Hebrew School of the Arts

NEW FAMILY APPLICATION FORM
After this form is submitted an interview will be set up to insure that Hebrew School of the Arts is the right fit for your family. Only then will payment be required.
2026–2027 HSA MEMBERSHIP
Cost per child: $999
(Includes admission to all Sunday family events)

Registration & Security Fee: $100 per child
(Non-refundable)

Discounts:
• Sibling discount: $25 off per sibling

REFER A NEW STUDENT FOR A $100 TUITION REFUND! *NO LIMIT*

Questions or comments?
Mirel Heber
561-285-1024
[email protected]

NOTE: New students will not be required to submit payment until after the interview process.
Student Information
Child's Name*
First Name Last Name
Child's Hebrew Name*
Grade entering for the coming school year*
School entering for the coming school year*
Birth Date*

Month Day Year
Please let us know a little bit about your child! (Allergies or medical condition?)
Parent Information
Father's Name*
First Name Last Name
Father's E-mail*
Father's Cell*

Area Code Phone Number
Mother's Name*
First Name Last Name
Mother's E-mail*
Mother's Cell*

Area Code Phone Number
Parents Marital Status*
Married, Seperated, Divorced
Mother's Religion *
Father's Religion*
Any conversions in the family? If yes, please specify*
Any adoptions in the family? If yes, please specify*

Home address where child resides*

Grandparent's Emails for Grandparents Day Invites*
How'd you hear about HSA? (Ex: name of friend)*
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 hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Chabad Hebrew School activities and that these pictures may be used for marketing purposes.*

I accept
I would like to receive news and updates by email
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New Family Application