Current Hebrew School Students Renewal Form

Please fill out the information below so that we may update our records

Parent's Name(Required)

First Last

Email(Required)

Child's Name(Required)

First Last

Child's Shirt Size(Required)

Child's Name

First Last

Child's Shirt Size

I hereby give permission for my child(ren) to attend and participate in all trips and outings organized as part of the Hebrew School Program.(Required)

Yes

I would like to be notified per trip and/or outing

I hereby give permission for my child(ren)’s photographs/videos to be used on our social media, website and for promotional purposes.(Required)

Yes

Medical Details: Is your child taking permanent medications?(Required)

Yes – if so please write the names below

Other

Medical Details: Any known allergies (incl. reactions to medications)(Required)

Yes – if so please write the details below

Other

What is the protocol should your child encounter their allergy?

Pick Up – The following people are authorized to pick up my child(ren) after Hebrew School:(Required)

By completing the payment below your child(ren) will be fully enrolled to the Moise Safra Center Hebrew School for the 2025-2026 year!

Moise Safra Center Member | 1 Child $1,700
Moise Safra Center Member | 2 Children $3,400
Non-Member | 1 Child $2,150
Non-Member | 2 Children $4,300
Please reach out for our sibling discount and/or scholarship opportunities.

Textbook fee of $75/child
Textbook fee will be waived for those who apply by June 30th, 2025

Would you like to pay by check or credit card? Please note by choosing Credit Card a 3% fee will be added(Required)

Credit Card

Check

Please make your check out to The Moise Safra Center. Please put your child(ren)’s name in the memo section.
It can be mailed to: The Moise Safra Center c/o Hebrew School 130 East 82nd Street New York, NY 10025

Pricing- Please pick the appropriate choice(Required)

Total

Credit Card

Login to Moise Safra Center

Current Hebrew School Students Renewal Form

Current Hebrew School Students Renewal Form

weekly schedule