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We’re so glad you’re here!
Thank you for your interest in the Chabad Garden School. Please take a moment to fill out the form below. Someone from our admissions team will be in touch soon to answer your questions and help you learn more about our school community.

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Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Work Phone
  • Cell Phone
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Work Phone
  • Cell Phone
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone
  • How Did You Hear About Us? *
    Details:
  • Are you looking for Full Time (7:30am-5:30pm) or School Day (9am-1pm or 9am-3pm) hours?

    *
  • What is the religious affiliation of the child(ren)'s first parent?

    *
  • What is the religious affiliation of the child(ren)'s second parent?

    *
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Email Address
    Confirm Email Address
  • Grade Level of Interest *
    School Year *
  • Current School
  • How many days per week would you like to enroll your child? 

    *
  • If part week (3 or 4 days), do you have flexibility/preference/need for specific days?

  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •