Hebrew School of the Arts

RETURNING FAMILIES
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

Questions or comments?
Mirel Heber
561-285-1024
[email protected]
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?)
We’d love your feedback — positive, negative, or anything in between! Please share your thoughts and ideas with us.
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*
Payment
Non-refundable registration & security fee*

$100 USD
HSA Membership

$999 USD
HSA Membership with Sibling Discount

$974 USD
Notes:
Sponsorships
Here, at HSA, we make a point of welcoming children from struggling families. They deserve the fun and they deserve the education. Please help us help them.
Sponsor a Jewish child who cannot afford HSA

$999 USD
Co-sponsor a Jewish child who cannot afford HSA

$500 USD
Total Charge

$0.00 USD
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

Payment Method

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Expiration Month	Expiration Year

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Returning Families