

337 2nd Avenue
Grades Pre-K through 5: Monday: 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
Grades 6 Girls: Every Other Tuesday: 6:00 - 7:15 PM

Program Attending*

Hebrew School Primary ProgramBar and Bat Mitzvah ClassBat Mitzvah Academy

Location*

Chelsea/FlatironGramercy Park

Grade 1-5 Differential

Grade 6-7 Differential

Registration Type*

New StudentReturning Student

Full Name*

First Name Last Name

Hebrew Name*

Gender*

MaleFemale

Date and Time of Birth*

Month Day Year

at Hour Minutes

School Attending * 2024/25

Division* 2024/25

Grade * 2024/25

Past Hebrew Lessons*

New York HebrewPrivate Tutor

Programs

Hebrew School Primary Program

Chelsea/Flatiron Location

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

Gramercy Park Location

337 2nd Avenue
Grades Pre-K through 5: Monday: 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
Grades 6 Girls: Every Other Tuesday: 6:00 - 7:15 PM

Program Attending*

Hebrew School Primary ProgramBar and Bat Mitzvah ClassBat Mitzvah Academy

Location*

Chelsea/FlatironGramercy Park

Grade 1-5 Differential

Grade 6-7 Differential

Registration Type*

New StudentReturning Student

Full Name*

First Name Last Name

Hebrew Name*

Gender*

MaleFemale

Date and Time of Birth*

Month Day Year

at Hour Minutes

School Attending * 2024/25

Division* 2024/25

Grade * 2024/25

Past Hebrew Lessons*

New York HebrewPrivate Tutor

Programs

Hebrew School Primary Program

Chelsea/Flatiron Location

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

Gramercy Park Location

337 2nd Avenue
Grades Pre-K through 5: Monday: 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
Grades 6 Girls: Every Other Tuesday: 6:00 - 7:15 PM

Program Attending*

Hebrew School Primary ProgramBar and Bat Mitzvah ClassBat Mitzvah Academy

Location*

Chelsea/FlatironGramercy Park

Grade 1-5 Differential

Grade 6-7 Differential

Marital Status*

Child lives with

Is the natural mother of the child Jewish?*

YesNo

Have there been any conversions or adoptions in the family?*

YesNo

Please specify rabbi and congregation

Parent 1*

First Name Last Name

Email*

Cell Phone

Occupation*

Parent 2*

First Name Last Name

Email*

Cell Phone*

Occupation*

Address*

Street Address
Street Address Line 2
City	State
Zip Code	Country

Home Phone

Emergency Contact*

First Name Last Name

Phone Number*

Relation*

Is your child taking permanent medications?*

YesNo

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

YesNo

Please explain*

Family Physician

First Name Last Name

Phone Number

Address

Street Address
Street Address Line 2
City	State
Zip Code	Country

Other Person Authorized to Pick Up Child

First Name Last Name

Phone Number

Relation

Trip Authorization*

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

Students in the 6th & 7th grades will be taking part in a Shabbaton weekend in Stamford, Connecticut from March 28 through March 30, 2025.

The schedule will include action-filled activities, thrilling shows, exciting carnivals, trips, beautiful Shabbat meals, and so much more. The stunning conclusion is the on-stage International JewQ Championship. More details to follow.

Shabbaton Pricing*

Regular Price: $625Partial Subsidy: $475Subsidized Rate: $350

Tuition

Hebrew School Primary Program:

PreK/K: $1650 + $75 Book Fee

Grades 1 through 5: $2050 + $75 Book Fee

Grades 6 and 7: $2250 + $75 Book Fee

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*

There is the option of paying for tuition in two installments. Payment #1 is due before September 15, 2024 and payment # 2 is due prior to December 15, 2024. Please make sure to click the $150 deposit option to enable that.

Promo Code

Discount Amount

Total

$0.00

I would like to pay today:Full amount$150.00 minimum$

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

Zip Code

Country

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.

Signature of Parent or Legal Guardian*

Date*

Comments

Pick Up Service

I would like to have my child picked up from school - $275 per child

No. of Children to pick up $275 per child

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

YesNo

Would you like to sponsor a full scholarship of $2,050 for a child to attend NY Hebrew?

YesNo

Referred By

Student Profile 1

Programs

Hebrew School Primary Program

Chelsea/Flatiron Location

Gramercy Park Location

Bar and Bat Mitzvah Class

Bat Mitzvah Academy

Student Profile 2

Programs

Hebrew School Primary Program

Chelsea/Flatiron Location

Gramercy Park Location

Bar and Bat Mitzvah Class

Bat Mitzvah Academy

Student Profile 3

Programs

Hebrew School Primary Program

Chelsea/Flatiron Location

Gramercy Park Location

Bar and Bat Mitzvah Class

Bat Mitzvah Academy

Student Profile 4

Programs

Hebrew School Primary Program

Chelsea/Flatiron Location

Gramercy Park Location

Bar and Bat Mitzvah Class

Bat Mitzvah Academy

Parents

Emergency Info

General Info

6th & 7th grade Shabbaton

Tuition and Billing

Tuition

Program & Tuition Agreement

Payment Info

Disclaimer

Additional Comments