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Chabad Preschool

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Register

Registration for year 2025-2026 is now open!
Please fill out this form as an initial registration for the Lamorinda Jewish preschool.

Confirmation of acceptance will be acknowledged only after this registration form is reviewed and an acceptance letter is received.

To Print the Lamorinda Jewish preschool application form Click Here
Part I: Student Information
First Name*
Last Name*
Hebrew Name
Date of Birth*

Month Day Year
Age
MaleFemale
Part II: Parents Information
Mother's Name
Cell Number
Email
Mother's Occupation
Father's Name
Cell Number
Email
Father's Occupation

Address

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

Part III: Family Information
Parent's Marital Status*
Is the natural father of the child Jewish?*

YesNo
Is the natural mother of the child Jewish?*

YesNo
Were there any conversions or adoptions in your family?*

YesNo
If yes, please describe
Are you affiliated with any Synagogue?
If yes, Which One(s)?
Any considerations, such as learning disorder or difficulty, the school should be aware of? (Confidential):
Emergency Contact Information
Emergency Contact 1
Cell Number
Relationship to child
Emergency Contact 2
Cell Number
Relationship to child
Child's physician or medical facility
Physician's phone
Physician's address
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.
As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Lamorinda Jewish Preschool 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, Lamorinda Jewish preschool 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 trip on and beyond school properties and allow my child to be photographed while participating in Lamorinda Jewish preschool activities.
*

AcceptDo not accept
Initial here:
Lamorinda Jewish preschool Tuition Agreement

The following is a tuition agreement for the Lamorinda Jewish preschool. The agreement explains the tuition fees, payments plans and refund policies. Please read it through carefully.

The tuition for the Lamorinda Jewish preschool is $17,000.00 per Year per child (this includes a registration & book fee). Membership Not Required.
You may choose from the following payment methods:

PLAN A: You may pay the entire amount in full with a check, cash or credit card.PLAN B: You may pay the annual tuition on a monthly basis by submitting 10 checks of $1700.00 each, dated August through May. All checks must be submitted before the first day of PreschoolPLAN C: You may use your credit card to pay the tuition on a monthly basis. Your credit card will be charged $1700.00 monthly August - May. To do so please include your credit card number and expiration date.
Payments can be made with a check, cash or credit card.
*

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Your FULL name here:

Payment

Credit Card Payment Plan

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