Chabad Hebrew School Registration Form Please submit a separate form for each child you are registering.   About the child Childs Name:     Hebrew Name:     Birth date:     School Currently Attending:     Does you child read basic Hebrew? No Yes   If you chose yes, please rate his or her reading level: ` Above Average Average Below Average About the child's family Parent's Name:     Are you, or any family members, affiliated with any other synagogues or Jewish organizations? No Yes If you chose yes, please specify: Were there any conversions or adoptions in your family? No Yes   If you chose yes, please explain: Is the natural mother of the child Jewish? Yes No In case of an Emergency, who should we contact: Name:     Telephone:     Home Information:  Address     Apt.   City     State     Zip   Home Phone   Email Address Additional Comments: