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I have completed the Enrollment Form and agree to pay any balance according to the terms of agreement outlined above.\u003c/p\u003e\n","6_name":"doubleclickTo","6_qid":6,"6_type":"control_text","6_order":16,"5_text":"","5_message":"","5_labelAlign":"Auto","5_required":"No","5_options":"I accept","5_special":"None","5_allowOther":"No","5_otherText":"Other","5_calculateOther":"No","5_spreadCols":"1","5_selected":"","5_minSelection":"","5_maxSelection":"","5_description":"","5_name":"input5","5_qid":5,"5_type":"control_checkbox","5_order":17,"7_text":"Name","7_message":"","7_labelAlign":"Auto","7_required":"No","7_size":20,"7_validation":"None","7_maxsize":"","7_inputTextMask":"","7_defaultValue":"","7_subLabel":"","7_hint":" ","7_description":"","7_readonly":"No","7_name":"input7","7_qid":7,"7_type":"control_textbox","7_order":18,"8_text":"Initials","8_message":"","8_labelAlign":"Auto","8_required":"No","8_size":20,"8_validation":"None","8_maxsize":"","8_inputTextMask":"","8_defaultValue":"","8_subLabel":"","8_hint":" ","8_description":"","8_readonly":"No","8_name":"input8","8_qid":8,"8_type":"control_textbox","8_order":19,"9_text":"\u003cp\u003e\u003cspan style=\"color:#f39c12;\"\u003e\u003cstrong\u003e\u003cem\u003eWe look forward to a wonderful year of learning and growth!\u003c/em\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/p\u003e\n","9_name":"doubleclickTo9","9_qid":9,"9_type":"control_text","9_order":20,"2_text":"Submit","2_buttonAlign":"Auto","2_clear":"Yes","2_print":"No","2_name":"submit","2_qid":2,"2_type":"control_button","2_order":21,"form_title":"Enrollment Form for Chabad of Lake Worth Hebrew School ~ 2025-2026","form_pagetitle":"Form","form_styles":"nova","form_font":"","form_fontsize":"14","form_fontcolor":"","form_optioncolor":"","form_lineSpacing":"12","form_background":"","form_formWidth":"685","form_labelWidth":"150","form_alignment":"Left","form_thankurl":"","form_thanktext":"","form_highlightLine":"Enabled","form_activeRedirect":"default","form_sendpostdata":"No","form_unique":"None","form_uniqueField":"\u003cField Id\u003e","form_status":"Enabled","form_injectCSS":"","form_hideMailEmptyFields":"disable","form_showProgressBar":"disable","form_formStrings":[{"required":"This field is required","requireOne":"At least one field required","requireEveryRow":"Every row is required","alphabetic":"This field can only contain letters","numeric":"This field can only contain numeric values","alphanumeric":"This field can only contain letters and numbers","incompleteFields":"There are incomplete required fields. 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<form class="userform-form" action="" method="post" name="form_6906513" id="6906513" accept-charset="utf-8"><input type="hidden" name="formID" value="6906513" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li id="cid_20" class="form-input-wide"> <div class="form-header-group"><h2 id="header_20" class="form-header">Enrollment Form for Chabad of Lake Worth Hebrew School ~ 2026-2027</h2></div> </li><li class="form-line" id="id_10"><div id="cid_10" class="form-input-wide"> <div id="text_10" class="form-html"><p class="SectionTitle_Orange" style="text-align:left; margin-bottom:15px"><span style="font-family:Arial,Helvetica Neue,Helvetica,sans-serif;"><span style="font-size:16px"><span style="box-sizing:inherit"><span style="color:#000000"><span style="line-height:26px"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="box-sizing:inherit"><font size="2"><font style="box-sizing:inherit">We are currently accepting application forms of returning students for the 2026-2027 school year. Please fill out this short form. If you have any questions or concerns you'd like to discuss with us, please contact us.</font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p>
</div> </div></li><li class="form-line" id="id_18"><div id="cid_18" class="form-input-wide"> <div id="text_18" class="form-html"><p><span style="color:#f39c12;"><span style="font-size:16px;"><em><strong>Student 1</strong></em></span></span></p>
</div> </div></li><li class="form-line" id="id_1"><div class="form-label-left" id="label_1"><label for="input_1"> Full Name </label><label class="label-message" for="input_1"> </label></div><div id="cid_1" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q1_fullName[first]" id="first_1" autocomplete="given-name" />  <label class="form-sub-label" for="first_1" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q1_fullName[last]" id="last_1" autocomplete="family-name" />  <label class="form-sub-label" for="last_1" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_3"><div class="form-label-left" id="label_3"><label for="input_3"> Birth Date </label><label class="label-message" for="input_3"> </label></div><div id="cid_3" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q3_birthDate[month]" id="input_3_month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_3_month" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q3_birthDate[day]" id="input_3_day"><option></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select>  <label class="form-sub-label" for="input_3_day" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q3_birthDate[year]" id="input_3_year"><option></option><option value="2022">2022</option><option value="2021">2021</option><option value="2020">2020</option><option value="2019">2019</option><option value="2018">2018</option><option value="2017">2017</option><option value="2016">2016</option><option value="2015">2015</option><option value="2014">2014</option><option value="2013">2013</option><option value="2012">2012</option></select>  <label class="form-sub-label" for="input_3_year" id="sublabel_year">Year</label></span></div> </div></li><li class="form-line" id="id_4"><div class="form-label-left" id="label_4"><label for="input_4"> Grade Entering </label><label class="label-message" for="input_4"> </label></div><div id="cid_4" class="form-input"> <select class="form-dropdown" style="width:150px" id="input_4" name="q4_input4"><option value=""></option><option value="Pre-K (EC4)">Pre-K (EC4)</option><option value="Kindergarten">Kindergarten</option><option value="First">First</option><option value="Second">Second</option><option value="Third">Third</option><option value="Fourth">Fourth</option><option value="Fifth">Fifth</option><option value="Sixth">Sixth</option><option value="CT Junior (7th &amp; 8th Grade)">CT Junior (7th &amp; 8th Grade)</option></select> </div></li><li class="form-line" id="id_19"><div id="cid_19" class="form-input-wide"> <div id="text_19" class="form-html"><p><span style="color:#f39c12;"><span style="font-size:16px;"><em><strong>Student 2</strong></em></span></span></p>
</div> </div></li><li class="form-line" id="id_15"><div class="form-label-left" id="label_15"><label for="input_15"> Full Name </label><label class="label-message" for="input_15"> </label></div><div id="cid_15" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q15_fullName15[first]" id="first_15" autocomplete="given-name" />  <label class="form-sub-label" for="first_15" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q15_fullName15[last]" id="last_15" autocomplete="family-name" />  <label class="form-sub-label" for="last_15" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_16"><div class="form-label-left" id="label_16"><label for="input_16"> Birth Date </label><label class="label-message" for="input_16"> </label></div><div id="cid_16" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q16_birthDate16[month]" id="input_16_month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_16_month" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q16_birthDate16[day]" id="input_16_day"><option></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select>  <label class="form-sub-label" for="input_16_day" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q16_birthDate16[year]" id="input_16_year"><option></option><option value="2022">2022</option><option value="2021">2021</option><option value="2020">2020</option><option value="2019">2019</option><option value="2018">2018</option><option value="2017">2017</option><option value="2016">2016</option><option value="2015">2015</option><option value="2014">2014</option><option value="2013">2013</option><option value="2012">2012</option></select>  <label class="form-sub-label" for="input_16_year" id="sublabel_year">Year</label></span></div> </div></li><li class="form-line" id="id_17"><div class="form-label-left" id="label_17"><label for="input_17"> Grade Entering </label><label class="label-message" for="input_17"> </label></div><div id="cid_17" class="form-input"> <select class="form-dropdown" style="width:150px" id="input_17" name="q17_input17"><option value=""></option><option value="Pre-K (EC4)">Pre-K (EC4)</option><option value="Kindergarten">Kindergarten</option><option value="First">First</option><option value="Second">Second</option><option value="Third">Third</option><option value="Fourth">Fourth</option><option value="Fifth">Fifth</option><option value="Sixth">Sixth</option><option value="CT Junior (7th &amp; 8th Grade)">CT Junior (7th &amp; 8th Grade)</option></select> </div></li><li class="form-line" id="id_11"><div id="cid_11" class="form-input-wide"> <div id="text_11" class="form-html"><p><span style="font-size:16px;"><span style="color:#f39c12;"><em><strong>Cost:</strong></em></span></span></p>

<p>$700 per child ($100 non-refundable registration fee will be deducted from tuition)<br />
$50 security fee (per child)</p>
</div> </div></li><li class="form-line" id="id_12"><div class="form-label-left" id="label_12"><label for="input_12"> Amount to Charge: </label><label class="label-message" for="input_12"> Min. due: $100 non refundable registration fee (This fee will be deducted from tuition)</label></div><div id="cid_12" class="form-input"> <div class="form-single-column"><span class="form-radio-item simple-mode"><label id="label_input_12" for="input_12"><span>$</span></label><input type="number" class="form-textbox" id="input_12" name="q12_input12" value="" onkeypress="validateNumber(event)" /></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_21"><div class="form-label-left" id="label_21"><label for="input_21"> Total </label></div><div id="cid_21" class="form-input"> <div id="total_amount">$0.00 </div> </div></li><li class="form-line" id="id_13"><div class="form-label-left" id="label_13"><label for="input_13"> Payment </label><label class="label-message" for="input_13"> </label></div><div id="cid_13" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_13_creditCard" name="q13_payment[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" /><label for="input_13_creditCard">Credit Card</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_13_other" name="q13_payment[payment_method]" value="other" onclick="BuildSource.other(this)" /><label for="input_13_other">Check or Zelle</label> </span></td></tr><tr class="credit_card hide"><th colspan="2">Credit Card</th></tr><tr class="credit_card hide"><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express, Discover</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div><div class="cc-icon discover-icon"></div></div><input type="hidden" name="q13_payment[cc_type]" id="input_13_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[visible, creditcard]" type="text" name="q13_payment[cc_number]" id="input_13_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_13_cc_number" id="sublabel_cc_number">Credit Card Number</label></span></div></td><td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q13_payment[cc_ccv]" id="input_13_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_13_cc_ccv" id="sublabel_cc_ccv">Security Code</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q13_payment[cc_nameOnCard]" id="input_13_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_13_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card hide"><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q13_payment[cc_exp_month]" id="input_13_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_13_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q13_payment[cc_exp_year]" id="input_13_cc_exp_year" autocomplete="cc-exp-year"><option></option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option><option value="2035">2035</option></select>  <label class="form-sub-label" for="input_13_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="other hide"><td colspan="2">Please make checks payable to Chabad of Lake Worth. For Zelle payments: chabadlakeworth@gmail.com</td></tr><tr class="billing_address hide"><th colspan="2">Billing Address</th></tr><tr class="billing_address hide"><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line" type="text" name="q13_payment[addr_line1]" id="input_13_addr_line1" autocomplete="billing address-line1" />  <label class="form-sub-label" for="input_13_addr_line1" id="sublabel_13_addr_line1">Street Address</label></span></td></tr><tr class="billing_address hide"><td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-city" type="text" name="q13_payment[city]" id="input_13_city" autocomplete="billing address-level2" />  <label class="form-sub-label" for="input_13_city" id="sublabel_13_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox form-address-state" type="text" name="q13_payment[state]" id="input_13_state" autocomplete="billing address-level1" />  <label class="form-sub-label" for="input_13_state" id="sublabel_13_state">State / Province</label></span></td></tr><tr class="billing_address hide"><td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-postal" type="text" name="q13_payment[postal]" id="input_13_postal" size="10" autocomplete="billing postal-code" />  <label class="form-sub-label" for="input_13_postal" id="sublabel_13_postal">Postal / Zip Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown form-address-country" name="q13_payment[country]" id="input_13_country" autocomplete="billing country-name"><option value="" selected="selected">Please Select</option><option value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option 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value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tristan da Cunha">Tristan da Cunha</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="British Virgin Islands">British Virgin Islands</option><option value="US Virgin Islands">US Virgin Islands</option><option value="Wallis and Futuna">Wallis and Futuna</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option><option value="other">Other</option></select>  <label class="form-sub-label" for="input_13_country" id="sublabel_13_country">Country</label></span></td></tr></tbody></table> </div></li><li class="form-line" id="id_14"><div id="cid_14" class="form-input-wide"> <div id="text_14" class="form-html"><p><span style="font-size:11px;"><em>A 3% surcharge will be added to all payments made by credit card.</em></span></p>
</div> </div></li><li class="form-line" id="id_6"><div id="cid_6" class="form-input-wide"> <div id="text_6" class="form-html"><p><span style="color:#f39c12;"><span style="font-size:16px;"><em><strong>Terms of Agreement:</strong></em></span></span></p>

<p>In the event of an emergency, Chabad Hebrew School has my permission to arrange for any necessary first-aid or care by a licensed physician/first-aid worker. Chabad Hebrew School has my permission to use my child's photo in its publicity materials. I have completed the Enrollment Form and agree to pay any balance according to the terms of agreement outlined above.</p>
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