Application Form

STUDENT INFORMATION |
Full Name*

First Name Last Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*

Area Code Phone Number
Birth Date*

Month Day Year
Hebrew Birth Date*
Age*
Entering Grade*
EDUCATIONAL HISTORY |
Previous School
Does your child have any learning difficulties or anything that we should be aware of?*

YesNo
If Yes, Please Explain
*If your child is transferring from another school, records must be emailed to [email protected] to complete the application process.
PARENT INFORMATION |
Father's Name*

First Name Last Name
Contact Number*

Area Code Phone Number
Occupation*
E-mail*
Mother's Name*

First Name Last Name
Contact Number*

Area Code Phone Number
Occupation*
E-mail*
Registration Fee*

$500
FEE & AGREEMENT |

Payment*

Credit Card Paypal Check

Postal / Zip Code

Country

Agreement*

I understand that my deposit implies a commitment to Cheder Menachem for the duration of the school year. I will still be required to complete my tuition commitment even if I pull out my child during the course of the year.I understand that tuition commitment also includes Chanukah Gelt, Tzivos Hashem fees and occasional field trips.
Electronic Signature*
Anash Families | Click here to download the form for Anash families. Please email this form to [email protected].
Families Who Are New Jersey Residents |

Under the provisions of N.J.S.A. 18A: 58-37.1 et seq., I hereby request the North Brunswick School District to loan textbooks to Cheder Menachem in which my child is enrolled. I certify that my above named child and I are residents of the State of New Jersey; I understand that the Board of Education of the public school district in which the nonpublic school is located with state funding is responsible for providing the loan of textbooks to nonpublic school pupils pursuant to law and regulations.
Electronic Signature*
For your protection and privacy, we request your permission to use your child's picture in publications and/or on the Internet, should we desire
Permissions*

I give permission to use my child's picture on the Internet and/or in Cheder publications.
Permissions*

I have read and received a copy of the parent handbook and discipline policy and agree to follow Cheder policies and procedure.
Permissions*

I have read and received a copy of the Policy on the Release of Children.
Permissions*

I have read and received a copy of the school's Expulsion Policy.
Permissions*

I have read and received a copy of the school's Policy on the Use of Technology & Social Media.
Permissions*

I have read and received a copy of the school's Policy on Communicable Diseases.
Permissions*

I have read and received a copy of the Information to Parents document.
Permissions*

I have read and received a copy of the school's policy on Methods of Parental Notification.
For more information regarding policies click here:
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Cheder At A Glance

Application Form

State Of The Art Facility

All Encompassing Curriculum

Passionate Teachers & Volunteers To Inspire, To Build, & To Give

Small Classes, High Student-Teacher Ratio

Music, Art, Dance, Physical Education & Drama

Warm Nurturing Environment To Inspire Love For Learning