20% TUITION DISCOUNT FOR NEW FAMILIES BEFORE JULY 15 Student Information Full Name* First Name Last Name Hebrew Name Birth Date* Month Day Year Jewish Birthday Help us figure out the Jewish Birthday!* born during the dayborn in the evening/night (after sunset)born at dusk/sunset Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country School* Grade as of September 2026* Kindergarder 1st2nd3rd4th5th6th7th8th9th Is your child currently receiving services? If yes, please specify. Previous Jewish Education Check which apply:* Mother born JewishMother converted Have there been any conversions or adoptions in the family?* YesNo Name of Rabbi who performed the conversion* Additional Comments I allow my child's photo to be used on our website and social media/promotional* YesNo Parents Information Father's Name* or guardian First Name Last Name Father's Hebrew Name Father's Cell* Area Code Phone Number Father's E-mail* Mother's Name* or guardian First Name Last Name Mother's Hebrew Name Mother's Cell* Area Code Phone Number Mother's E-mail* Best way to send Hebrew School updates: Cell PhoneEmailHandout I am willing to assist in school activities, please contact me Transportation:* I would like transportation from PS 24 to Chabad at 2:15I will bring my child to Chabad of Riverdale at 2:30 Pick up information: Pick up is at 4:30 PM at Chabad of Riverdale. Please upload completed Release Form* Click here for Release Form Emergency File Doctor's name* Doctor's phone number* Area Code Phone Number Allergies * Medical Conditions* Emergency Contact* First Name Last Name Phone Number* Area Code Phone Number Relationship* Payment Tuition is $1500 for the year - including all supplies. Financial assistance is available - please call 718-549-1100 Referral Discount: 20% off if a NEW family registers to CHS through you Tuition * $1500NEW FamilyReferred a new family Name of the family I referred* Total $0.00 Payment* Credit Card Zelle RabbiEngel@chabadriverdale.org Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration Year Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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