Registration Form - New & Returning Students

We are currently accepting application forms for the 2023-2024 school year.

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

with us, feel free to email [email protected] 

Please note that one registration form per child is needed.

No child will be turned away due to lack of funds.

Student Profile
Hebrew Name
DOB Time (AM or PM)
Grade Entering
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Does your child have any learning difficulties with General Studies? If yes, please describe
How did you find out about Chabad Hebrew School?
Parent Information
Father's Name
Father's Occupation
Father's Cell
Father's Email
Mother's Name
Mother's Occupation
Mother's Cell
Mother's Email
Were there any conversions and/or adoptions in the family? If yes, where and when was it performed?
Emergency Information
Emergency Contact 1
Emergency Contact 2
Doctor's Name
Doctor's Phone Number
Medical Insurance Company
Policy Number

CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.

Tuition Agreement

Tuition for the year, per child: $900

PICKUP Service: $100

From Cedervale, McMurrick, Palmerston, Hillcrest, Humewood, Forest Hill Public School, Rawlinson Community School (possibly other schools)

Please check box with your choice for method of payment.
Prepayment in full before September
10 monthly installments (Sept - June) in the form of 10 postdated checks
Method of payment:
Credit Card
Please mail checks to Chabad of Midtown Hebrew School, 1344 Bathurst St., Toronto ON M5R 3H7
Credit Card Information
Card Type Card Number
Exp Date CVV
Amount to Charge Billing Zip
Family Name  
Child 1 Cost:
Child 2 Cost:
Child 3 Cost:
Total Cost:    


As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad 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, Chabad Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties.

I Accept

Name: Initials: Date:

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