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Enrollment

Welcome to CJA Hebrew School! We look forward to having your child(ren) join our school family!

Tuition for the 2024-2025 school year $999 per student with an additional $100 registration fee per student. We offer payment plans of full payment, 2 payments, or 10 monthly payments paid via credit card, cash or check. Please note that credit card payments will be assessed an additional 3% processing fee.

To enroll your child(ren) continue below!
For any questions please call Rabbi Sapo at 805.557.1555
Part 1:

Student's Information
Full Name*
First Name Last Name
Hebrew Name*
Gender*

MaleFemale
Date of Birth*

Month Day Year
Name of School*
Grade entering this school year*
Previous Hebrew School Education*
Second Child

YesNo
Full Name*
First Name Last Name
Hebrew Name*
Gender*

MaleFemale
Date of Birth*

Month Day Year
Name of School*
Grade entering this school year*
Previous Hebrew School Education*
Third Child

YesNo
Full Name*
First Name Last Name
Hebrew Name*
Gender*

MaleFemale
Date of Birth*

Month Day Year
Name of School*
Grade entering this school year*
Previous Hebrew School Education*
Part 2:

Family Information
Mother's Name*
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Marital Status*
Occupation*
Father's Name*
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Marital Status*
Occupation*

Student's Home Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone Number*

Area Code Phone Number
Is the student's natural mother Jewish?*

YesNo
Is the student's natural father Jewish?*

YesNo
If either of the above answers are no, please explain
Have there been any conversions or adoptions in the family?*

YesNo
If yes, please explain:
Family is:*

KohenIsraeliteLeviteNot sure
Part 3:

Payment Information
Preferred Payment Method*

Credit Card (3% processing fee)Check/Cash
CC Payment Plan*

Full Payment (One-time payment of $1131.97 per student)2 Payments (One payment of $582.97 charged now and $550 charged in 6 months, per student)10 Monthly Payments ($132.97 charged now, followed by 10 monthly payments of $99.90, per student)
Payment Plan*

Full Payment (One-time payment of $1,099 per student)2 Payments ($550 per student charged now and the remainder in 6 months)10 Monthly Payments ($100 registration fee per student charged now, followed by 10 payments of $99.90 per student, charged monthly)I'm paying with Cash or Check ($100 registration fee per student charged now)

Payment

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Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

In the event of an emergency, CJA Hebrew School has my permission to arrange for any necessary first-aid or care by a licensed physician/first-aid worker. CJA Hebrew School has my permission to use my child’s photo in its publicity materials.
*

I agree
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