Returning Families Park Hebrew Enrollment

We are currently accepting application forms for the 2026-27 school year.

Thank you for once again choosing Park Hebrew!

1. Fill out the enrollment form
2. A tuition link will follow.

You will receive a welcome packet including the parent handbook and School calendar at the end of August.

Name and Address

Household Name *

Email *

Street Address (Home) *

City (Home) *

Postal Code (Home) *

Country (Home) *

State (Home) *

Emergency Contact Name *

Emergency Contact Phone Number *

Emergency Contact relation to student(s) *

Mother or Parent #1 Information

Name *

Email *

Cell Phone *

Was the biological mother of the child born Jewish? *

Yes

No

Child #1 Information

Child's Name *

Hebrew Name *

Birth Date* *

School your child attends *

Grade entering *

Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed. *

Child #2 Information

Child's Name

Hebrew Name

Birth Date

School your child attends

Grade Entering

Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.

General Information

Are there any adoptions or religious conversions in the family ( Ex: parents, grandparent, child)? *

Yes

No

If you answered yes to the above, please indicate who is adopted or converted and by which Beit Din

Is there anything else you'd like us to know about your child/children?

Be a part of it! Does either parent have a skill or resource they would like to volunteer/offer to Park Hebrew?

Medical release Form

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad of Lincoln Park's Park Hebrew to treat, 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, Park Hebrew personnel will try, but are not required, to communicate with me prior to such treatment.

Electronic signature *

Signature Date

Permissions

I/we understand that my/our child(ren) may be included in photographs and video footage that may be photographed or filmed during Park Hebrew. I authorize Park Hebrew and Chabad of Lincoln Park to use these photos/videos to promote its programs.

I agree

Payment

Upon filling out this form you will receive a link to set up your tuition payments

Tuition is $1,500.00 (Early Bird of 1,400.00 Before August 23rd) and includes complete year of Park Hebrew book fees, supplies and snacks. Tuition is non-refundable.

We believe that all Jewish children should have access to the best Jewish education. Funds shouldn't get in the way, period. If you feel you are in need of a scholarship, please visit our scholarship fund page and fill out the application form.

Payment

Chabad Lincoln Park