RE-enrollment - Chabad Central Marin

Student Information
Full Name* Child 1
First Name Last Name
Grade child is entering*
Full Name Child 2
First Name Last Name
Grade child is entering
Photo and Video Release
I give permission for my child to be photographed and/or recorded during Hebrew School activities and for these photos and videos to be used by Hebrew School and Chabad of Central Marin for promotional purposes, including on websites, social media, and other promotional materials.
Parent/Guardian Signature*
I would like to pay*

Pay the full tuition of $750 nowPay in 2 installments of $375

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%
I would like to receive news and updates by email
Should be Empty:

This page uses TLS encryption to keep your data secure.

Student Information