Application Form - Cheder Lubavitch

Please complete one form per child to register a new student. Once submitted, we will be in touch to confirm whether a spot is available and to schedule an interview.
Child's First Name:*
Child's DOB:*

Month Day Year
Preschool enrollment is for children 18 months or older by September 1, with placement based on age and development.

If space allows, we may open a group for children 15 months and up. You are welcome to apply, and we will be in touch if that option opens.
Mother's Name:*
First Name Last Name
Mother Email:*
Mother Phone:*

Area Code Phone Number
Father's Name:*
First Name Last Name
Father's Email:*
Father Phone:*

Area Code Phone Number
The core program is 8:45am–1:00pm Monday through Thursday, and 8:45am-12:30pm on Friday. Extended Day is available until 3:00pm Monday–Thursday.

To apply for Extended Day, fill in the fields below. Upon acceptance, a $150 non-refundable fee per child will be charged and applied toward tuition.

If you are not applying for Extended Day, skip this question and submit your application.
Preschool Extended Day:

I would like to sign up for 3pm Extended Day
Choose any that apply:

I am a Cheder staff memberI have other children in Cheder
Total

$0.00

Payment

Credit Card Paypal

Postal / Zip Code

Country

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