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<form class="userform-form" action="" method="post" name="form_5992600" id="5992600" accept-charset="utf-8"><input type="hidden" name="formID" value="5992600" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_1"><div class="form-label-left" id="label_1"><label for="input_1"> No. of students registering<span class="form-required">*</span> </label><label class="label-message" for="input_1"> </label></div><div id="cid_1" class="form-input"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_1" name="q1_number" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="1" data-numbermin="1" max="4" data-numbermax="4" /> </div></li><li id="cid_3" class="form-input-wide"> <div class="form-header-group"><h2 id="header_3" class="form-header">Student Profile 1</h2></div> </li><li class="form-line" id="id_4"><div class="form-label-left" id="label_4"><label for="input_4"> Registration Type<span class="form-required">*</span> </label><label class="label-message" for="input_4"> </label></div><div id="cid_4" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_4_0" name="q4_input4" value="New Student" /><label id="label_input_4_0" for="input_4_0"><span>New Student</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_4_1" name="q4_input4" value="Returning Student" /><label id="label_input_4_1" for="input_4_1"><span>Returning Student</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_5"><div class="form-label-left" id="label_5"><label for="input_5"> Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_5"> </label></div><div id="cid_5" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q5_fullName[first]" id="first_5" autocomplete="given-name" />  <label class="form-sub-label" for="first_5" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q5_fullName[last]" id="last_5" autocomplete="family-name" />  <label class="form-sub-label" for="last_5" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_6"><div class="form-label-left" id="label_6"><label for="input_6"> Hebrew Name<span class="form-required">*</span> </label><label class="label-message" for="input_6"> </label></div><div id="cid_6" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_6" name="q6_input6" size="20" value="" /> </div></li><li class="form-line" id="id_11"><div class="form-label-left" 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2026/27</label></div><div id="cid_8" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_8" name="q8_input8" size="20" value="" /> </div></li><li class="form-line" id="id_9"><div class="form-label-left" id="label_9"><label for="input_9"> Grade<span class="form-required">*</span> </label><label class="label-message" for="input_9"> 2026/27</label></div><div id="cid_9" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_9" name="q9_input9"><option value=""></option><option value="Pre-K">Pre-K</option><option value="Kindergarten">Kindergarten</option><option value="First">First</option><option value="Second">Second</option><option value="Third">Third</option><option value="Fourth">Fourth</option><option value="Fifth">Fifth</option><option value="Sixth">Sixth</option><option value="Seventh">Seventh</option></select> </div></li><li class="form-line" id="id_10"><div class="form-label-left" id="label_10"><label for="input_10"> Past Hebrew School  Lessons<span class="form-required">*</span> </label><label class="label-message" for="input_10"> </label></div><div id="cid_10" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_10_0" name="q10_input10" value="New York Hebrew" /><label id="label_input_10_0" for="input_10_0"><span>New York Hebrew</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_10_1" name="q10_input10" value="Private Tutor" /><label id="label_input_10_1" for="input_10_1"><span>Private Tutor</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio-other form-radio validate[required, other]" name="q10_input10" id="other_10" value="" /><span><input type="text" class="form-radio-other-input form-textbox form-radio validate[required, other]" name="q10_input10[other]" data-otherhint="Other" size="15" id="input_10" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_107"><div id="cid_107" class="form-input-wide"> <div id="text_107" class="form-html"><h2>Programs</h2>

<h3>New York Hebrew Tots</h3>

<p><i>121 West 19th Street </i><br />
<strong>Grades Nursery &amp; Pre-K:</strong> Mondays: 3:30 - 4:30 PM</p>

<h3>Hebrew School Primary Program</h3>

<p><i>121 West 19th Street </i><br />
<strong>Grades Pre-K through 5:</strong> Tuesdays: 3:45 - 5:45 PM<br />
<strong>Grades Pre-K through 5:</strong> Mondays: 3:30 - 5:30 PM</p>

<h3>Bar and Bat Mitzvah Class</h3>

<p><i>121 West 19th Street</i><br />
<strong>Grades 6 - 7:</strong> Tuesdays: 4:00 - 6:00 PM</p>

<h3>Bat Mitzvah Academy (in addition to the Bar &amp; Bat Mitzvah Class)</h3>

<p><i>121 West 19th Street</i><br />
<strong>Grades 6 Girls:</strong> Every Other Tuesday: 6:00 - 7:15 PM</p>

<h3><strong>New!</strong> Bar Mitzvah Academy (in addition to the Bar &amp; Bat Mitzvah Class)</h3>

<p><i>121 West 19th Street</i><br />
<strong>Grades 7 &amp; 8 Boys:</strong> Every third Tuesday: 6:00 - 7:15 PM</p>
</div> </div></li><li class="form-line" id="id_12"><div class="form-label-left" id="label_12"><label for="input_12"> Program Attending<span class="form-required">*</span> </label><label class="label-message" for="input_12"> </label></div><div id="cid_12" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_12_0" name="q12_input12[]" value="New York Hebrew Tots" /><label id="label_input_12_0" for="input_12_0"><span>New York Hebrew Tots</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_12_1" name="q12_input12[]" value="Hebrew School Primary Program - Grades PreK/K" /><label id="label_input_12_1" for="input_12_1"><span>Hebrew School Primary Program - Grades PreK/K</span></label></span><span class="clearfix"></span><span class="form-checkbox-item 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class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_12_5" name="q12_input12[]" value="Bar Mitzvah Academy" /><label id="label_input_12_5" for="input_12_5"><span>Bar Mitzvah Academy</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_108"><div class="form-label-left" id="label_108"><label for="input_108"> Location </label><label class="label-message" for="input_108"> </label></div><div id="cid_108" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_108_0" name="q108_input108" value="Mondays" /><label id="label_input_108_0" for="input_108_0"><span>Mondays</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_108_1" name="q108_input108" value="Tuesdays" /><label id="label_input_108_1" for="input_108_1"><span>Tuesdays</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_13" class="form-input-wide"> <div class="form-header-group"><h2 id="header_13" class="form-header">Student Profile 2</h2></div> </li><li class="form-line" id="id_14"><div class="form-label-left" id="label_14"><label for="input_14"> Registration Type<span class="form-required">*</span> </label><label class="label-message" for="input_14"> </label></div><div id="cid_14" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_14_0" name="q14_input14" value="New Student" /><label id="label_input_14_0" for="input_14_0"><span>New Student</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_14_1" name="q14_input14" value="Returning Student" /><label id="label_input_14_1" for="input_14_1"><span>Returning Student</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_15"><div class="form-label-left" id="label_15"><label for="input_15"> Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_15"> </label></div><div id="cid_15" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q15_fullName15[first]" id="first_15" autocomplete="given-name" />  <label class="form-sub-label" for="first_15" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q15_fullName15[last]" id="last_15" autocomplete="family-name" />  <label class="form-sub-label" for="last_15" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_16"><div class="form-label-left" id="label_16"><label for="input_16"> Hebrew Name<span class="form-required">*</span> </label><label class="label-message" for="input_16"> </label></div><div id="cid_16" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_16" name="q16_input16" size="20" value="" /> </div></li><li class="form-line" id="id_17"><div class="form-label-left" id="label_17"><label for="input_17"> Gender<span class="form-required">*</span> </label><label class="label-message" for="input_17"> </label></div><div id="cid_17" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_17_0" name="q17_input17" value="Male" /><label id="label_input_17_0" for="input_17_0"><span>Male</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_17_1" name="q17_input17" value="Female" /><label id="label_input_17_1" for="input_17_1"><span>Female</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_18"><div class="form-label-left" id="label_18"><label for="input_18"> Date and Time of Birth<span class="form-required">*</span> </label><label class="label-message" for="input_18"> </label></div><div id="cid_18" class="form-input"> <div class="datetime-fields"><div class="dir_ltr date-fields"><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox validate[required]" id="month_18" name="q18_input18[month]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="month_18" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="noDefault form-textbox validate[required]" id="day_18" name="q18_input18[day]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="day_18" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox validate[required]" id="year_18" name="q18_input18[year]" type="tel" size="4" maxlength="4" value="" />  <label class="form-sub-label" for="year_18" id="sublabel_year">Year</label></span><span class="form-sub-label-container"><img class="showAutoCalendar" alt="Pick a Date" id="input_18_pick" src="https://w2.chabad.org/images/sitecontrol/formbuilder/calendar.png" align="absmiddle" />  <label class="form-sub-label" for="input_18_pick"><span> </span></label></span></div><span class="dir_ltr inline_block time-fields" style="white-space: nowrap;"><span class="form-sub-label-container"><span id="at_18" class="form-control-static at-label">at</span>  <label class="form-sub-label" for="at_18"><span> </span></label></span><span class="form-sub-label-container"><select autocomplete="nope" class="noDefault form-dropdown validate[required]" id="hour_18" name="q18_input18[hour]"><option></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option></select>  <label class="form-sub-label" for="hour_18" id="sublabel_hour">Hour</label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" id="min_18" name="q18_input18[min]"><option></option><option value="00">00</option><option value="10">10</option><option value="20">20</option><option value="30">30</option><option value="40">40</option><option value="50">50</option></select>  <label class="form-sub-label" for="min_18" id="sublabel_minutes">Minutes</label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" id="ampm_18" name="q18_input18[ampm]"><option></option><option selected="selected" value="AM">AM</option><option value="PM">PM</option></select>  <label class="form-sub-label" for="ampm_18"><span> </span></label></span></span></div> </div></li><li class="form-line" id="id_19"><div class="form-label-left" id="label_19"><label for="input_19"> School Attending <span class="form-required">*</span> </label><label class="label-message" for="input_19"> 2026/27</label></div><div id="cid_19" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_19" name="q19_input19" size="20" value="" /> </div></li><li class="form-line" id="id_104"><div class="form-label-left" id="label_104"><label for="input_104"> Division<span class="form-required">*</span> </label><label class="label-message" for="input_104"> 2026/27</label></div><div id="cid_104" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_104" name="q104_input104"><option value=""></option><option value="Pre-K – Kindergarten">Pre-K – Kindergarten</option><option value="Grade 1 – 5">Grade 1 – 5</option><option value="Grade 6 – 7">Grade 6 – 7</option></select> </div></li><li class="form-line" id="id_20"><div class="form-label-left" id="label_20"><label for="input_20"> Grade <span class="form-required">*</span> </label><label class="label-message" for="input_20"> 2026/27</label></div><div id="cid_20" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_20" name="q20_input20"><option value=""></option><option value="Pre-K">Pre-K</option><option value="Kindergarten">Kindergarten</option><option value="First">First</option><option value="Second">Second</option><option value="Third">Third</option><option value="Fourth">Fourth</option><option value="Fifth">Fifth</option><option value="Sixth">Sixth</option><option value="Seventh">Seventh</option></select> </div></li><li class="form-line" id="id_21"><div class="form-label-left" id="label_21"><label for="input_21"> Past Hebrew Lessons<span class="form-required">*</span> </label><label class="label-message" for="input_21"> </label></div><div id="cid_21" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_21_0" name="q21_input21" value="New York Hebrew" /><label id="label_input_21_0" for="input_21_0"><span>New York Hebrew</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_21_1" name="q21_input21" value="Private Tutor" /><label id="label_input_21_1" for="input_21_1"><span>Private Tutor</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio-other form-radio validate[required, other]" name="q21_input21" id="other_21" value="" /><span><input type="text" class="form-radio-other-input form-textbox form-radio validate[required, other]" name="q21_input21[other]" data-otherhint="Other" size="15" id="input_21" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_109"><div id="cid_109" class="form-input-wide"> <div id="text_109" class="form-html"><h2>Programs</h2>

<h3>Hebrew School Primary Program</h3>

<h4>Chelsea/Flatiron Location</h4>

<p><i>121 West 19th Street </i><br />
<strong>Grades Pre-K through 5:</strong> Tuesdays: 3:45 - 5:45 PM<br />
<strong>Grades Pre-K through 5:</strong> Mondays: 3:30 - 5:30 PM</p>

<h3>Bar and Bat Mitzvah Class</h3>

<p><i>121 West 19th Street</i><br />
<strong>Grades 6 - 7:</strong> Tuesdays: 4:00 - 6:00 PM</p>

<h3>Bat Mitzvah Academy (in addition to the Bar &amp; Bat Mitzvah Class)</h3>

<p><i>121 West 19th Street</i><br />
<strong>Grades 6 Girls:</strong> Every Other Tuesday: 6:00 - 7:15 PM</p>

<h3><strong>New!</strong> Bar Mitzvah Academy (in addition to the Bar &amp; Bat Mitzvah Class)</h3>

<p><i>121 West 19th Street</i><br />
<strong>Grades 7 &amp; 8 Boys:</strong> Every third Tuesday: 6:00 - 7:15 PM</p>
</div> </div></li><li class="form-line" id="id_22"><div class="form-label-left" id="label_22"><label for="input_22"> Program Attending<span class="form-required">*</span> </label><label class="label-message" for="input_22"> </label></div><div id="cid_22" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_22_0" name="q22_input22[]" value="New York Hebrew Tots" /><label id="label_input_22_0" for="input_22_0"><span>New York Hebrew Tots</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_22_1" name="q22_input22[]" value="Hebrew School Primary Program - Grades PreK/K" /><label id="label_input_22_1" for="input_22_1"><span>Hebrew School Primary Program - Grades PreK/K</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_22_2" name="q22_input22[]" value="Hebrew School Primary Program - Grades 1 through 5" /><label id="label_input_22_2" for="input_22_2"><span>Hebrew School Primary Program - Grades 1 through 5</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_22_3" name="q22_input22[]" value="Bar and Bat Mitzvah Class - Grades 6 &amp; 7" /><label id="label_input_22_3" for="input_22_3"><span>Bar and Bat Mitzvah Class - Grades 6 &amp; 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_22_4" name="q22_input22[]" value="Bat Mitzvah Academy" /><label id="label_input_22_4" for="input_22_4"><span>Bat Mitzvah Academy</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_22_5" name="q22_input22[]" value="Bar Mitzvah Academy" /><label id="label_input_22_5" for="input_22_5"><span>Bar Mitzvah Academy</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_112"><div class="form-label-left" id="label_112"><label for="input_112"> Location </label><label class="label-message" for="input_112"> </label></div><div id="cid_112" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_112_0" name="q112_input112" value="Mondays" /><label id="label_input_112_0" for="input_112_0"><span>Mondays</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_112_1" name="q112_input112" value="Tuesdays" /><label id="label_input_112_1" for="input_112_1"><span>Tuesdays</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_23" class="form-input-wide"> <div class="form-header-group"><h2 id="header_23" class="form-header">Student Profile 3</h2></div> </li><li class="form-line" id="id_24"><div class="form-label-left" id="label_24"><label for="input_24"> Registration Type<span class="form-required">*</span> </label><label class="label-message" for="input_24"> </label></div><div id="cid_24" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_24_0" name="q24_input24" value="New Student" /><label id="label_input_24_0" for="input_24_0"><span>New Student</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_24_1" name="q24_input24" value="Returning Student" /><label id="label_input_24_1" for="input_24_1"><span>Returning Student</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_25"><div class="form-label-left" id="label_25"><label for="input_25"> Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_25"> </label></div><div id="cid_25" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q25_fullName25[first]" id="first_25" autocomplete="given-name" />  <label class="form-sub-label" for="first_25" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q25_fullName25[last]" id="last_25" autocomplete="family-name" />  <label class="form-sub-label" for="last_25" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_26"><div class="form-label-left" id="label_26"><label for="input_26"> Hebrew Name<span class="form-required">*</span> </label><label class="label-message" for="input_26"> </label></div><div id="cid_26" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_26" name="q26_input26" size="20" value="" /> </div></li><li class="form-line" id="id_27"><div class="form-label-left" id="label_27"><label for="input_27"> Gender<span class="form-required">*</span> </label><label class="label-message" for="input_27"> </label></div><div id="cid_27" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_27_0" name="q27_input27" value="Male" /><label id="label_input_27_0" for="input_27_0"><span>Male</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_27_1" name="q27_input27" value="Female" /><label id="label_input_27_1" for="input_27_1"><span>Female</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_28"><div class="form-label-left" id="label_28"><label for="input_28"> Date and Time of Birth<span class="form-required">*</span> </label><label class="label-message" for="input_28"> </label></div><div id="cid_28" class="form-input"> <div class="datetime-fields"><div class="dir_ltr date-fields"><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox validate[required]" id="month_28" name="q28_input28[month]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="month_28" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="noDefault form-textbox validate[required]" id="day_28" name="q28_input28[day]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="day_28" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox validate[required]" id="year_28" name="q28_input28[year]" type="tel" size="4" maxlength="4" value="" />  <label class="form-sub-label" for="year_28" id="sublabel_year">Year</label></span><span class="form-sub-label-container"><img class="showAutoCalendar" alt="Pick a Date" id="input_28_pick" src="https://w2.chabad.org/images/sitecontrol/formbuilder/calendar.png" align="absmiddle" />  <label class="form-sub-label" for="input_28_pick"><span> </span></label></span></div><span class="dir_ltr inline_block time-fields" style="white-space: nowrap;"><span class="form-sub-label-container"><span id="at_28" class="form-control-static at-label">at</span>  <label class="form-sub-label" for="at_28"><span> </span></label></span><span class="form-sub-label-container"><select autocomplete="nope" class="noDefault form-dropdown validate[required]" id="hour_28" name="q28_input28[hour]"><option></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option></select>  <label class="form-sub-label" for="hour_28" id="sublabel_hour">Hour</label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" id="min_28" name="q28_input28[min]"><option></option><option value="00">00</option><option value="10">10</option><option value="20">20</option><option value="30">30</option><option value="40">40</option><option value="50">50</option></select>  <label class="form-sub-label" for="min_28" id="sublabel_minutes">Minutes</label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" id="ampm_28" name="q28_input28[ampm]"><option></option><option selected="selected" value="AM">AM</option><option value="PM">PM</option></select>  <label class="form-sub-label" for="ampm_28"><span> </span></label></span></span></div> </div></li><li class="form-line" id="id_29"><div class="form-label-left" id="label_29"><label for="input_29"> School Attending <span class="form-required">*</span> </label><label class="label-message" for="input_29"> 2026/27</label></div><div id="cid_29" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_29" name="q29_input29" size="20" value="" /> </div></li><li class="form-line" id="id_105"><div class="form-label-left" id="label_105"><label for="input_105"> Division<span class="form-required">*</span> </label><label class="label-message" for="input_105"> 2026/27</label></div><div id="cid_105" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_105" name="q105_input105"><option value=""></option><option value="Pre-K – Kindergarten">Pre-K – Kindergarten</option><option value="Grade 1 – 5">Grade 1 – 5</option><option value="Grade 6 – 7">Grade 6 – 7</option></select> </div></li><li class="form-line" id="id_30"><div class="form-label-left" id="label_30"><label for="input_30"> Grade <span class="form-required">*</span> </label><label class="label-message" for="input_30"> 2026/27</label></div><div id="cid_30" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_30" name="q30_input30"><option value=""></option><option value="Pre-K">Pre-K</option><option value="Kindergarten">Kindergarten</option><option value="First">First</option><option value="Second">Second</option><option value="Third">Third</option><option value="Fourth">Fourth</option><option value="Fifth">Fifth</option><option value="Sixth">Sixth</option><option value="Seventh">Seventh</option></select> </div></li><li class="form-line" id="id_39"><div class="form-label-left" id="label_39"><label for="input_39"> Past Hebrew Lessons<span class="form-required">*</span> </label><label class="label-message" for="input_39"> </label></div><div id="cid_39" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_39_0" name="q39_input39" value="New York Hebrew" /><label id="label_input_39_0" for="input_39_0"><span>New York Hebrew</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_39_1" name="q39_input39" value="Private Tutor" /><label id="label_input_39_1" for="input_39_1"><span>Private Tutor</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio-other form-radio validate[required, other]" name="q39_input39" id="other_39" value="" /><span><input type="text" class="form-radio-other-input form-textbox form-radio validate[required, other]" name="q39_input39[other]" data-otherhint="Other" size="15" id="input_39" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_110"><div id="cid_110" class="form-input-wide"> <div id="text_110" class="form-html"><h2>Programs</h2>

<h3>Hebrew School Primary Program</h3>

<h4>Chelsea/Flatiron Location</h4>

<p><i>121 West 19th Street </i><br />
<strong>Grades Pre-K through 5:</strong> Tuesdays: 3:45 - 5:45 PM<br />
<strong>Grades Pre-K through 5:</strong> Mondays: 3:30 - 5:30 PM</p>

<h3>Bar and Bat Mitzvah Class</h3>

<p><i>121 West 19th Street</i><br />
<strong>Grades 6 - 7:</strong> Tuesdays: 4:00 - 6:00 PM</p>

<h3>Bat Mitzvah Academy (in addition to the Bar &amp; Bat Mitzvah Class)</h3>

<p><i>121 West 19th Street</i><br />
<strong>Grades 6 Girls:</strong> Every Other Tuesday: 6:00 - 7:15 PM</p>

<h3><strong>New!</strong> Bar Mitzvah Academy (in addition to the Bar &amp; Bat Mitzvah Class)</h3>

<p><i>121 West 19th Street</i><br />
<strong>Grades 7 &amp; 8 Boys:</strong> Every third Tuesday: 6:00 - 7:15 PM</p>
</div> </div></li><li class="form-line" id="id_41"><div class="form-label-left" id="label_41"><label for="input_41"> Program Attending<span class="form-required">*</span> </label><label class="label-message" for="input_41"> </label></div><div id="cid_41" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_41_0" name="q41_input41[]" value="New York Hebrew Tots" /><label id="label_input_41_0" for="input_41_0"><span>New York Hebrew Tots</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_41_1" name="q41_input41[]" value="Hebrew School Primary Program - Grades PreK/K" /><label id="label_input_41_1" for="input_41_1"><span>Hebrew School Primary Program - Grades PreK/K</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_41_2" name="q41_input41[]" value="Hebrew School Primary Program - Grades 1 through 5" /><label id="label_input_41_2" for="input_41_2"><span>Hebrew School Primary Program - Grades 1 through 5</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_41_3" name="q41_input41[]" value="Bar and Bat Mitzvah Class - Grades 6 &amp; 7" /><label id="label_input_41_3" for="input_41_3"><span>Bar and Bat Mitzvah Class - Grades 6 &amp; 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_41_4" name="q41_input41[]" value="Bat Mitzvah Academy" /><label id="label_input_41_4" for="input_41_4"><span>Bat Mitzvah Academy</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_41_5" name="q41_input41[]" value="Bar Mitzvah Academy" /><label id="label_input_41_5" for="input_41_5"><span>Bar Mitzvah Academy</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_113"><div class="form-label-left" id="label_113"><label for="input_113"> Location<span class="form-required">*</span> </label><label class="label-message" for="input_113"> </label></div><div id="cid_113" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_113_0" name="q113_input113" value="Mondays" /><label id="label_input_113_0" for="input_113_0"><span>Mondays</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_113_1" name="q113_input113" value="Tuesdays" /><label id="label_input_113_1" for="input_113_1"><span>Tuesdays</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_31" class="form-input-wide"> <div class="form-header-group"><h2 id="header_31" class="form-header">Student Profile 4</h2></div> </li><li class="form-line" id="id_32"><div class="form-label-left" id="label_32"><label for="input_32"> Registration Type<span class="form-required">*</span> </label><label class="label-message" for="input_32"> </label></div><div id="cid_32" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_32_0" name="q32_input32" value="New Student" /><label id="label_input_32_0" for="input_32_0"><span>New Student</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_32_1" name="q32_input32" value="Returning Student" /><label id="label_input_32_1" for="input_32_1"><span>Returning Student</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_33"><div class="form-label-left" id="label_33"><label for="input_33"> Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_33"> </label></div><div id="cid_33" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q33_fullName33[first]" id="first_33" autocomplete="given-name" />  <label class="form-sub-label" for="first_33" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q33_fullName33[last]" id="last_33" autocomplete="family-name" />  <label class="form-sub-label" for="last_33" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_34"><div class="form-label-left" id="label_34"><label for="input_34"> Hebrew Name<span class="form-required">*</span> </label><label class="label-message" for="input_34"> </label></div><div id="cid_34" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_34" name="q34_input34" size="20" value="" /> </div></li><li class="form-line" id="id_35"><div class="form-label-left" id="label_35"><label for="input_35"> Gender<span class="form-required">*</span> </label><label class="label-message" for="input_35"> </label></div><div id="cid_35" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_35_0" name="q35_input35" value="Male" /><label id="label_input_35_0" for="input_35_0"><span>Male</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_35_1" name="q35_input35" value="Female" /><label id="label_input_35_1" for="input_35_1"><span>Female</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_36"><div class="form-label-left" id="label_36"><label for="input_36"> Date and Time of Birth<span class="form-required">*</span> </label><label class="label-message" for="input_36"> </label></div><div id="cid_36" class="form-input"> <div class="datetime-fields"><div class="dir_ltr date-fields"><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox validate[required]" id="month_36" name="q36_input36[month]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="month_36" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="noDefault form-textbox validate[required]" id="day_36" name="q36_input36[day]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="day_36" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox validate[required]" id="year_36" name="q36_input36[year]" type="tel" size="4" maxlength="4" value="" />  <label class="form-sub-label" for="year_36" id="sublabel_year">Year</label></span><span class="form-sub-label-container"><img class="showAutoCalendar" alt="Pick a Date" id="input_36_pick" src="https://w2.chabad.org/images/sitecontrol/formbuilder/calendar.png" align="absmiddle" />  <label class="form-sub-label" for="input_36_pick"><span> </span></label></span></div><span class="dir_ltr inline_block time-fields" style="white-space: nowrap;"><span class="form-sub-label-container"><span id="at_36" class="form-control-static at-label">at</span>  <label class="form-sub-label" for="at_36"><span> </span></label></span><span class="form-sub-label-container"><select autocomplete="nope" class="noDefault form-dropdown validate[required]" id="hour_36" name="q36_input36[hour]"><option></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option></select>  <label class="form-sub-label" for="hour_36" id="sublabel_hour">Hour</label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" id="min_36" name="q36_input36[min]"><option></option><option value="00">00</option><option value="10">10</option><option value="20">20</option><option value="30">30</option><option value="40">40</option><option value="50">50</option></select>  <label class="form-sub-label" for="min_36" id="sublabel_minutes">Minutes</label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" id="ampm_36" name="q36_input36[ampm]"><option></option><option selected="selected" value="AM">AM</option><option value="PM">PM</option></select>  <label class="form-sub-label" for="ampm_36"><span> </span></label></span></span></div> </div></li><li class="form-line" id="id_37"><div class="form-label-left" id="label_37"><label for="input_37"> School Attending <span class="form-required">*</span> </label><label class="label-message" for="input_37"> 2026/27</label></div><div id="cid_37" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_37" name="q37_input37" size="20" value="" /> </div></li><li class="form-line" id="id_106"><div class="form-label-left" id="label_106"><label for="input_106"> Division<span class="form-required">*</span> </label><label class="label-message" for="input_106"> 2026/27</label></div><div id="cid_106" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_106" name="q106_input106"><option value=""></option><option value="Pre-K – Kindergarten">Pre-K – Kindergarten</option><option value="Grade 1 – 5">Grade 1 – 5</option><option value="Grade 6 – 7">Grade 6 – 7</option><option value="Bar Mitzvah Academy (Grades 7 &amp; 8)">Bar Mitzvah Academy (Grades 7 &amp; 8)</option><option value="Bat Mitzvah Academy">Bat Mitzvah Academy</option></select> </div></li><li class="form-line" id="id_38"><div class="form-label-left" id="label_38"><label for="input_38"> Grade <span class="form-required">*</span> </label><label class="label-message" for="input_38"> 2026/27</label></div><div id="cid_38" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_38" name="q38_input38"><option value=""></option><option value="Pre-K">Pre-K</option><option value="Kindergarten">Kindergarten</option><option value="First">First</option><option value="Second">Second</option><option value="Third">Third</option><option value="Fourth">Fourth</option><option value="Fifth">Fifth</option><option value="Sixth">Sixth</option><option value="Seventh">Seventh</option></select> </div></li><li class="form-line" id="id_40"><div class="form-label-left" id="label_40"><label for="input_40"> Past Hebrew Lessons<span class="form-required">*</span> </label><label class="label-message" for="input_40"> </label></div><div id="cid_40" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_40_0" name="q40_input40" value="New York Hebrew" /><label id="label_input_40_0" for="input_40_0"><span>New York Hebrew</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_40_1" name="q40_input40" value="Private Tutor" /><label id="label_input_40_1" for="input_40_1"><span>Private Tutor</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio-other form-radio validate[required, other]" name="q40_input40" id="other_40" value="" /><span><input type="text" class="form-radio-other-input form-textbox form-radio validate[required, other]" name="q40_input40[other]" data-otherhint="Other" size="15" id="input_40" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_111"><div id="cid_111" class="form-input-wide"> <div id="text_111" class="form-html"><h2>Programs</h2>

<h3>Hebrew School Primary Program</h3>

<h4>Chelsea/Flatiron Location</h4>

<p><i>121 West 19th Street </i><br />
<strong>Grades Pre-K through 5:</strong> Tuesdays: 3:45 - 5:45 PM<br />
<strong>Grades Pre-K through 5:</strong> Mondays: 3:30 - 5:30 PM</p>

<h3>Bar and Bat Mitzvah Class</h3>

<p><i>121 West 19th Street</i><br />
<strong>Grades 6 - 7:</strong> Tuesdays: 4:00 - 6:00 PM</p>

<h3>Bat Mitzvah Academy (in addition to the Bar &amp; Bat Mitzvah Class)</h3>

<p><i>121 West 19th Street</i><br />
<strong>Grades 6 Girls:</strong> Every Other Tuesday: 6:00 - 7:15 PM</p>

<h3><strong>New!</strong> Bar Mitzvah Academy (in addition to the Bar &amp; Bat Mitzvah Class)</h3>

<p><i>121 West 19th Street</i><br />
<strong>Grades 7 &amp; 8 Boys:</strong> Every third Tuesday: 6:00 - 7:15 PM</p>
</div> </div></li><li class="form-line" id="id_42"><div class="form-label-left" id="label_42"><label for="input_42"> Program Attending<span class="form-required">*</span> </label><label class="label-message" for="input_42"> </label></div><div id="cid_42" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_42_0" name="q42_input42[]" value="New York Hebrew Tots" /><label id="label_input_42_0" for="input_42_0"><span>New York Hebrew Tots</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_42_1" name="q42_input42[]" value="Hebrew School Primary Program - Grades PreK/K" /><label id="label_input_42_1" for="input_42_1"><span>Hebrew School Primary Program - Grades PreK/K</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_42_2" name="q42_input42[]" value="Hebrew School Primary Program - Grades 1 through 5" /><label id="label_input_42_2" for="input_42_2"><span>Hebrew School Primary Program - Grades 1 through 5</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_42_3" name="q42_input42[]" value="Bar and Bat Mitzvah Class - Grades 6 &amp; 7" /><label id="label_input_42_3" for="input_42_3"><span>Bar and Bat Mitzvah Class - Grades 6 &amp; 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_42_4" name="q42_input42[]" value="Bat Mitzvah Academy" /><label id="label_input_42_4" for="input_42_4"><span>Bat Mitzvah Academy</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_42_5" name="q42_input42[]" value="Bar Mitzvah Academy" /><label id="label_input_42_5" for="input_42_5"><span>Bar Mitzvah Academy</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_114"><div class="form-label-left" id="label_114"><label for="input_114"> Location<span class="form-required">*</span> </label><label class="label-message" for="input_114"> </label></div><div id="cid_114" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_114_0" name="q114_input114" value="Mondays" /><label id="label_input_114_0" for="input_114_0"><span>Mondays</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_114_1" name="q114_input114" value="Tuesdays" /><label id="label_input_114_1" for="input_114_1"><span>Tuesdays</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_43" class="form-input-wide"> <div class="form-header-group"><h2 id="header_43" class="form-header">Parents</h2></div> </li><li class="form-line" id="id_89"><div class="form-label-left" id="label_89"><label for="input_89"> Marital Status<span class="form-required">*</span> </label><label class="label-message" for="input_89"> </label></div><div id="cid_89" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_89" name="q89_input89"><option value=""></option><option value="Married">Married</option><option value="Separated">Separated</option><option value="Divorced">Divorced</option><option value="Father Deceased">Father Deceased</option><option value="Mother Deceased">Mother Deceased</option><option value="Single Parent">Single Parent</option></select> </div></li><li class="form-line" id="id_90"><div class="form-label-left" id="label_90"><label for="input_90"> Child lives with </label><label class="label-message" for="input_90"> </label></div><div id="cid_90" class="form-input"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_90" name="q90_input90" size="20" value="" /> </div></li><li class="form-line" id="id_91"><div class="form-label-left" id="label_91"><label for="input_91"> Is the natural mother of the child Jewish?<span class="form-required">*</span> </label><label class="label-message" for="input_91"> </label></div><div id="cid_91" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_91_0" name="q91_input91" value="Yes" /><label id="label_input_91_0" for="input_91_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_91_1" name="q91_input91" value="No" /><label id="label_input_91_1" for="input_91_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_92"><div class="form-label-left" id="label_92"><label for="input_92"> Have there been any conversions or adoptions in the family?<span class="form-required">*</span> </label><label class="label-message" for="input_92"> </label></div><div id="cid_92" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_92_0" name="q92_input92" value="Yes" /><label id="label_input_92_0" for="input_92_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_92_1" name="q92_input92" value="No" /><label id="label_input_92_1" for="input_92_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_93"><div class="form-label-left" id="label_93"><label for="input_93"> Please specify rabbi and congregation </label><label class="label-message" for="input_93"> </label></div><div id="cid_93" class="form-input"> <textarea id="input_93" class="form-textarea" name="q93_input93" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_44"><div class="form-label-left" id="label_44"><label for="input_44"> Parent 1<span class="form-required">*</span> </label><label class="label-message" for="input_44"> </label></div><div id="cid_44" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q44_fullName44[first]" id="first_44" autocomplete="given-name" />  <label class="form-sub-label" for="first_44" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q44_fullName44[last]" id="last_44" autocomplete="family-name" />  <label class="form-sub-label" for="last_44" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_45"><div class="form-label-left" id="label_45"><label for="input_45"> Email<span class="form-required">*</span> </label><label class="label-message" for="input_45"> </label></div><div id="cid_45" class="form-input"> <input type="email" class=" form-textbox validate[required, Email]" id="input_45" name="q45_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_48"><div class="form-label-left" id="label_48"><label for="input_48"> Cell Phone </label><label class="label-message" for="input_48"> </label></div><div id="cid_48" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox" type="tel" name="q48_phoneNumber[full]" id="input_48_full" autocomplete="tel" />  <label class="form-sub-label" for="input_48_full"><span> </span></label></span></div> </div></li><li class="form-line" id="id_50"><div class="form-label-left" id="label_50"><label for="input_50"> Occupation<span class="form-required">*</span> </label><label class="label-message" for="input_50"> </label></div><div id="cid_50" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_50" name="q50_input50" size="20" value="" /> </div></li><li class="form-line" id="id_46"><div class="form-label-left" id="label_46"><label for="input_46"> Parent 2<span class="form-required">*</span> </label><label class="label-message" for="input_46"> </label></div><div id="cid_46" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q46_fullName46[first]" id="first_46" autocomplete="given-name" />  <label class="form-sub-label" for="first_46" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q46_fullName46[last]" id="last_46" autocomplete="family-name" />  <label class="form-sub-label" for="last_46" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_47"><div class="form-label-left" id="label_47"><label for="input_47"> Email<span class="form-required">*</span> </label><label class="label-message" for="input_47"> </label></div><div id="cid_47" class="form-input"> <input type="email" class=" form-textbox validate[required, Email]" id="input_47" name="q47_email47" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_49"><div class="form-label-left" id="label_49"><label for="input_49"> Cell Phone<span class="form-required">*</span> </label><label class="label-message" for="input_49"> </label></div><div id="cid_49" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox validate[required]" type="tel" name="q49_phoneNumber49[full]" id="input_49_full" autocomplete="tel" />  <label class="form-sub-label" for="input_49_full"><span> </span></label></span></div> </div></li><li class="form-line" id="id_51"><div class="form-label-left" id="label_51"><label for="input_51"> Occupation<span class="form-required">*</span> </label><label class="label-message" for="input_51"> </label></div><div id="cid_51" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_51" name="q51_input51" size="20" value="" /> </div></li><li class="form-line" id="id_52"><div class="form-label-left" id="label_52"><label for="input_52"> Address<span class="form-required">*</span> </label><label class="label-message" for="input_52"> </label></div><div id="cid_52" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-line" type="text" name="q52_address[addr_line1]" id="input_52_addr_line1" size="46" autocomplete="address-line1" />  <label class="form-sub-label" for="input_52_addr_line1" id="sublabel_52_addr_line1">Street Address</label></span></td></tr><tr style="display: none;"><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line no-validation" type="text" name="q52_address[addr_line2]" id="input_52_addr_line2" size="46" autocomplete="address-line2" />  <label class="form-sub-label" for="input_52_addr_line2" id="sublabel_52_addr_line2">Street Address Line 2</label></span></td></tr><tr><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-city" type="text" name="q52_address[city]" id="input_52_city" size="21" autocomplete="address-level2" />  <label class="form-sub-label" for="input_52_city" id="sublabel_52_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-state" type="text" name="q52_address[state]" id="input_52_state" size="22" autocomplete="address-level1" />  <label class="form-sub-label" for="input_52_state" id="sublabel_52_state">State</label></span></td></tr><tr><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-postal" type="text" name="q52_address[postal]" id="input_52_postal" size="10" autocomplete="postal-code" />  <label class="form-sub-label" for="input_52_postal" id="sublabel_52_postal">Zip Code</label></span></td><td style="display: none;"><span class="form-sub-label-container"><select class="form-dropdown validate[required] form-address-country" name="q52_address[country]" id="input_52_country" autocomplete="country-name"><option value="" selected="selected">Please Select</option><option value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="People's Republic of China">People's Republic of China</option><option value="Republic of China">Republic of China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Eswatini">Eswatini</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands">Falkland Islands</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Polynesia">French Polynesia</option><option value="Gabon">Gabon</option><option value="The Gambia">The Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guernsey">Guernsey</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jersey">Jersey</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="North Korea">North Korea</option><option value="South Korea">South Korea</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macau">Macau</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Mariana">Northern Mariana</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Pitcairn Islands">Pitcairn Islands</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Romania">Romania</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Barthelemy">Saint Barthelemy</option><option value="Saint Helena">Saint Helena</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Martin">Saint Martin</option><option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option><option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="Somaliland">Somaliland</option><option value="South Africa">South Africa</option><option value="South Ossetia">South Ossetia</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Svalbard">Svalbard</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tristan da Cunha">Tristan da Cunha</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="British Virgin Islands">British Virgin Islands</option><option value="US Virgin Islands">US Virgin Islands</option><option value="Wallis and Futuna">Wallis and Futuna</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option><option value="other">Other</option></select>  <label class="form-sub-label" for="input_52_country" id="sublabel_52_country">Country</label></span></td></tr></tbody></table> </div></li><li class="form-line" id="id_94"><div class="form-label-left" id="label_94"><label for="input_94"> Home Phone </label><label class="label-message" for="input_94"> </label></div><div id="cid_94" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox" type="tel" name="q94_phoneNumber94[full]" id="input_94_full" autocomplete="tel" />  <label class="form-sub-label" for="input_94_full"><span> </span></label></span></div> </div></li><li id="cid_53" class="form-input-wide"> <div class="form-header-group"><h2 id="header_53" class="form-header">Emergency Info</h2></div> </li><li class="form-line" id="id_54"><div class="form-label-left" id="label_54"><label for="input_54"> Emergency Contact<span class="form-required">*</span> </label><label class="label-message" for="input_54"> </label></div><div id="cid_54" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q54_fullName54[first]" id="first_54" autocomplete="given-name" />  <label class="form-sub-label" for="first_54" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q54_fullName54[last]" id="last_54" autocomplete="family-name" />  <label class="form-sub-label" for="last_54" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_55"><div class="form-label-left" id="label_55"><label for="input_55"> Phone Number<span class="form-required">*</span> </label><label class="label-message" for="input_55"> </label></div><div id="cid_55" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox validate[required]" type="tel" name="q55_phoneNumber55[full]" id="input_55_full" autocomplete="tel" />  <label class="form-sub-label" for="input_55_full"><span> </span></label></span></div> </div></li><li class="form-line" id="id_56"><div class="form-label-left" id="label_56"><label for="input_56"> Relation<span class="form-required">*</span> </label><label class="label-message" for="input_56"> </label></div><div id="cid_56" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_56" name="q56_input56" size="20" value="" /> </div></li><li class="form-line" id="id_57"><div class="form-label-left" id="label_57"><label for="input_57"> Is your child taking permanent medications?<span class="form-required">*</span> </label><label class="label-message" for="input_57"> </label></div><div id="cid_57" class="form-input"> <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_57_0" name="q57_input57" value="Yes" /><label id="label_input_57_0" for="input_57_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_57_1" name="q57_input57" value="No" /><label id="label_input_57_1" for="input_57_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_58"><div class="form-label-left" id="label_58"><label for="input_58"> Any known allergies (incl. reactions to medications) and any present medical conditions?<span class="form-required">*</span> </label><label class="label-message" for="input_58"> </label></div><div id="cid_58" class="form-input"> <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_58_0" name="q58_input58" value="Yes" /><label id="label_input_58_0" for="input_58_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_58_1" name="q58_input58" value="No" /><label id="label_input_58_1" for="input_58_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_59"><div class="form-label-left" id="label_59"><label for="input_59"> Please explain<span class="form-required">*</span> </label><label class="label-message" for="input_59"> </label></div><div id="cid_59" class="form-input"> <textarea id="input_59" class="form-textarea validate[required]" name="q59_input59" cols="40" rows="4"></textarea> </div></li><li id="cid_63" class="form-input-wide"> <div class="form-header-group"><h2 id="header_63" class="form-header">General Info</h2></div> </li><li class="form-line" id="id_64"><div class="form-label-left" id="label_64"><label for="input_64"> Other Person Authorized to Pick Up Child </label><label class="label-message" for="input_64"> </label></div><div id="cid_64" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q64_fullName64[first]" id="first_64" autocomplete="given-name" />  <label class="form-sub-label" for="first_64" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q64_fullName64[last]" id="last_64" autocomplete="family-name" />  <label class="form-sub-label" for="last_64" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_65"><div class="form-label-left" id="label_65"><label for="input_65"> Phone Number </label><label class="label-message" for="input_65"> </label></div><div id="cid_65" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox" type="tel" name="q65_phoneNumber65[full]" id="input_65_full" autocomplete="tel" />  <label class="form-sub-label" for="input_65_full"><span> </span></label></span></div> </div></li><li class="form-line" id="id_66"><div class="form-label-left" id="label_66"><label for="input_66"> Relation </label><label class="label-message" for="input_66"> </label></div><div id="cid_66" class="form-input"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_66" name="q66_input66" size="20" value="" /> </div></li><li class="form-line" id="id_67"><div class="form-label-left" id="label_67"><label for="input_67"> Trip Authorization<span class="form-required">*</span> </label><label class="label-message" for="input_67"> </label></div><div id="cid_67" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_67_0" name="q67_input67[]" value="I give permission for my child to participate on class trips throughout the school year" /><label id="label_input_67_0" for="input_67_0"><span>I give permission for my child to participate on class trips throughout the school year</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_116" class="form-input-wide"> <div class="form-header-group"><h2 id="header_116" class="form-header">6th &amp; 7th grade Shabbaton</h2></div> </li><li class="form-line" id="id_117"><div id="cid_117" class="form-input-wide"> <div id="text_117" class="form-html"><p>Students in the 6th &amp; 7th grades will be taking part in a Shabbaton weekend in March 2027. </p>

<p>The schedule will include action-filled activities, thrilling shows, exciting carnivals, trips, beautiful Shabbat meals, and so much more. The stunning conclusion is the on-stage International JewQ Championship. More details to follow.</p>
</div> </div></li><li class="form-line" id="id_118"><div class="form-label-left" id="label_118"><label for="input_118"> Shabbaton Pricing </label><label class="label-message" for="input_118"> </label></div><div id="cid_118" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_118_0" name="q118_input118" value="Regular Price: $625" /><label id="label_input_118_0" for="input_118_0"><span>Regular Price: $625</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_118_1" name="q118_input118" value="Partial Subsidy: $475" /><label id="label_input_118_1" for="input_118_1"><span>Partial Subsidy: $475</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_118_2" name="q118_input118" value="Subsidized Rate: $375" /><label id="label_input_118_2" for="input_118_2"><span>Subsidized Rate: $375</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_68" class="form-input-wide"> <div class="form-header-group"><h2 id="header_68" class="form-header">Tuition and Billing</h2></div> </li><li class="form-line" id="id_69"><div id="cid_69" class="form-input-wide"> <div id="text_69" class="form-html"><h3>Tuition</h3>

<p><b>Hebrew School Primary Program:</b> </p>

<p>New York Hebrew Tots: $1650</p>

<p>PreK &amp; Kindergarten: $1850 + $75 Book Fee</p>

<p>Grades 1 through 5: $2075 + $75 Book Fee</p>

<p>Grades 6 and 7: $2350 + $75 Book Fee</p>

<p><b>Bat Mitzvah Academy:</b> $950 + $25 Book Fee</p>

<p><b>Bar Mitzvah Academy:</b> $450 + $25 Book Fee</p>

<p>Tuition fee covers all weekly programs, both Hebrew language &amp; Jewish programs, snacks &amp; drinks.</p>

<p><em>No child will be turned away due to lack of funds. Please contact the office at office@nyhebrewschool.org to discuss further.</em></p>

<h3>Program &amp; Tuition Agreement</h3>

<p>I hereby confirm my child’s enrollment in New York Hebrew’s afternoon school.</p>

<p>I represent that I am the custodial parent or legal guardian of the child that I am enrolling and that the information</p>

<p>I have provided is true and correct. I agree to New York Hebrew’s terms and conditions as outlined in the Parent Handbook (mailed to parents).</p>

<p>I fully understand that this enrollment, as part of my commitment to a long-term Jewish education at New York Hebrew, is accepted only on the basis of the full year program, and agree to pay the full annual fees accordingly. I understand that no refunds or adjustments will be made for absences including, but not limited to, illness or vacation.</p>
</div> </div></li><li class="form-line" id="id_70"><div class="form-label-left" id="label_70"><label for="input_70"> Signature of Parent or Legal Guardian<span class="form-required">*</span> </label><label class="label-message" for="input_70"> </label></div><div id="cid_70" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_70" name="q70_input70" size="20" value="" /> </div></li><li class="form-line" id="id_71"><div class="form-label-left" id="label_71"><label for="input_71"> Date<span class="form-required">*</span> </label><label class="label-message" for="input_71"> </label></div><div id="cid_71" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_71" name="q71_input71" size="20" value="" /> </div></li><li id="cid_72" class="form-input-wide"> <div class="form-header-group"><h2 id="header_72" class="form-header">Payment Info</h2></div> </li><li class="form-line" id="id_84"><div id="cid_84" class="form-input-wide"> <div id="text_84" class="form-html"><p>There is the option of paying for tuition in two installments. Payment #1 is due before September 15, 2026 and payment # 2 is due prior to December 15, 2026. Please make sure to click the $150 deposit option to enable that.</p>
</div> </div></li><li class="form-line" id="id_83"><div class="form-label-left" id="label_83"><label for="input_83"> Promo Code </label><label class="label-message" for="input_83"> </label></div><div id="cid_83" class="form-input"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_83" name="q83_input83" size="20" value="" /> </div></li><li class="form-line always-hidden" id="id_115"><div class="form-label-left" id="label_115"><label for="input_115"> Discount Amount </label><label class="label-message" for="input_115"> </label></div><div id="cid_115" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_115" name="q115_number115" style="width:60px" size="5" value="-175" data-type="input-number" autocomplete="nope" min="-175" data-numbermin="-175" max="-175" data-numbermax="-175" /> </div></li><li class="form-line" id="id_85"><div class="form-label-left" id="label_85"><label for="input_85"> Total </label></div><div id="cid_85" class="form-input"> <div id="total_amount">$0.00 </div><br /><div class="clearfix form-single-column top_padding" id="payformWrapper"><label class="form-header form-label-left">I would like to pay today:</label><span class="form-radio-item"><label><input type="radio" class="form-radio validate[partialPayment]" value="full" name="partial" checked="checked" id="input_partial_1" />Full amount</label></span><span class="form-radio-item"><input type="radio" class="form-radio validate[partialPayment]" value="minimum" name="partial" id="input_partial_2" /><label for="input_partial_2"><span>$<span id="payformMin">150.00</span>  minimum</span></label></span><span class="form-radio-item"><label><input type="radio" class="form-other form-radio validate[partialPayment]" value="custom" name="partial" id="other_partial" />$<input type="text" onclick="document.getElementById('other_partial').checked = true" class="form-radio-other-input validate[customPartial]" id="input_partial" name="partialamount" data-otherhint="Other" onkeypress="validateNumber(event)" /> </label></span></div> </div></li><li class="form-line" id="id_73"><div class="form-label-left" id="label_73"><label for="input_73"> Payment </label><label class="label-message" for="input_73"> </label></div><div id="cid_73" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"></td></tr><tr class="credit_card "><th colspan="2">Credit Card</th></tr><tr class="credit_card "><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express, Discover</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div><div class="cc-icon discover-icon"></div></div><input type="hidden" name="q73_payment[cc_type]" id="input_73_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[visible, creditcard]" type="text" name="q73_payment[cc_number]" id="input_73_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_73_cc_number" id="sublabel_cc_number">Credit Card Number</label></span></div></td><td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q73_payment[cc_ccv]" id="input_73_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_73_cc_ccv" id="sublabel_cc_ccv">Security Code</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q73_payment[cc_nameOnCard]" id="input_73_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_73_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card "><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q73_payment[cc_exp_month]" id="input_73_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_73_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q73_payment[cc_exp_year]" id="input_73_cc_exp_year" autocomplete="cc-exp-year"><option></option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option><option value="2035">2035</option></select>  <label class="form-sub-label" for="input_73_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="billing_address "><th colspan="2">Billing Address</th></tr><tr class="billing_address "><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line" type="text" name="q73_payment[addr_line1]" id="input_73_addr_line1" autocomplete="billing address-line1" />  <label class="form-sub-label" for="input_73_addr_line1" id="sublabel_73_addr_line1">Street Address</label></span></td></tr><tr class="billing_address "><td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-city" type="text" name="q73_payment[city]" id="input_73_city" autocomplete="billing address-level2" />  <label class="form-sub-label" for="input_73_city" id="sublabel_73_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox form-address-state" type="text" name="q73_payment[state]" id="input_73_state" autocomplete="billing address-level1" />  <label class="form-sub-label" for="input_73_state" id="sublabel_73_state">State</label></span></td></tr><tr class="billing_address "><td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-postal" type="text" name="q73_payment[postal]" id="input_73_postal" size="10" autocomplete="billing postal-code" />  <label class="form-sub-label" for="input_73_postal" id="sublabel_73_postal">Zip Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown form-address-country" name="q73_payment[country]" id="input_73_country" autocomplete="billing country-name"><option value="" selected="selected">Please Select</option><option selected="selected" value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="People's Republic of China">People's Republic of China</option><option value="Republic of China">Republic of China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Eswatini">Eswatini</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands">Falkland Islands</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Polynesia">French Polynesia</option><option value="Gabon">Gabon</option><option value="The Gambia">The Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guernsey">Guernsey</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jersey">Jersey</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="North Korea">North Korea</option><option value="South Korea">South Korea</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macau">Macau</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Mariana">Northern Mariana</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Pitcairn Islands">Pitcairn Islands</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Romania">Romania</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Barthelemy">Saint Barthelemy</option><option value="Saint Helena">Saint Helena</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Martin">Saint Martin</option><option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option><option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="Somaliland">Somaliland</option><option value="South Africa">South Africa</option><option value="South Ossetia">South Ossetia</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Svalbard">Svalbard</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tristan da Cunha">Tristan da Cunha</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="British Virgin Islands">British Virgin Islands</option><option value="US Virgin Islands">US Virgin Islands</option><option value="Wallis and Futuna">Wallis and Futuna</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option><option value="other">Other</option></select>  <label class="form-sub-label" for="input_73_country" id="sublabel_73_country">Country</label></span></td></tr></tbody></table> </div></li><li id="cid_74" class="form-input-wide"> <div class="form-header-group"><h2 id="header_74" class="form-header">Disclaimer</h2></div> </li><li class="form-line" id="id_75"><div id="cid_75" class="form-input-wide"> <div id="text_75" class="form-html"><p><b>Accident:</b> As the parent(s) or legal guardian of the above child/ren, I/we authorize any adult acting on behalf of NY Hebrew School 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, NY Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment.</p>

<p><b>Trips and Outings:</b> I hereby give permission for my child to attend and participate in all trips and outings organised as part of the program by NY Hebrew.</p>

<p><b>Privacy:</b> I hereby give permission for my child’s photographs/videos to be used in newsletters, local newspapers, NY Hebrew website or for promotion of our program.</p>
</div> </div></li><li class="form-line" id="id_76"><div class="form-label-left" id="label_76"><label for="input_76"> Signature of Parent or Legal Guardian<span class="form-required">*</span> </label><label class="label-message" for="input_76"> </label></div><div id="cid_76" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_76" name="q76_input76" size="20" value="" /> </div></li><li class="form-line" id="id_77"><div class="form-label-left" id="label_77"><label for="input_77"> Date<span class="form-required">*</span> </label><label class="label-message" for="input_77"> </label></div><div id="cid_77" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_77" name="q77_input77" size="20" value="" /> </div></li><li id="cid_78" class="form-input-wide"> <div class="form-header-group"><h2 id="header_78" class="form-header">Additional Comments</h2></div> </li><li class="form-line" id="id_87"><div class="form-label-left" id="label_87"><label for="input_87"> Comments </label><label class="label-message" for="input_87"> </label></div><div id="cid_87" class="form-input"> <textarea id="input_87" class="form-textarea" name="q87_input87" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_86"><div class="form-label-left" id="label_86"><label for="input_86"> Pick Up Service &amp; Earlycare </label><label class="label-message" for="input_86"> </label></div><div id="cid_86" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_86_0" name="q86_input86[]" value="I would like to have my child picked up from school - $325 per child" /><label id="label_input_86_0" for="input_86_0"><span>I would like to have my child picked up from school - $325 per child</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_88"><div class="form-label-left" id="label_88"><label for="input_88"> No. of Children to pick up </label><label class="label-message" for="input_88"> $325 per child</label></div><div id="cid_88" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_88" name="q88_number88" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_80"><div class="form-label-left" id="label_80"><label for="input_80"> Would you like to join our philanthropic leadership circle that donates $360 to the NY Hebrew scholarship fund? </label><label class="label-message" for="input_80"> </label></div><div id="cid_80" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_80_0" name="q80_input80" value="Yes" /><label id="label_input_80_0" for="input_80_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_80_1" name="q80_input80" value="No" /><label id="label_input_80_1" for="input_80_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_81"><div class="form-label-left" id="label_81"><label for="input_81"> Would you like to sponsor a full scholarship of $2150 for a child to attend NY Hebrew? </label><label class="label-message" for="input_81"> </label></div><div id="cid_81" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_81_0" name="q81_input81" value="Yes" /><label id="label_input_81_0" for="input_81_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_81_1" name="q81_input81" value="No" /><label id="label_input_81_1" for="input_81_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_82"><div class="form-label-left" id="label_82"><label for="input_82"> Referred By </label><label class="label-message" for="input_82"> </label></div><div id="cid_82" class="form-input"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_82" name="q82_input82" size="20" value="" /> </div></li><li class="form-line" id="id_2"><div id="cid_2" class="form-input-wide"> <div style="text-align: center; text-indent:156px;" class="form-buttons-wrapper button-align-auto"><button id="input_2" type="submit" class="form-submit-button  form-submit-button-none;">Submit</button></div> </div></li><li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li></ul></div><input type="hidden" id="simple_spc" name="simple_spc" value="5992600" /><script type="text/javascript">document.getElementById("si"+"mple"+"_spc").value = "5992600-5992600";</script><div>


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