<!DOCTYPE html>

<html xmlns="http://www.w3.org/1999/xhtml" lang="he" xml:lang="he">
<head>
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta http-equiv="Content-Language" content="he" />

<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0" />
<meta name="keywords" content="הרשמה,להיברו,לסקול," />
<meta name="title" content="הרשמה להיברו לסקול - Chabad Israeli Center of Rockville" />
<meta property="og:type" content="website" />
<meta name="scope-aids" content="594697-3398779-594707-6021344-5580299-7396408" />
<meta name="article-keywords" content="16026-2185-16403-20429-8495-21976-2170-2898-20962" />
<meta name="scope-aid" content="594697" />
<meta name="scope-aid" content="3398779" />
<meta name="scope-aid" content="594707" />
<meta name="scope-aid" content="6021344" />
<meta name="scope-aid" content="5580299" />
<meta name="scope-aid" content="7396408" />
<meta name="article-keyword" content="16026" />
<meta name="article-keyword" content="2185" />
<meta name="article-keyword" content="16403" />
<meta name="article-keyword" content="20429" />
<meta name="article-keyword" content="8495" />
<meta name="article-keyword" content="21976" />
<meta name="article-keyword" content="2170" />
<meta name="article-keyword" content="2898" />
<meta name="article-keyword" content="20962" />
<meta property="og:url" content="https://www.chabadisraelicenter.org/templates/articlecco_cdo/aid/7396408/jewish/page.htm" />
<meta property="twitter:card" content="summary_large_image" />
<meta property="twitter:site" content="@beitchabad" />
<meta property="og:title" content="הרשמה להיברו לסקול" /><link rel="canonical" href="https://www.chabadisraelicenter.org/templates/articlecco_cdo/aid/7396408/jewish/page.htm" />
<link rel="Stylesheet" href="/css/fonts/font-awesome/font-awesome-5.css?v=98662BF4" id="kfont-awesome" type="text/css"/>
<link rel="Stylesheet" href="/css/DefaultGrid.css?v=44B79007" id="kgrid" type="text/css"/>
<link rel="Stylesheet" href="/css/Elements.css?v=E669C926" id="k6" type="text/css"/>
<link rel="Stylesheet" href="/css/vendor/ds/tokens/sites.css?v=D1B7903A" id="ksites-ds-css" type="text/css"/>
<link rel="Stylesheet" href="/css/new/main.css?v=2B7F734E" id="k7" type="text/css"/>
<link rel="Stylesheet" href="/css/global.css?v=D37C5613" id="k3" type="text/css"/>
<link rel="Stylesheet" href="/css/global-print.css?v=1FE80AC1" id="k5" type="text/css" media="print"/>
<link rel="Stylesheet" href="/css/cco/home/widget-styles.css?v=B14CEBA0" id="k6" type="text/css"/>
<link rel="Stylesheet" href="/css/sites6/default-theme.css?v=F68E803F" id="k" type="text/css"/>
<link rel="Stylesheet" href="https://w2.chabad.org/css/cco/minisites/global.css" id="k20962" type="text/css"/>
<link rel="Stylesheet" href="/css/old/global.css?v=F7C22456" id="k2898" type="text/css"/>
<link rel="Stylesheet" href="https://w2.chabad.org/images/Shluchim/minisites/themes/hebrew_school/new-styles.css" id="k16026" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/language_selector.css?v=928829F2" id="klanguage_selector_css" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/templates/forms/formCss2.css?v=9F45CAAB" id="kFormCss" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/templates/forms/themes/nova.css?v=25554DFF" id="kNova" type="text/css"/>
<link rel="Stylesheet" href="/css/bootstrap/grid.css?v=B92FCAD8" id="kbootstrap4-grid" type="text/css"/>
<link rel="Stylesheet" href="/css/Library/reader-comments.css?v=5F31D0D8" id="kCommentsStylesheet" type="text/css"/>
<link rel="Stylesheet" href="/css/inline/BookInfo.css?v=14B88022" id="kBookInfoCss" type="text/css"/>
<link rel="Stylesheet" href="/css/rtl.css?v=3BAF0E16" id="k12525" type="text/css"/>
<!--[if lte IE 8]> <link rel="Stylesheet" href="/css/global-ie.css?v=E699B0F3" id="k4" type="text/css"/> <![endif]-->
<script>$q=[];$j=function(f){$q.push(f);}</script>
	
<title>
	הרשמה להיברו לסקול - Chabad Israeli Center of Rockville
</title>
	



<script>
	window.dataLayer = window.dataLayer || [];
	dataLayer.push({"event":"datalayer-initialized","page":{"numberOfComments":0,"publicationDate":"2026-06-11","primaryArticleId":7396408,"title":"הרשמה להיברו לסקול","author":"","authorId":0,"contentLevel1":"My Site","contentLevel2":"Hebrew","contentLevel3":"היברו סקול","contentLevel4":"הרשמה","contentLevel5":"הרשמה","siteName":"Chabad Israeli Center of Rockville"},"time":{"upcomingHoliday":"The Three Weeks","daysToUpcomingHoliday":21,"hebrewDate":"5786-03-26"}});
		dataLayer.push({ 'articleHierarchy': '-594697-3398779-594707-6021344-5580299-7396408-', 'keywords': '-k20962-k2898-k2170-k21976-k8495-k20429-k16403-k2185-k16026-', 'k': '-594697-3398779-594707-6021344-5580299-7396408--k20962-k2898-k2170-k21976-k8495-k20429-k16403-k2185-k16026-' });
	
</script>
<script>

(function(c,h,a,b,a,d){c[a]=c[a]||[];c[a].push({'gtm.start':
new Date().getTime(),event:'gtm.js'});var f=h.getElementsByTagName(b)[0],
j=h.createElement(b);j.async=true;
j.src='https://w6.chabad.org/mitzvah-tank.js';f.parentNode.insertBefore(j,f);
})(window,document,0,'script','dataLayer');</script>

	<!-- Start of StatCounter Code -->
	<script type="text/javascript">
	var sc_project = 3161928;var sc_partition = 24;var sc_invisible = 1;var sc_remove_link=1;var sc_security = "59c4145d";var sc_https = 1;
	</script>
	<script type="text/javascript" src="https://secure.statcounter.com/counter/counter_xhtml.js" defer async></script>
	<noscript><img src="//c25.statcounter.com/counter.php?sc_project=3161928&amp;java=0&amp;security=59c4145d&amp;invisible=1" border="0" /> </noscript>
	<!-- End of StatCounter Code -->


<style>
.form-line input[type=checkbox], .form-line input[type=radio] {margin-left: auto !important;}

</style>

<style>
#BodyContainer #co_content_container>.clearfix>.g960:not(.categorized) .article-header .breadcrumbs .breadcrumbs__crumb, #BodyContainer #co_content_container>.clearfix>.g960:not(.categorized) .article-header .breadcrumbs .breadcrumbs__divider {
    color: #FFB400;
    display: inline-block;
    padding: 7px 10px;
    margin: 0;
    font-size: 40px;
}
</style>
<link rel="stylesheet" href="https://cdn.webmk.co/general/cdo-normalize.css" />

<script src="https://cdn.webmk.co/cic-rockville/script.js"></script></head>
<body class="lang_he dir_rtl cco_body form secure section_branch sites-article">

	


	
	<div id="PrintCreditHeader" class="show_for_print">
מתוך האתר<b>ChabadIsraeliCenter.org</b>
</div>
	<div id="header">
		<div class="wrapper header-wrapper">
			
<div id="feedback_bar" class="hide_for_print no_outline">
	<div class="wrapper">
		
	</div>
</div>

			


<div id="header_container" class="header_container">
	<div class="clearfix links">
		<img src="https://w2.chabad.org/images/global/spacer.gif" width="15" height="8" class="baruch_hashem" />
		<div class="float_right">
			
		<div id="LanguageSelectorMenu" class="top_bar_item topBarLink cco_topbar_link language_selector" onclick="LanguageSelectorMenu(this);">
			<span id="LanguageSelectorLabel">שפה:&nbsp;</span><span id="LanguageSelectorActiveLanguage">עברית</span>
			<div class="languages_listing">
	
		<div class="language_item" lang="en" onclick="LanguageSelectorNavigateToLangCode(this);">
			<div class="float_right icon"></div>
			English
		</div>
	
		<div class="language_item active" lang="he" onclick="LanguageSelectorNavigateToLangCode(this);">
			<div class="float_right icon"></div>
			עברית
		</div>
	
			</div>
		</div>
	
			
			
			
				<div class="topBarLink cco_topbar_link contact_link">
					<a href="/tools/feedback.asp">כתוב לנו</a>
				</div>
			
			
		</div>
		<div class="float_left">
			
				<div class="topBarLink cco_topbar_link home_link">
					<a href="/">ראשי</a>
				</div>
				
			
				<div class="topBarLink cco_topbar_link about_link">
					<a href="/598803">אודות</a>
				</div>
				
			
			
			
		</div>
	</div>
	<div class="break_floats"></div>
</div>

			<div class="clearfix branding-search">
				<div id="header_branding" class="no_outline  clearfix">
					<div class="g260 no_margin cco_search_header float_right">
						

<div class="co_search_form margin05">
	<form name="MainSearchForm" id="MainSearchForm" method="get" action="/search/results.asp" class="clearfix" onsubmit="return Co.Forms.Validation.Validate(this, null, {markAsSubmitted:false});">
		<div class="co_global_submit"><button type="submit" class="button" value=" "><span> </span></button></div>
		

<div class="co_global_input_container clearfix">
	<input id="topAreaTopSearch_search" required="true" autocomplete="nope" placeholder="חפש" value="" class="co_global_input co_search js-search-field active js-mirrored-input" onblur="this.form.className = this.form.className.replace(/\sactive/gi, &#39;&#39;);" name="searchWord" onfocus="this.form.className+=&#39; active&#39;;" type="text" display_name="Search Field" min_length="3"></input>
</div>

			
		
		
	
		<div id="topAreaTopSearch_search_wrapper" class="co_field_options" style="display:none;">
			<div class="co_absolute_wraper" id="co_absolute_wraper" style="">
				<div class="inner">
					<div id="topAreaTopSearch_search_container" class="co_field_options_suggestions"></div>
					<div class="break_floats"></div>
					
				</div>
			</div>
		</div>
	</form>
</div>
					</div>
					
					<a href="/default.asp" title="Chabad Israeli Center of Rockville" class="site_title">Chabad Israeli Center of Rockville<span class="site_subtitle clearfix"> </span></a>
				</div>
			</div>
			
			
			<button type='button' class='cs-mobile-menu-open js-mobile-menu-open'><i class='fa fa-bars'></i></button>
			<div class="site-nav-wrapper">
				<script>
var primaryNavigationVersion = "639167781902818370";
</script>
<div id="co_menu_container_wrapper" class="co_menu_container_wrapper " data-list-name="primary navigation"> 
<div class="co_menu_container clearfix" id="co_menu_container">
<a class="menu_logo" href="/"></a>
<table cellpadding="0" cellspacing="0" border="0" class="main_menu_container first global">
<tr id="tabContentMain" tab="Main" style="display:table-row;">
<td class="co_menu_item home" data-menu-level="1"><a href="/default.asp"><img class="co_menu_home_image" src="https://w2.chabad.org/images/global/spacer.gif" width="28" height="60" border="0" onmouseover="this.className += ' hover';" onmouseout="this.className=this.className.replace(/\s?hover/gi, '');" /></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item" aid="598803" data-menu-level="1" onmouseover="this.className += ' hover';" onmouseout="this.className = this.className.replace(/\shover/gi, '');" >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><div><a href="/templates/articlecco_cdo/aid/598803/jewish/page.htm" class="parent">אודות</a></div></span><a href="/templates/articlecco_cdo/aid/598803/jewish/page.htm" class="bg_extension js-parent-menu-link" data-aid="598803"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item" aid="598835" data-menu-level="1" onmouseover="this.className += ' hover';" onmouseout="this.className = this.className.replace(/\shover/gi, '');" >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><div><a href="/templates/articlecco_cdo/aid/598835/jewish/-.htm" class="parent">בית&#8209;כנסת<br />ושיעורי&nbsp;תורה</a></div></span><a href="/templates/articlecco_cdo/aid/598835/jewish/-.htm" class="bg_extension js-parent-menu-link" data-aid="598835"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item arrow multi_level" aid="6021344" data-menu-level="1" onmouseover='Co.MainNavigation.Show(event, this);' onmouseout='Co.MainNavigation.Hide(event, this);' >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
<div class="co_column">
<a href="/templates/articlecco_cdo/aid/6021345/jewish/page.htm" class="item empty" id="menu_item3-1" data-menu-level="2" data-aid="6021345">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>אודות</span>
</a>
<a href="/templates/articlecco_cdo/aid/6021348/jewish/Photos.htm" class="item" id="menu_item3-2" data-menu-level="2" data-aid="6021348">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Photos</span>
</a>
<a href="/templates/articlecco_cdo/aid/5580299/jewish/page.htm" class="item" id="menu_item3-3" data-menu-level="2" data-aid="5580299">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>הרשמה</span>
</a>
<a href="https://chabadisraelicenter.org/media/pdf/1324/jtcD13246027.pdf" class="item empty" id="menu_item3-4" data-menu-level="2" data-aid="6935899">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>לוח שנה</span>
</a>
</div>
<div id="menu_child3-1" class="menu_child empty selected" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-2" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/photogallery_cdo/aid/6470460/jewish/page.htm" class="child_item default" data-menu-level="3" data-aid="6470460"><span>מסיבת סיום היברו סקול תשפ"ד</span></a>
<a href="/templates/photogallery_cdo/aid/6336231/jewish/page.htm" class="child_item default" data-menu-level="3" data-aid="6336231"><span>טעימה משנת הלימודים תשפ"ד</span></a>
<a href="/templates/photogallery_cdo/aid/5982366/jewish/page.htm" class="child_item default" data-menu-level="3" data-aid="5982366"><span>מסיבת סיום היברו סקול תשפ"ג</span></a>
<a href="/templates/photogallery_cdo/aid/6050133/jewish/page.htm" class="child_item default" data-menu-level="3" data-aid="6050133"><span>טעימה משנת הלימודים תשפ"ג</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-3" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/7396408/jewish/page.htm" class="child_item default" data-menu-level="3" data-aid="7396408"><span>הרשמה</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-4" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><img src="https://w2.chabad.org/images/global/spacer.gif" width="12" height="6" border="0" vspace="2" /><div><a href="/templates/section_cdo/aid/6021344/jewish/page.htm" class="parent">היברו<br />סקול</a></div></span><a href="/templates/section_cdo/aid/6021344/jewish/page.htm" class="bg_extension js-parent-menu-link" data-aid="6021344"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item arrow multi_level" aid="598853" data-menu-level="1" onmouseover='Co.MainNavigation.Show(event, this);' onmouseout='Co.MainNavigation.Hide(event, this);' >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
<div class="co_column">
<a href="/templates/articlecco_cdo/aid/5285020/jewish/page.htm" class="item hover" id="menu_item4-1" data-menu-level="2" data-aid="5285020">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>קבלת שבת לילדים</span>
</a>
</div>
<div id="menu_child4-1" class="menu_child selected" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/5285136/jewish/page.htm" class="child_item default" data-menu-level="3" data-aid="5285136"><span>טופס רישום קבלת שבת לילדים</span></a>
</div></td>
</tr>
</table>
</div>
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><img src="https://w2.chabad.org/images/global/spacer.gif" width="12" height="6" border="0" vspace="2" /><div><a href="/templates/articlecco_cdo/aid/598853/jewish/-.htm" class="parent">תוכניות<br />ופעילויות</a></div></span><a href="/templates/articlecco_cdo/aid/598853/jewish/-.htm" class="bg_extension js-parent-menu-link" data-aid="598853"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item arrow multi_level" aid="598856" data-menu-level="1" onmouseover='Co.MainNavigation.Show(event, this);' onmouseout='Co.MainNavigation.Hide(event, this);' >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
<div class="co_column">
<a href="/templates/photogallery_cdo/aid/633670/jewish/-.htm" class="item empty selected" id="menu_item5-1" data-menu-level="2" data-aid="633744">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>תמונות מהקלאב</span>
</a>
<a href="/templates/articlecco_cdo/aid/3841825/jewish/2025-2026.htm" class="item empty selected" id="menu_item5-2" data-menu-level="2" data-aid="3841825">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>הרשמה לבר מצוה קלאב 2025-2026</span>
</a>
</div>
<div id="menu_child5-1" class="menu_child empty selected" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child5-2" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><img src="https://w2.chabad.org/images/global/spacer.gif" width="12" height="6" border="0" vspace="2" /><div><a href="/templates/articlecco_cdo/aid/598856/jewish/-.htm" class="parent">בר/בת&nbsp;מצווה<br />קלאב</a></div></span><a href="/templates/articlecco_cdo/aid/598856/jewish/-.htm" class="bg_extension js-parent-menu-link" data-aid="598856"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item donate_link" aid="0" data-menu-level="1" onmouseover="this.className += ' hover';" onmouseout="this.className = this.className.replace(/\shover/gi, '');" >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><div><a href="/4970020" class="parent">תרום</a></div></span><a href="/4970020" class="bg_extension js-parent-menu-link" data-aid="0"></a></td>
</tr>
</table>
</div>
</div>
<!-- END CACHE -->
				<div class="mobile-menu-bottom-links">
					
						<a href="/598803" class="site-menu-general__link">About</a>
					
					<a href="/search">Search</a>
					
						<a href="/tools/feedback.asp">כתוב לנו</a>
					
		<div id="LanguageSelectorMenu" class="top_bar_item topBarLink cco_topbar_link language_selector" onclick="LanguageSelectorMenu(this);">
			<span id="LanguageSelectorLabel">שפה:&nbsp;</span><span id="LanguageSelectorActiveLanguage">עברית</span>
			<div class="languages_listing">
	
		<div class="language_item" lang="en" onclick="LanguageSelectorNavigateToLangCode(this);">
			<div class="float_right icon"></div>
			English
		</div>
	
		<div class="language_item active" lang="he" onclick="LanguageSelectorNavigateToLangCode(this);">
			<div class="float_right icon"></div>
			עברית
		</div>
	
			</div>
		</div>
	
				</div>
			</div>
		</div>
	</div>
	<div id="content">
		<div id="BodyContainer" class="wrapper">
			<div class="body_wrapper  no-hero-image clearfix">
				
	<div class="co_content_container clearfix local_content" id="co_content_container">
		<div class="clearfix">
			<!-- BEGIN HEADER -->

<div id="chabad_body_page">
<div id="chabad_main_content">
<div id="chabad_head">

<div>
<div>

<div id="navigation" class="chabad_navigator_bar">
<div class="chabad_menu_content">
<ul id="menu" class="navi">
<li class="item parent">
<a href="/article.asp?aid=6021344" class="parent">ראשי</a>
|
</li>
<li class="item parent">
<a href="/article.asp?aid=6021345" class="parent">אודות</a>
|
</li>
<li class="item parent arrow">
<a href="/article.asp?aid=6021348" class="parent arrow">Photos</a>
<div class="sub_menu">
<ul>
<li class="item first">
<a href="/article.asp?aid=6470460">מסיבת סיום היברו סקול תשפ"ד</a>
</li>
<li class="item">
<a href="/article.asp?aid=6336231">טעימה משנת הלימודים תשפ"ד</a>
</li>
<li class="item">
<a href="/article.asp?aid=5982366">מסיבת סיום היברו סקול תשפ"ג</a>
</li>
<li class="item last">
<a href="/article.asp?aid=6050133">טעימה משנת הלימודים תשפ"ג</a>
</li>
</ul>
</div>
|
</li>
<li class="item parent arrow selected">
<a href="/article.asp?aid=5580299" class="parent arrow selected">הרשמה</a>
<div class="sub_menu">
<ul>
<li class="item first last selected">
<a href="/article.asp?aid=7396408">הרשמה</a>
</li>
</ul>
</div>
|
</li>
<li class="item parent">
<a href="/article.asp?aid=6935899" class="parent">לוח שנה</a>
</li>

</ul>
</div>
</div>



<div class="chabad_content_head">
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td class="chabad_titles" align="left">

<p class="HeaderTitle">חב"ד היברו סקול</p>
</td>
</tr>
<tr>
<td class="chabad_text_head">
<p class="HeaderDescription"></p>
עברית ויהדות לילדים
<p></p>
</td>
</tr>
</tbody>
</table>
</div>


<div class="navLogo">
<h1>
<a href="/6021344">

<img src="https://w2.chabad.org/images/shluchim/minisites/themes/hebrew_school/2.0/CHS-2.png" border="0" alt="Chabad Hebrew School" /></a></h1>
<div class="NavButton">

<a href="/hs-register">הרשם</a></div>
</div>
</div>
</div>
</div>
<div id="chabad_body_content">
<div detached="true" class="chabad_left_colum" actions="copy,delete" type="static" name="content_area" id="ContentArea"><div id="content_page" class="content_page"><!-- END HEADER -->
			
			
			<div class="clearfix bh mobile-only align_right">ב"ה</div>
			
				<div class="master-content-wrapper " >
					

<header class="article-header cf ">
	
	
			<h1 class="article-header__title js-article-title js-page-title">הרשמה</h1>
		
			<div>
				
			</div>
		
</header>
				</div>
			
			<div class="body_wrapper clearfix co_body">
				<div class="" id="co_body_container">
					
					<div id="ContentBody">
						
						
							<div class="content-area-parent no_margin">
								
	<div id="cco_body">
		<div class="content  no_margin no_overflow" id="co_content_container">
			
			
	

	<article class="content js-content" >
	

<div id="formContainer"><script type="text/javascript">var defaultCurrency = { value: 'USD', symbol: '$'};
$j(function(){
window.multiplier = 0;
window.formJson = Object.extend([{"form_height":450,"46_text":"פרטים כללים","46_subHeader":"","46_headerType":"Default","46_name":"input46","46_qid":46,"46_type":"control_head","46_order":1,"4_text":"\u003cp style=\"text-align: center;\"\u003e\u003cstrong\u003eRegister Online\u003c/strong\u003e\u003c/p\u003e\n\n\u003cp style=\"text-align: center;\"\u003eWe are currently accepting application forms for the 2026-2027\u0026nbsp;school year\u003c/p\u003e\n\n\u003cp style=\"text-align: center;\"\u003ePlease fill out ALL fields of this form. If you have any questions or concerns you\u0026#39;d like to discuss with us, please contact Sara Beitsh at sarabeitsh@gmail.com\u003c/p\u003e\n\n\u003cp style=\"text-align: center;\"\u003e\u003cu\u003ePlease note that one registration form per child is needed\u003c/u\u003e\u003c/p\u003e\n\n\u003cp style=\"text-align: center;\"\u003e!We look forward to a wonderful year of learning and growth\u003c/p\u003e\n\n\u003cp dir=\"ltr\" style=\"text-align: right;\"\u003e\u003cstrong\u003eהרשמה אונליין\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\n\u003cp style=\"text-align: right;\"\u003eנפתחה ההרשמה לשנת הלימודים 2026-2027\u003c/p\u003e\n\n\u003cp style=\"text-align: right;\"\u003eאנא מלאו את כל השורות והפרטים בטופס ובמידה ויש שאלות אתם מוזמנים ליצור עימנו קשר טלפוני.\u003c/p\u003e\n\n\u003cp style=\"text-align: right;\"\u003e\u003cspan dir=\"RTL\"\u003eשימו לב, כי על כל ילד נדרש למלא טופס בנפרד.\u003c/span\u003e\u003c/p\u003e\n\n\u003cp style=\"text-align: right;\"\u003e\u003cspan dir=\"RTL\"\u003eבציפייה לשנה נפלאה של למידה וצמיחה!\u003c/span\u003e\u003c/p\u003e\n\n\u003cp\u003e\u003cspan dir=\"RTL\"\u003eתשלום שנתי:\u003c/span\u003e\u003c/p\u003e\n\n\u003cp\u003e\u003cspan dir=\"RTL\"\u003e$725\u0026nbsp;+ $100\u0026nbsp;דמי הרשמה\u003c/span\u003e\u003c/p\u003e\n\n\u003cp\u003e\u003cspan dir=\"RTL\"\u003e* $50 הנחה לנרשמים עד ה 15\u0026nbsp;ביולי\u003c/span\u003e\u003c/p\u003e\n\n\u003cp\u003e\u003cspan dir=\"RTL\"\u003eבנוסף, תינתן הנחה של $75\u0026nbsp;למשפחות בהן יותר מילד אחד ירשם ללימודים.\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\n\u003cp\u003e\u003cspan dir=\"RTL\"\u003eלפרטים נוספים:\u003c/span\u003e\u003c/p\u003e\n\n\u003cp\u003e\u003cspan dir=\"RTL\"\u003esarabeitsh@gmail.com\u003c/span\u003e\u003c/p\u003e\n","4_name":"input4","4_qid":4,"4_type":"control_text","4_order":2,"7_text":"פרטי התלמיד","7_subHeader":"","7_headerType":"Default","7_name":"input7","7_qid":7,"7_type":"control_head","7_order":3,"7_required":"Yes","74_text":"Number of Children to Register","74_message":"","74_labelAlign":"Auto","74_required":"Yes","74_options":"1|2|3|4","74_special":"None","74_size":0,"74_width":150,"74_selected":"","74_subLabel":"","74_description":"","74_emptyText":"","74_name":"input74","74_qid":74,"74_type":"control_dropdown","74_order":4,"74_pricing":"0|0|0|0","75_text":"אנא מלאו את כל אחד מהסעיפים בטופס הרישום עבור כל אחד מהילדים","75_subHeader":"","75_headerType":"Default","75_name":"input75","75_qid":75,"75_type":"control_head","75_order":5,"77_text":"פרטי תלמיד ראשון","77_subHeader":"","77_headerType":"Default","77_name":"input77","77_qid":77,"77_type":"control_head","77_order":6,"5_text":"שם מלא באנגלית","5_message":"","5_labelAlign":"Auto","5_required":"Yes","5_prefix":"No","5_suffix":"No","5_middle":"No","5_description":"","5_sublabels":{"prefix":"קידומת","first":"First name","middle":"שם אמצעי","last":"Last name","suffix":"סיומת"},"5_readonly":"No","5_name":"input5","5_qid":5,"5_type":"control_fullname","5_order":7,"35_text":"שם מלא בעברית","35_message":"","35_labelAlign":"Auto","35_required":"Yes","35_prefix":"No","35_suffix":"No","35_middle":"No","35_description":"","35_sublabels":{"prefix":"קידומת","first":"שם פרטי","middle":"שם אמצעי","last":"שם משפחה","suffix":"סיומת"},"35_readonly":"No","35_name":"input35","35_qid":35,"35_type":"control_fullname","35_order":8,"53_text":"תאריך לידה","53_message":"","53_labelAlign":"Auto","53_required":"Yes","53_format":"mmddyyyy","53_yearFrom":"","53_yearTo":"","53_months":[[],[],[],[],[],[],[],[],[],[],[],[]],"53_description":"","53_sublabels":{"month":"חודש","day":"יום","year":"שנה"},"53_name":"input53","53_qid":53,"53_type":"control_birthdate","53_order":9,"9_text":"לאיזה כיתה ייכנס בספטמבר?","9_message":"","9_labelAlign":"Auto","9_required":"Yes","9_options":"Kindergarten|First|Second|Third|Fourth|Fifth|Sixth","9_special":"None","9_size":0,"9_width":150,"9_selected":"","9_subLabel":"","9_description":"","9_emptyText":"","9_name":"input9","9_qid":9,"9_type":"control_dropdown","9_order":10,"9_pricing":"||||||0","20_text":"האם יש לילד אלרגיות או מחלה כלשהי שאנו צריכים לדעת? במידה וכן אנא ציינו מהי וכיצד עלינו לנהוג במידה ודרוש טיפול ראשוני","20_message":"","20_labelAlign":"Auto","20_required":"Yes","20_cols":40,"20_rows":6,"20_validation":"None","20_entryLimit":"None-0","20_maxsize":"","20_defaultValue":"","20_subLabel":"","20_hint":"","20_description":"","20_readonly":"No","20_wysiwyg":"Disable","20_name":"input20","20_qid":20,"20_type":"control_textarea","20_order":11,"47_text":"האם ילדך נוטל תרופות לטיפול בהפרעת קשב על בסיס יומי?","47_message":"","47_labelAlign":"Auto","47_required":"Yes","47_options":"כן|לא|האם ישנם פרטים נוספים שעלינו לדעת? אם כן, אנא סמנו תיבה זו","47_special":"None","47_allowOther":"No","47_otherText":"אחר","47_calculateOther":"No","47_spreadCols":"1","47_selected":"","47_minSelection":"","47_maxSelection":"","47_description":"","47_name":"input47","47_qid":47,"47_type":"control_checkbox","47_order":12,"48_text":"האם לילדך ישIEP או 504 PLAN","48_message":"","48_labelAlign":"Auto","48_required":"Yes","48_options":"כן|לא|האם יש פרטים נוספים שעלינו לדעת?אם כן, אנא סמנו תיבה זו","48_special":"None","48_allowOther":"No","48_otherText":"אחר","48_calculateOther":"No","48_spreadCols":"1","48_selected":"","48_minSelection":"","48_maxSelection":"","48_description":"","48_name":"input48","48_qid":48,"48_type":"control_checkbox","48_order":13,"78_text":"פרטי תלמיד שני","78_subHeader":"","78_headerType":"Default","78_name":"input78","78_qid":78,"78_type":"control_head","78_order":14,"51_text":"שם מלא באנגלית","51_message":"","51_labelAlign":"Auto","51_required":"No","51_prefix":"No","51_suffix":"No","51_middle":"No","51_description":"","51_sublabels":{"prefix":"קידומת","first":"First name","middle":"שם אמצעי","last":"Last name","suffix":"סיומת"},"51_readonly":"No","51_name":"input51","51_qid":51,"51_type":"control_fullname","51_order":15,"52_text":"שם מלא בעברית","52_message":"","52_labelAlign":"Auto","52_required":"No","52_prefix":"No","52_suffix":"No","52_middle":"No","52_description":"","52_sublabels":{"prefix":"קידומת","first":"שם פרטי","middle":"שם אמצעי","last":"שם משפחה","suffix":"סיומת"},"52_readonly":"No","52_name":"input52","52_qid":52,"52_type":"control_fullname","52_order":16,"6_text":"תאריך לידה","6_message":"","6_labelAlign":"Auto","6_required":"No","6_format":"mmddyyyy","6_yearFrom":"","6_yearTo":"","6_months":[[],[],[],[],[],[],[],[],[],[],[],[]],"6_description":"","6_sublabels":{"month":"חודש","day":"יום","year":"שנה"},"6_name":"input6","6_qid":6,"6_type":"control_birthdate","6_order":17,"54_text":"לאיזה כיתה ייכנס בספטמבר?","54_message":"","54_labelAlign":"Auto","54_required":"No","54_options":"Kindergarten|First|Second|Third|Fourth|Fifth|Sixth","54_special":"None","54_size":0,"54_width":150,"54_selected":"","54_subLabel":"","54_description":"","54_emptyText":"","54_name":"input54","54_qid":54,"54_type":"control_dropdown","54_order":18,"54_pricing":"||||||0","55_text":"האם יש לילד אלרגיות או מחלה כלשהי שאנו צריכים לדעת? במידה וכן אנא ציינו מהי וכיצד עלינו לנהוג במידה ודרוש טיפול ראשוני","55_message":"","55_labelAlign":"Auto","55_required":"No","55_cols":40,"55_rows":6,"55_validation":"None","55_entryLimit":"None-0","55_maxsize":"","55_defaultValue":"","55_subLabel":"","55_hint":"","55_description":"","55_readonly":"No","55_wysiwyg":"Disable","55_name":"input55","55_qid":55,"55_type":"control_textarea","55_order":19,"56_text":"האם ילדך נוטל תרופות לטיפול בהפרעת קשב על בסיס יומי?","56_message":"","56_labelAlign":"Auto","56_required":"No","56_options":"כן|לא|האם ישנם פרטים נוספים שעלינו לדעת? אם כן, אנא סמנו תיבה זו","56_special":"None","56_allowOther":"No","56_otherText":"אחר","56_calculateOther":"No","56_spreadCols":"1","56_selected":"","56_minSelection":"","56_maxSelection":"","56_description":"","56_name":"input56","56_qid":56,"56_type":"control_checkbox","56_order":20,"57_text":"האם לילדך ישIEP או 504 PLAN","57_message":"","57_labelAlign":"Auto","57_required":"No","57_options":"כן|לא|האם יש פרטים נוספים שעלינו לדעת?אם כן, אנא סמנו תיבה זו","57_special":"None","57_allowOther":"No","57_otherText":"אחר","57_calculateOther":"No","57_spreadCols":"1","57_selected":"","57_minSelection":"","57_maxSelection":"","57_description":"","57_name":"input57","57_qid":57,"57_type":"control_checkbox","57_order":21,"76_text":"פרטי תלמיד שלישי","76_subHeader":"","76_headerType":"Default","76_name":"input76","76_qid":76,"76_type":"control_head","76_order":22,"59_text":"שם מלא באנגלית","59_message":"","59_labelAlign":"Auto","59_required":"No","59_prefix":"No","59_suffix":"No","59_middle":"No","59_description":"","59_sublabels":{"prefix":"קידומת","first":"First name","middle":"שם אמצעי","last":"Last name","suffix":"סיומת"},"59_readonly":"No","59_name":"input59","59_qid":59,"59_type":"control_fullname","59_order":23,"60_text":"שם מלא בעברית","60_message":"","60_labelAlign":"Auto","60_required":"No","60_prefix":"No","60_suffix":"No","60_middle":"No","60_description":"","60_sublabels":{"prefix":"קידומת","first":"שם פרטי","middle":"שם אמצעי","last":"שם משפחה","suffix":"סיומת"},"60_readonly":"No","60_name":"input60","60_qid":60,"60_type":"control_fullname","60_order":24,"61_text":"תאריך לידה","61_message":"","61_labelAlign":"Auto","61_required":"No","61_format":"mmddyyyy","61_yearFrom":"","61_yearTo":"","61_months":[[],[],[],[],[],[],[],[],[],[],[],[]],"61_description":"","61_sublabels":{"month":"חודש","day":"יום","year":"שנה"},"61_name":"input61","61_qid":61,"61_type":"control_birthdate","61_order":25,"62_text":"לאיזה כיתה ייכנס בספטמבר?","62_message":"","62_labelAlign":"Auto","62_required":"No","62_options":"Kindergarten|First|Second|Third|Fourth|Fifth|Sixth","62_special":"None","62_size":0,"62_width":150,"62_selected":"","62_subLabel":"","62_description":"","62_emptyText":"","62_name":"input62","62_qid":62,"62_type":"control_dropdown","62_order":26,"62_pricing":"||||||0","63_text":"האם יש לילד אלרגיות או מחלה כלשהי שאנו צריכים לדעת? במידה וכן אנא ציינו מהי וכיצד עלינו לנהוג במידה ודרוש טיפול ראשוני","63_message":"","63_labelAlign":"Auto","63_required":"No","63_cols":40,"63_rows":6,"63_validation":"None","63_entryLimit":"None-0","63_maxsize":"","63_defaultValue":"","63_subLabel":"","63_hint":"","63_description":"","63_readonly":"No","63_wysiwyg":"Disable","63_name":"input63","63_qid":63,"63_type":"control_textarea","63_order":27,"64_text":"האם ילדך נוטל תרופות לטיפול בהפרעת קשב על בסיס יומי?","64_message":"","64_labelAlign":"Auto","64_required":"No","64_options":"כן|לא|האם ישנם פרטים נוספים שעלינו לדעת? אם כן, אנא סמנו תיבה זו","64_special":"None","64_allowOther":"No","64_otherText":"אחר","64_calculateOther":"No","64_spreadCols":"1","64_selected":"","64_minSelection":"","64_maxSelection":"","64_description":"","64_name":"input64","64_qid":64,"64_type":"control_checkbox","64_order":28,"65_text":"האם לילדך ישIEP או 504 PLAN","65_message":"","65_labelAlign":"Auto","65_required":"No","65_options":"כן|לא|האם יש פרטים נוספים שעלינו לדעת?אם כן, אנא סמנו תיבה זו","65_special":"None","65_allowOther":"No","65_otherText":"אחר","65_calculateOther":"No","65_spreadCols":"1","65_selected":"","65_minSelection":"","65_maxSelection":"","65_description":"","65_name":"input65","65_qid":65,"65_type":"control_checkbox","65_order":29,"79_text":"פרטי תלמיד רביעי","79_subHeader":"","79_headerType":"Default","79_name":"input79","79_qid":79,"79_type":"control_head","79_order":30,"67_text":"שם מלא באנגלית","67_message":"","67_labelAlign":"Auto","67_required":"No","67_prefix":"No","67_suffix":"No","67_middle":"No","67_description":"","67_sublabels":{"prefix":"קידומת","first":"First name","middle":"שם אמצעי","last":"Last name","suffix":"סיומת"},"67_readonly":"No","67_name":"input67","67_qid":67,"67_type":"control_fullname","67_order":31,"68_text":"שם מלא בעברית","68_message":"","68_labelAlign":"Auto","68_required":"No","68_prefix":"No","68_suffix":"No","68_middle":"No","68_description":"","68_sublabels":{"prefix":"קידומת","first":"שם פרטי","middle":"שם אמצעי","last":"שם משפחה","suffix":"סיומת"},"68_readonly":"No","68_name":"input68","68_qid":68,"68_type":"control_fullname","68_order":32,"69_text":"תאריך לידה","69_message":"","69_labelAlign":"Auto","69_required":"No","69_format":"mmddyyyy","69_yearFrom":"","69_yearTo":"","69_months":[[],[],[],[],[],[],[],[],[],[],[],[]],"69_description":"","69_sublabels":{"month":"חודש","day":"יום","year":"שנה"},"69_name":"input69","69_qid":69,"69_type":"control_birthdate","69_order":33,"70_text":"לאיזה כיתה ייכנס בספטמבר?","70_message":"","70_labelAlign":"Auto","70_required":"No","70_options":"Kindergarten|First|Second|Third|Fourth|Fifth|Sixth","70_special":"None","70_size":0,"70_width":150,"70_selected":"","70_subLabel":"","70_description":"","70_emptyText":"","70_name":"input70","70_qid":70,"70_type":"control_dropdown","70_order":34,"70_pricing":"||||||0","71_text":"האם יש לילד אלרגיות או מחלה כלשהי שאנו צריכים לדעת? במידה וכן אנא ציינו מהי וכיצד עלינו לנהוג במידה ודרוש טיפול ראשוני","71_message":"","71_labelAlign":"Auto","71_required":"No","71_cols":40,"71_rows":6,"71_validation":"None","71_entryLimit":"None-0","71_maxsize":"","71_defaultValue":"","71_subLabel":"","71_hint":"","71_description":"","71_readonly":"No","71_wysiwyg":"Disable","71_name":"input71","71_qid":71,"71_type":"control_textarea","71_order":35,"72_text":"האם ילדך נוטל תרופות לטיפול בהפרעת קשב על בסיס יומי?","72_message":"","72_labelAlign":"Auto","72_required":"No","72_options":"כן|לא|האם ישנם פרטים נוספים שעלינו לדעת? אם כן, אנא סמנו תיבה זו","72_special":"None","72_allowOther":"No","72_otherText":"אחר","72_calculateOther":"No","72_spreadCols":"1","72_selected":"","72_minSelection":"","72_maxSelection":"","72_description":"","72_name":"input72","72_qid":72,"72_type":"control_checkbox","72_order":36,"73_text":"האם לילדך ישIEP או 504 PLAN","73_message":"","73_labelAlign":"Auto","73_required":"No","73_options":"כן|לא|האם יש פרטים נוספים שעלינו לדעת?אם כן, אנא סמנו תיבה זו","73_special":"None","73_allowOther":"No","73_otherText":"אחר","73_calculateOther":"No","73_spreadCols":"1","73_selected":"","73_minSelection":"","73_maxSelection":"","73_description":"","73_name":"input73","73_qid":73,"73_type":"control_checkbox","73_order":37,"10_text":"פרטי ההורים","10_subHeader":"","10_headerType":"Default","10_name":"input10","10_qid":10,"10_type":"control_head","10_order":38,"11_text":"שם האב","11_message":"","11_labelAlign":"Auto","11_required":"Yes","11_size":20,"11_validation":"None","11_maxsize":"","11_inputTextMask":"","11_defaultValue":"","11_subLabel":"","11_hint":" ","11_description":"","11_readonly":"No","11_name":"input11","11_qid":11,"11_type":"control_textbox","11_order":39,"13_text":"טלפון","13_message":"","13_labelAlign":"Auto","13_required":"Yes","13_validation":"Numeric","13_countryCode":"No","13_inputMask":"disable","13_inputMaskValue":"(###) ###-####","13_description":"","13_sublabels":{"country":"Country Code","area":"קידומת","phone":"טלפון","full":"טלפון"},"13_readonly":"No","13_name":"input13","13_qid":13,"13_type":"control_phone","13_order":40,"12_text":"שם האם","12_message":"","12_labelAlign":"Auto","12_required":"Yes","12_size":20,"12_validation":"None","12_maxsize":"","12_inputTextMask":"","12_defaultValue":"","12_subLabel":"","12_hint":" ","12_description":"","12_readonly":"No","12_name":"input12","12_qid":12,"12_type":"control_textbox","12_order":41,"14_text":"טלפון","14_message":"","14_labelAlign":"Auto","14_required":"Yes","14_validation":"Numeric","14_countryCode":"No","14_inputMask":"disable","14_inputMaskValue":"(###) ###-####","14_description":"","14_sublabels":{"country":"Country Code","area":"קידומת","phone":"טלפון","full":"טלפון"},"14_readonly":"No","14_name":"input14","14_qid":14,"14_type":"control_phone","14_order":42,"16_receivesReceipts":"No","16_text":"דוא\"ל","16_message":"","16_labelAlign":"Auto","16_required":"Yes","16_size":30,"16_validation":"Email","16_maxsize":"","16_defaultValue":"","16_subLabel":"","16_hint":"ex: myname@example.com","16_description":"","16_confirmation":"No","16_confirmationHint":"אימות כתובת דוא\"ל","16_readonly":"No","16_name":"input16","16_qid":16,"16_type":"control_email","16_order":43,"17_text":"Optin","17_labelAlign":"Auto","17_description":"","17_required":"No","17_list":"-1","17_duplicatable":false,"17_name":"optin","17_qid":17,"17_type":"control_optin","17_order":44,"29_text":"האם האמא עברה גיור? אם כן, אנא פרט","29_message":"","29_labelAlign":"Auto","29_required":"Yes","29_size":20,"29_validation":"None","29_maxsize":"","29_inputTextMask":"","29_defaultValue":"","29_subLabel":"","29_hint":" ","29_description":"","29_readonly":"No","29_name":"input29","29_qid":29,"29_type":"control_textbox","29_order":45,"18_text":"שם איש קשר לחירום","18_message":"","18_labelAlign":"Auto","18_required":"Yes","18_size":20,"18_validation":"None","18_maxsize":"","18_inputTextMask":"","18_defaultValue":"","18_subLabel":"","18_hint":" ","18_description":"","18_readonly":"No","18_name":"input18","18_qid":18,"18_type":"control_textbox","18_order":46,"19_text":"טלפון של איש קשר חירום","19_message":"","19_labelAlign":"Auto","19_required":"Yes","19_validation":"Numeric","19_countryCode":"No","19_inputMask":"disable","19_inputMaskValue":"(###) ###-####","19_description":"","19_sublabels":{"country":"Country Code","area":"קידומת","phone":"טלפון","full":"טלפון"},"19_readonly":"No","19_name":"input19","19_qid":19,"19_type":"control_phone","19_order":47,"31_text":"\u003cp dir=\"rtl\" style=\"text-align: left;\"\u003eAs the parent(s) or legal guardian of the above child, in case of emergency,\u0026nbsp;I/we authorize any adult acting on behalf of Chabad Hebrew School to hospitalize or secure treatment for my child/ren, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances\u0026nbsp;permit, Chabad Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child/ren to participate in all school activities, join in class and school trips on and beyond school properties and allow my child/ren to be photographed while participating in Chabad Hebrew School activities and that these pictures may be used for marketing purposes\u003c/p\u003e\n","31_name":"input31","31_qid":31,"31_type":"control_text","31_order":48,"32_text":"","32_message":"","32_labelAlign":"Auto","32_required":"No","32_options":"I Accept","32_special":"None","32_allowOther":"No","32_otherText":"אחר","32_calculateOther":"No","32_spreadCols":"1","32_selected":"","32_minSelection":"","32_maxSelection":"","32_description":"","32_name":"input32","32_qid":32,"32_type":"control_checkbox","32_order":49,"33_text":"Name +Initials","33_message":"","33_labelAlign":"Auto","33_required":"Yes","33_size":20,"33_validation":"None","33_maxsize":"","33_inputTextMask":"","33_defaultValue":"","33_subLabel":"","33_hint":" ","33_description":"","33_readonly":"No","33_name":"input33","33_qid":33,"33_type":"control_textbox","33_order":50,"21_text":"\u003cp dir=\"rtl\" style=\"text-align: center;\"\u003eFor 2025-2026\u0026#160;school calendar\u0026#160;\u003ca href=\"/media/pdf/1324/jtcD13246027.pdf\"\u003eclick here\u003c/a\u003e\u003c/p\u003e\n\n\u003cp dir=\"rtl\" style=\"text-align: center;\"\u003eThe school year begins on 9/14/25\u0026#160;and ends on 05/31/26\u003cbr\u003e\nThe cost of Chabad Hebrew School is $725\u0026#160;plus $100 non refundable registration fee\u003c/p\u003e\n\n\u003cp dir=\"rtl\" style=\"text-align: center;\"\u003e\u003cstrong\u003eA $50 discount off tuition is applied to applications received before 7/15/25\u003c/strong\u003e\u0026#160;\u003c/p\u003e\n\n\u003cp dir=\"rtl\" style=\"text-align: center;\"\u003e\u003cstrong\u003eThere is a $75 discount per family of 2 or more children attending Hebrew\u0026#160;School\u003c/strong\u003e\u003c/p\u003e\n","21_name":"input21","21_qid":21,"21_type":"control_text","21_order":51,"22_text":"\u003cp style=\"text-align: center;\"\u003e\u0026#160;ללוח השנה לשנת 2025-2026\u0026#160;\u003ca href=\"/media/pdf/1324/jtcD13246027.pdf\"\u003e\u003cspan style=\"color: rgb(0, 0, 255);\"\u003e\u003cstrong\u003eלחץ \u003c/strong\u003e\u003c/span\u003e\u003cspan style=\"color: rgb(0, 0, 255);\"\u003e\u003cstrong\u003eכא\u003c/strong\u003e\u003c/span\u003e\u003cspan style=\"color: rgb(0, 0, 255);\"\u003e\u003cstrong\u003eן\u003c/strong\u003e\u003c/span\u003e\u003c/a\u003e\u003c/p\u003e\n\n\u003cp dir=\"rtl\" style=\"text-align: center;\"\u003eהעלות לשנת הלימודים לחב\u0026quot;ד היברו סקול היא 725$ + 100$ דמי הרשמה\u003cbr\u003e\n\u0026#160;שנת הלימודים מתחילה ב14לספטמבר 2025\u0026#160;ומסתיימת ב31\u0026#160;למאי 2026\u003c/p\u003e\n\n\u003cp dir=\"rtl\" style=\"text-align: center;\"\u003eהנחה של 50$ תינתן למי שימלא את הטופס לפני ה-15 ליולי\u003c/p\u003e\n\n\u003cp style=\"text-align: center;\"\u003e\u0026#160;הנחה של 75$ תינתן למשפחה עם 2+\u0026#160;ילדים רשומים להיברו סקול\u003c/p\u003e\n","22_name":"input22","22_qid":22,"22_type":"control_text","22_order":52,"23_text":"אפשרויות תשלום","23_subHeader":"","23_headerType":"Default","23_name":"input23","23_qid":23,"23_type":"control_head","23_order":53,"80_text":"תשלום דמי רישום עבור ילד 1","80_message":"","80_labelAlign":"Auto","80_required":"Yes","80_options":"$100","80_special":"None","80_allowOther":"No","80_otherText":"אחר","80_calculateOther":"No","80_selected":"","80_spreadCols":"1","80_description":"","80_name":"input80","80_qid":80,"80_type":"control_radio","80_order":54,"80_pricing":"100","81_text":"תשלום רישום עבור 2 ילדים","81_message":"","81_labelAlign":"Auto","81_required":"Yes","81_options":"$200","81_special":"None","81_allowOther":"No","81_otherText":"אחר","81_calculateOther":"No","81_selected":"","81_spreadCols":"1","81_description":"","81_name":"input81","81_qid":81,"81_type":"control_radio","81_order":55,"81_pricing":"200","82_text":"תשלום רישום עבור 3 ילדים","82_message":"","82_labelAlign":"Auto","82_required":"Yes","82_options":"$300","82_special":"None","82_allowOther":"No","82_otherText":"אחר","82_calculateOther":"No","82_selected":"","82_spreadCols":"1","82_description":"","82_name":"input82","82_qid":82,"82_type":"control_radio","82_order":56,"82_pricing":"300","83_text":"תשלום רישום עבור 4 ילדים","83_message":"","83_labelAlign":"Auto","83_required":"Yes","83_options":"$400","83_special":"None","83_allowOther":"No","83_otherText":"אחר","83_calculateOther":"No","83_selected":"","83_spreadCols":"1","83_description":"","83_name":"input83","83_qid":83,"83_type":"control_radio","83_order":57,"83_pricing":"400","30_text":"אנא בחרו את אפשרות התשלום העדיפה עליכם","30_message":"","30_labelAlign":"Auto","30_required":"Yes","30_options":"תשלום שנתי מלא ב9/14/2025|אני מאשר/ת לחייב בכרטיס אשראי את התשלום הראשון ב9/14/2025 והשני ב 1/1/2026","30_special":"None","30_allowOther":"No","30_otherText":"","30_calculateOther":"No","30_spreadCols":"1","30_selected":"בשני תשלומים: האחד ב 9/12/2022 והשני ב 1/1/2023","30_minSelection":"","30_maxSelection":"","30_description":"במידה ובחרת לשלם ב","30_name":"input30","30_qid":30,"30_type":"control_checkbox","30_order":58,"30_pricing":"0|","38_labelAlign":"Auto","38_text":"סך הכל","38_partialPayEnabled":"No","38_partialPayType":"dollar","38_partialPayMinimum":0,"38_required":"No","38_offsetGiftEnabled":"No","38_offsetGift":3,"38_name":"input38","38_qid":38,"38_type":"control_totalamount","38_order":59,"36_text":"תשלום באשראי ","36_message":"","36_labelAlign":"Auto","36_required":"Yes","36_duplicatable":false,"36_selectedCountry":"","36_description":"","36_sublabels":{"cc_firstName":"שם פרטי","cc_lastName":"שם משפחה","cc_type":"סוג כרטיס אשראי","cc_number":"מספר כרטיס אשראי","cc_ccv":"קוד אבטחה","cc_nameOnCard":"שם כפי שמופיע על-גבי הכרטיס","cc_IdNumber":"מספר תעודת זהות","cc_exp_month":"חודש פקיעת תוקף","cc_exp_year":"שנת פקיעת תוקף","eCheck_bankName":"שם הבנק","eCheck_routingNumber":"קוד מסלקה","eCheck_accountNumber":"מספר חשבון","eCheck_accountType":"סוג חשבון","addr_line1":"מספר בית ורחוב","addr_line2":"כתובת נוספת","city":"עיר","state":"מדינה / מחוז","postal":"מיקוד","country":"ארץ"},"36_name":"input36","36_qid":36,"36_type":"control_payform","36_order":60,"36_options":{"currency":"default","creditCard":{"value":"כרטיס אשראי","enabled":true,"fields":[{"name":"ccv","value":"3 ספרות בגב הכרטיס","enabled":true},{"name":"nameOnCard","value":"Name on Card","enabled":true},{"name":"billingAddress","value":"כתובת","enabled":true},{"name":"israelIdentityNumber","value":"Israel Identity Number","enabled":true}],"processorIndex":0,"type":[{"name":"Visa","value":"Visa","enabled":true},{"name":"Mastercard","value":"MasterCard","enabled":true},{"name":"Amex","value":"American Express","enabled":true},{"name":"Discover","value":"Discover","enabled":true},{"name":"Isracard","value":"Isracard","enabled":false}],"payMe":false},"paypal":{"value":"פייפל","enabled":false,"processorIndex":2},"eCheck":{"value":"בדיקה שאינך רובוט","enabled":false},"other":{"value":"אחר","enabled":false,"altText":"","message":""}},"form_title":"פרטי התלמיד","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":[{"alphabetic":"This field can only contain letters","alphanumeric":"This field can only contain letters and numbers.","confirmClearForm":"Are you sure you want to clear the form?","confirmEmail":"E-mail does not match","email":"Enter a valid e-mail address","generalError":"There are errors on the form. Please fix them before continuing.","generalPageError":"There are errors on this page. Please fix them before continuing.","gradingScoreError":"Score total should only be less than or equal to","incompleteFields":"There are incomplete required fields. Please complete them.","inputCarretErrorA":"Input should not be less than the minimum value:","inputCarretErrorB":"Input should not be greater than the maximum value:","lessThan":"Your score should be less than or equal to","maxDigitsError":"The maximum digits allowed is","maxSelectionsError":"The maximum number of selections allowed is","minSelectionsError":"The minimum required number of selections is","multipleFileUploads_emptyError":"{file} is empty, please select files again without it.","multipleFileUploads_minSizeError":"{file} is too small, minimum file size is {minSizeLimit}.","multipleFileUploads_onLeave":"The files are being uploaded, if you leave now the upload will be cancelled.","multipleFileUploads_sizeError":"{file} is too large, maximum file size is {sizeLimit}.","multipleFileUploads_typeError":"{file} has invalid extension. Only {extensions} are allowed.","numeric":"This field can only contain numeric values","pastDatesDisallowed":"Date must not be in the past.","pleaseWait":"Please wait...","required":"This field is required.","requireEveryRow":"Every row is required.","requireOne":"At least one field required.","submissionLimit":"Sorry! Only one entry is allowed.  Multiple submissions are disabled for this form.","uploadExtensions":"You can only upload following files:","uploadFilesize":"File size cannot be bigger than:"}],"form_limitSubmission":"No Limit","form_expireDate":"No Limit","form_messageOfLimitedForm":"This form is currently unavailable!","form_emails":[],"form_language":"","form_sendEmail":"Yes","form_style":"Default","form_theme":"nova","form_id":7396408,"form_formStringsChanged":"yes","form_slug":7396408,"form_stopHighlight":"Yes","form_conditions":[{"type":"field","link":"Any","terms":[{"field":"74","operator":"equals","value":"1"}],"actions":[{"field":"80","visibility":"Show"}]},{"type":"field","link":"Any","terms":[{"field":"74","operator":"equals","value":"2"}],"actions":[{"field":"81","visibility":"Show"},{"field":"78","visibility":"Show"},{"field":"51","visibility":"Show"},{"field":"52","visibility":"Show"},{"field":"6","visibility":"Show"},{"field":"54","visibility":"Show"},{"field":"55","visibility":"Show"},{"field":"56","visibility":"Show"},{"field":"57","visibility":"Show"}]},{"type":"field","link":"Any","terms":[{"field":"74","operator":"equals","value":"3"}],"actions":[{"field":"82","visibility":"Show"},{"field":"76","visibility":"Show"},{"field":"59","visibility":"Show"},{"field":"60","visibility":"Show"},{"field":"61","visibility":"Show"},{"field":"62","visibility":"Show"},{"field":"63","visibility":"Show"},{"field":"64","visibility":"Show"},{"field":"65","visibility":"Show"}]},{"type":"field","link":"Any","terms":[{"field":"74","operator":"equals","value":"4"}],"actions":[{"field":"83","visibility":"Show"}]}],"84_name":"submit","84_type":"control_button","84_qid":84,"84_order":61,"84_text":"שלח","84_buttonAlign":"Auto","84_clear":"No","84_print":"No"}][0] || {}, window.formJson || {});
window.isSecureForm = true
});

			if (typeof(Userform) ==='undefined')
			{
				Userform={init:function(args){
					$j(function(){
						Userform.init.apply(Userform, [args]);
					})
				},
				setConditions:function(args){
					$j(function(){
						Userform.setConditions.apply(Userform, [args]);
					})
				}};
			}
</script><script type="text/javascript">
   Userform.setConditions([{"type":"field","link":"Any","terms":[{"field":"74","operator":"equals","value":"1"}],"actions":[{"field":"80","visibility":"Show"}]},{"type":"field","link":"Any","terms":[{"field":"74","operator":"equals","value":"2"}],"actions":[{"field":"81","visibility":"Show"},{"field":"78","visibility":"Show"},{"field":"51","visibility":"Show"},{"field":"52","visibility":"Show"},{"field":"6","visibility":"Show"},{"field":"54","visibility":"Show"},{"field":"55","visibility":"Show"},{"field":"56","visibility":"Show"},{"field":"57","visibility":"Show"}]},{"type":"field","link":"Any","terms":[{"field":"74","operator":"equals","value":"3"}],"actions":[{"field":"82","visibility":"Show"},{"field":"76","visibility":"Show"},{"field":"59","visibility":"Show"},{"field":"60","visibility":"Show"},{"field":"61","visibility":"Show"},{"field":"62","visibility":"Show"},{"field":"63","visibility":"Show"},{"field":"64","visibility":"Show"},{"field":"65","visibility":"Show"}]},{"type":"field","link":"Any","terms":[{"field":"74","operator":"equals","value":"4"}],"actions":[{"field":"83","visibility":"Show"}]}]);
   Userform.init(function(){
      $('input_16').hint('ex: myname@example.com');
      Userform.description('input_30', 'במידה ובחרת לשלם ב');
      Userform.alterTexts({"alphabetic":"This field can only contain letters","alphanumeric":"This field can only contain letters and numbers.","confirmClearForm":"Are you sure you want to clear the form?","confirmEmail":"E-mail does not match","email":"Enter a valid e-mail address","generalError":"There are errors on the form. Please fix them before continuing.","generalPageError":"There are errors on this page. Please fix them before continuing.","gradingScoreError":"Score total should only be less than or equal to","incompleteFields":"There are incomplete required fields. Please complete them.","inputCarretErrorA":"Input should not be less than the minimum value:","inputCarretErrorB":"Input should not be greater than the maximum value:","lessThan":"Your score should be less than or equal to","maxDigitsError":"The maximum digits allowed is","maxSelectionsError":"The maximum number of selections allowed is","minSelectionsError":"The minimum required number of selections is","multipleFileUploads_emptyError":"{file} is empty, please select files again without it.","multipleFileUploads_minSizeError":"{file} is too small, minimum file size is {minSizeLimit}.","multipleFileUploads_onLeave":"The files are being uploaded, if you leave now the upload will be cancelled.","multipleFileUploads_sizeError":"{file} is too large, maximum file size is {sizeLimit}.","multipleFileUploads_typeError":"{file} has invalid extension. Only {extensions} are allowed.","numeric":"This field can only contain numeric values","pastDatesDisallowed":"Date must not be in the past.","pleaseWait":"Please wait...","required":"This field is required.","requireEveryRow":"Every row is required.","requireOne":"At least one field required.","submissionLimit":"Sorry! Only one entry is allowed.  Multiple submissions are disabled for this form.","uploadExtensions":"You can only upload following files:","uploadFilesize":"File size cannot be bigger than:"});
   });
</script>
<style type="text/css" id="GenFormStyles">
    .form-label{
        width:150px !important;
    }
    .form-label-left{
        width:150px !important;
    }
    .form-line{
        padding-top:12px;
        padding-bottom:12px;
    }
    .form-label-right{
        width:150px !important;
    }
    .form-all {
        font-size:14px;
    }
.co_body .content .form-all p {
 font-size:14px;

}
@media screen and (max-width: 600px) {.form-label-left{	float:none;	display:block;}.form-buttons-wrapper.button-align-auto{text-indent: 0!important;}}</style>

<form class="userform-form" action="" method="post" name="form_7396408" id="7396408" accept-charset="utf-8"><input type="hidden" name="formID" value="7396408" /><div class="form-all dir_rtl" dir="rtl"><ul class="form-section"><li id="cid_46" class="form-input-wide"> <div class="form-header-group"><h2 id="header_46" class="form-header">פרטים כללים</h2></div> </li><li class="form-line" id="id_4"><div id="cid_4" class="form-input-wide"> <div id="text_4" class="form-html"><p style="text-align: center;"><strong>Register Online</strong></p>

<p style="text-align: center;">We are currently accepting application forms for the 2026-2027 school year</p>

<p style="text-align: center;">Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact Sara Beitsh at sarabeitsh@gmail.com</p>

<p style="text-align: center;"><u>Please note that one registration form per child is needed</u></p>

<p style="text-align: center;">!We look forward to a wonderful year of learning and growth</p>

<p dir="ltr" style="text-align: right;"><strong>הרשמה אונליין </strong></p>

<p style="text-align: right;">נפתחה ההרשמה לשנת הלימודים 2026-2027</p>

<p style="text-align: right;">אנא מלאו את כל השורות והפרטים בטופס ובמידה ויש שאלות אתם מוזמנים ליצור עימנו קשר טלפוני.</p>

<p style="text-align: right;"><span dir="RTL">שימו לב, כי על כל ילד נדרש למלא טופס בנפרד.</span></p>

<p style="text-align: right;"><span dir="RTL">בציפייה לשנה נפלאה של למידה וצמיחה!</span></p>

<p><span dir="RTL">תשלום שנתי:</span></p>

<p><span dir="RTL">$725 + $100 דמי הרשמה</span></p>

<p><span dir="RTL">* $50 הנחה לנרשמים עד ה 15 ביולי</span></p>

<p><span dir="RTL">בנוסף, תינתן הנחה של $75 למשפחות בהן יותר מילד אחד ירשם ללימודים. </span></p>

<p><span dir="RTL">לפרטים נוספים:</span></p>

<p><span dir="RTL">sarabeitsh@gmail.com</span></p>
</div> </div></li><li id="cid_7" class="form-input-wide"> <div class="form-header-group"><h2 id="header_7" class="form-header">פרטי התלמיד</h2></div> </li><li class="form-line" id="id_74"><div class="form-label-left" id="label_74"><label for="input_74"> Number of Children to Register<span class="form-required">*</span> </label><label class="label-message" for="input_74"> </label></div><div id="cid_74" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_74" name="q74_input74"><option value=""></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option></select> </div></li><li id="cid_75" class="form-input-wide"> <div class="form-header-group"><h2 id="header_75" class="form-header">אנא מלאו את כל אחד מהסעיפים בטופס הרישום עבור כל אחד מהילדים</h2></div> </li><li id="cid_77" class="form-input-wide"> <div class="form-header-group"><h2 id="header_77" class="form-header">פרטי תלמיד ראשון</h2></div> </li><li class="form-line" id="id_5"><div class="form-label-left" id="label_5"><label for="input_5"> שם מלא באנגלית<span class="form-required">*</span> </label><label class="label-message" for="input_5"> </label></div><div id="cid_5" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q5_input5[first]" id="first_5" autocomplete="given-name" />  <label class="form-sub-label" for="first_5" id="sublabel_first">First name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q5_input5[last]" id="last_5" autocomplete="family-name" />  <label class="form-sub-label" for="last_5" id="sublabel_last">Last name</label></span> </div></li><li class="form-line" id="id_35"><div class="form-label-left" id="label_35"><label for="input_35"> שם מלא בעברית<span class="form-required">*</span> </label><label class="label-message" for="input_35"> </label></div><div id="cid_35" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q35_input35[first]" id="first_35" autocomplete="given-name" />  <label class="form-sub-label" for="first_35" id="sublabel_first">שם פרטי</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q35_input35[last]" id="last_35" autocomplete="family-name" />  <label class="form-sub-label" for="last_35" id="sublabel_last">שם משפחה</label></span> </div></li><li class="form-line" id="id_53"><div class="form-label-left" id="label_53"><label for="input_53"> תאריך לידה<span class="form-required">*</span> </label><label class="label-message" for="input_53"> </label></div><div id="cid_53" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q53_input53[month]" id="input_53_month"><option></option><option value="1">1 - ינואר</option><option value="2">2 - פברואר</option><option value="3">3 - מרץ</option><option value="4">4 - אפריל</option><option value="5">5 - מאי</option><option value="6">6 - יוני</option><option value="7">7 - יולי</option><option value="8">8 - אוגוסט</option><option value="9">9 - ספטמבר</option><option value="10">10 - אוקטובר</option><option value="11">11 - נובמבר</option><option value="12">12 - דצמבר</option></select>  <label class="form-sub-label" for="input_53_month" id="sublabel_month">חודש</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q53_input53[day]" id="input_53_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_53_day" id="sublabel_day">יום</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q53_input53[year]" id="input_53_year"><option></option><option value="2026">2026</option><option value="2025">2025</option><option value="2024">2024</option><option value="2023">2023</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><option value="2011">2011</option><option value="2010">2010</option><option value="2009">2009</option><option value="2008">2008</option><option value="2007">2007</option><option value="2006">2006</option><option value="2005">2005</option><option value="2004">2004</option><option value="2003">2003</option><option value="2002">2002</option><option value="2001">2001</option><option value="2000">2000</option><option value="1999">1999</option><option value="1998">1998</option><option value="1997">1997</option><option value="1996">1996</option><option value="1995">1995</option><option value="1994">1994</option><option value="1993">1993</option><option value="1992">1992</option><option value="1991">1991</option><option value="1990">1990</option><option value="1989">1989</option><option value="1988">1988</option><option value="1987">1987</option><option value="1986">1986</option><option value="1985">1985</option><option value="1984">1984</option><option value="1983">1983</option><option value="1982">1982</option><option value="1981">1981</option><option value="1980">1980</option><option value="1979">1979</option><option value="1978">1978</option><option value="1977">1977</option><option value="1976">1976</option><option value="1975">1975</option><option value="1974">1974</option><option value="1973">1973</option><option value="1972">1972</option><option value="1971">1971</option><option value="1970">1970</option><option value="1969">1969</option><option value="1968">1968</option><option value="1967">1967</option><option value="1966">1966</option><option value="1965">1965</option><option value="1964">1964</option><option value="1963">1963</option><option value="1962">1962</option><option value="1961">1961</option><option value="1960">1960</option><option value="1959">1959</option><option value="1958">1958</option><option value="1957">1957</option><option value="1956">1956</option><option value="1955">1955</option><option value="1954">1954</option><option value="1953">1953</option><option value="1952">1952</option><option value="1951">1951</option><option value="1950">1950</option><option value="1949">1949</option><option value="1948">1948</option><option value="1947">1947</option><option value="1946">1946</option><option value="1945">1945</option><option value="1944">1944</option><option value="1943">1943</option><option value="1942">1942</option><option value="1941">1941</option><option value="1940">1940</option><option value="1939">1939</option><option value="1938">1938</option><option value="1937">1937</option><option value="1936">1936</option><option value="1935">1935</option><option value="1934">1934</option><option value="1933">1933</option><option value="1932">1932</option><option value="1931">1931</option><option value="1930">1930</option><option value="1929">1929</option><option value="1928">1928</option><option value="1927">1927</option><option value="1926">1926</option><option value="1925">1925</option><option value="1924">1924</option><option value="1923">1923</option><option value="1922">1922</option><option value="1921">1921</option><option value="1920">1920</option></select>  <label class="form-sub-label" for="input_53_year" id="sublabel_year">שנה</label></span></div> </div></li><li class="form-line" id="id_9"><div class="form-label-left" id="label_9"><label for="input_9"> לאיזה כיתה ייכנס בספטמבר?<span class="form-required">*</span> </label><label class="label-message" for="input_9"> </label></div><div id="cid_9" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_9" name="q9_input9"><option value=""></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></select> </div></li><li class="form-line" id="id_20"><div class="form-label-left" id="label_20"><label for="input_20"> האם יש לילד אלרגיות או מחלה כלשהי שאנו צריכים לדעת? במידה וכן אנא ציינו מהי וכיצד עלינו לנהוג במידה ודרוש טיפול ראשוני<span class="form-required">*</span> </label><label class="label-message" for="input_20"> </label></div><div id="cid_20" class="form-input"> <textarea id="input_20" class="form-textarea validate[required]" name="q20_input20" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_47"><div class="form-label-left" id="label_47"><label for="input_47"> האם ילדך נוטל תרופות לטיפול בהפרעת קשב על בסיס יומי?<span class="form-required">*</span> </label><label class="label-message" for="input_47"> </label></div><div id="cid_47" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_47_0" name="q47_input47[]" value="כן" /><label id="label_input_47_0" for="input_47_0"><span>כן</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_47_1" name="q47_input47[]" value="לא" /><label id="label_input_47_1" for="input_47_1"><span>לא</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_47_2" name="q47_input47[]" value="האם ישנם פרטים נוספים שעלינו לדעת? אם כן, אנא סמנו תיבה זו" /><label id="label_input_47_2" for="input_47_2"><span>האם ישנם פרטים נוספים שעלינו לדעת? אם כן, אנא סמנו תיבה זו</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_48"><div class="form-label-left" id="label_48"><label for="input_48"> האם לילדך ישIEP או 504 PLAN<span class="form-required">*</span> </label><label class="label-message" for="input_48"> </label></div><div id="cid_48" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_48_0" name="q48_input48[]" value="כן" /><label id="label_input_48_0" for="input_48_0"><span>כן</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_48_1" name="q48_input48[]" value="לא" /><label id="label_input_48_1" for="input_48_1"><span>לא</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_48_2" name="q48_input48[]" value="האם יש פרטים נוספים שעלינו לדעת?אם כן, אנא סמנו תיבה זו" /><label id="label_input_48_2" for="input_48_2"><span>האם יש פרטים נוספים שעלינו לדעת?אם כן, אנא סמנו תיבה זו</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_78" class="form-input-wide"> <div class="form-header-group"><h2 id="header_78" class="form-header">פרטי תלמיד שני</h2></div> </li><li class="form-line" id="id_51"><div class="form-label-left" id="label_51"><label for="input_51"> שם מלא באנגלית </label><label class="label-message" for="input_51"> </label></div><div id="cid_51" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q51_input51[first]" id="first_51" autocomplete="given-name" />  <label class="form-sub-label" for="first_51" id="sublabel_first">First name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q51_input51[last]" id="last_51" autocomplete="family-name" />  <label class="form-sub-label" for="last_51" id="sublabel_last">Last name</label></span> </div></li><li class="form-line" id="id_52"><div class="form-label-left" id="label_52"><label for="input_52"> שם מלא בעברית </label><label class="label-message" for="input_52"> </label></div><div id="cid_52" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q52_input52[first]" id="first_52" autocomplete="given-name" />  <label class="form-sub-label" for="first_52" id="sublabel_first">שם פרטי</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q52_input52[last]" id="last_52" autocomplete="family-name" />  <label class="form-sub-label" for="last_52" id="sublabel_last">שם משפחה</label></span> </div></li><li class="form-line" id="id_6"><div class="form-label-left" id="label_6"><label for="input_6"> תאריך לידה </label><label class="label-message" for="input_6"> </label></div><div id="cid_6" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q6_input6[month]" id="input_6_month"><option></option><option value="1">1 - ינואר</option><option value="2">2 - פברואר</option><option value="3">3 - מרץ</option><option value="4">4 - אפריל</option><option value="5">5 - מאי</option><option value="6">6 - יוני</option><option value="7">7 - יולי</option><option value="8">8 - אוגוסט</option><option value="9">9 - ספטמבר</option><option value="10">10 - אוקטובר</option><option value="11">11 - נובמבר</option><option value="12">12 - דצמבר</option></select>  <label class="form-sub-label" for="input_6_month" id="sublabel_month">חודש</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q6_input6[day]" id="input_6_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_6_day" id="sublabel_day">יום</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q6_input6[year]" id="input_6_year"><option></option><option value="2026">2026</option><option value="2025">2025</option><option value="2024">2024</option><option value="2023">2023</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><option value="2011">2011</option><option value="2010">2010</option><option value="2009">2009</option><option value="2008">2008</option><option value="2007">2007</option><option value="2006">2006</option><option value="2005">2005</option><option value="2004">2004</option><option value="2003">2003</option><option value="2002">2002</option><option value="2001">2001</option><option value="2000">2000</option><option value="1999">1999</option><option value="1998">1998</option><option value="1997">1997</option><option value="1996">1996</option><option value="1995">1995</option><option value="1994">1994</option><option value="1993">1993</option><option value="1992">1992</option><option value="1991">1991</option><option value="1990">1990</option><option value="1989">1989</option><option value="1988">1988</option><option value="1987">1987</option><option value="1986">1986</option><option value="1985">1985</option><option value="1984">1984</option><option value="1983">1983</option><option value="1982">1982</option><option value="1981">1981</option><option value="1980">1980</option><option value="1979">1979</option><option value="1978">1978</option><option value="1977">1977</option><option value="1976">1976</option><option value="1975">1975</option><option value="1974">1974</option><option value="1973">1973</option><option value="1972">1972</option><option value="1971">1971</option><option value="1970">1970</option><option value="1969">1969</option><option value="1968">1968</option><option value="1967">1967</option><option value="1966">1966</option><option value="1965">1965</option><option value="1964">1964</option><option value="1963">1963</option><option value="1962">1962</option><option value="1961">1961</option><option value="1960">1960</option><option value="1959">1959</option><option value="1958">1958</option><option value="1957">1957</option><option value="1956">1956</option><option value="1955">1955</option><option value="1954">1954</option><option value="1953">1953</option><option value="1952">1952</option><option value="1951">1951</option><option value="1950">1950</option><option value="1949">1949</option><option value="1948">1948</option><option value="1947">1947</option><option value="1946">1946</option><option value="1945">1945</option><option value="1944">1944</option><option value="1943">1943</option><option value="1942">1942</option><option value="1941">1941</option><option value="1940">1940</option><option value="1939">1939</option><option value="1938">1938</option><option value="1937">1937</option><option value="1936">1936</option><option value="1935">1935</option><option value="1934">1934</option><option value="1933">1933</option><option value="1932">1932</option><option value="1931">1931</option><option value="1930">1930</option><option value="1929">1929</option><option value="1928">1928</option><option value="1927">1927</option><option value="1926">1926</option><option value="1925">1925</option><option value="1924">1924</option><option value="1923">1923</option><option value="1922">1922</option><option value="1921">1921</option><option value="1920">1920</option></select>  <label class="form-sub-label" for="input_6_year" id="sublabel_year">שנה</label></span></div> </div></li><li class="form-line" id="id_54"><div class="form-label-left" id="label_54"><label for="input_54"> לאיזה כיתה ייכנס בספטמבר? </label><label class="label-message" for="input_54"> </label></div><div id="cid_54" class="form-input"> <select class="form-dropdown" style="width:150px" id="input_54" name="q54_input54"><option value=""></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></select> </div></li><li class="form-line" id="id_55"><div class="form-label-left" id="label_55"><label for="input_55"> האם יש לילד אלרגיות או מחלה כלשהי שאנו צריכים לדעת? במידה וכן אנא ציינו מהי וכיצד עלינו לנהוג במידה ודרוש טיפול ראשוני </label><label class="label-message" for="input_55"> </label></div><div id="cid_55" class="form-input"> <textarea id="input_55" class="form-textarea" name="q55_input55" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_56"><div class="form-label-left" id="label_56"><label for="input_56"> האם ילדך נוטל תרופות לטיפול בהפרעת קשב על בסיס יומי? </label><label class="label-message" for="input_56"> </label></div><div id="cid_56" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_56_0" name="q56_input56[]" value="כן" /><label id="label_input_56_0" for="input_56_0"><span>כן</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_56_1" name="q56_input56[]" value="לא" /><label id="label_input_56_1" for="input_56_1"><span>לא</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_56_2" name="q56_input56[]" value="האם ישנם פרטים נוספים שעלינו לדעת? אם כן, אנא סמנו תיבה זו" /><label id="label_input_56_2" for="input_56_2"><span>האם ישנם פרטים נוספים שעלינו לדעת? אם כן, אנא סמנו תיבה זו</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_57"><div class="form-label-left" id="label_57"><label for="input_57"> האם לילדך ישIEP או 504 PLAN </label><label class="label-message" for="input_57"> </label></div><div id="cid_57" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_57_0" name="q57_input57[]" value="כן" /><label id="label_input_57_0" for="input_57_0"><span>כן</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_57_1" name="q57_input57[]" value="לא" /><label id="label_input_57_1" for="input_57_1"><span>לא</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_57_2" name="q57_input57[]" value="האם יש פרטים נוספים שעלינו לדעת?אם כן, אנא סמנו תיבה זו" /><label id="label_input_57_2" for="input_57_2"><span>האם יש פרטים נוספים שעלינו לדעת?אם כן, אנא סמנו תיבה זו</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_76" class="form-input-wide"> <div class="form-header-group"><h2 id="header_76" class="form-header">פרטי תלמיד שלישי</h2></div> </li><li class="form-line" id="id_59"><div class="form-label-left" id="label_59"><label for="input_59"> שם מלא באנגלית </label><label class="label-message" for="input_59"> </label></div><div id="cid_59" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q59_input59[first]" id="first_59" autocomplete="given-name" />  <label class="form-sub-label" for="first_59" id="sublabel_first">First name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q59_input59[last]" id="last_59" autocomplete="family-name" />  <label class="form-sub-label" for="last_59" id="sublabel_last">Last name</label></span> </div></li><li class="form-line" id="id_60"><div class="form-label-left" id="label_60"><label for="input_60"> שם מלא בעברית </label><label class="label-message" for="input_60"> </label></div><div id="cid_60" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q60_input60[first]" id="first_60" autocomplete="given-name" />  <label class="form-sub-label" for="first_60" id="sublabel_first">שם פרטי</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q60_input60[last]" id="last_60" autocomplete="family-name" />  <label class="form-sub-label" for="last_60" id="sublabel_last">שם משפחה</label></span> </div></li><li class="form-line" id="id_61"><div class="form-label-left" id="label_61"><label for="input_61"> תאריך לידה </label><label class="label-message" for="input_61"> </label></div><div id="cid_61" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q61_input61[month]" id="input_61_month"><option></option><option value="1">1 - ינואר</option><option value="2">2 - פברואר</option><option value="3">3 - מרץ</option><option value="4">4 - אפריל</option><option value="5">5 - מאי</option><option value="6">6 - יוני</option><option value="7">7 - יולי</option><option value="8">8 - אוגוסט</option><option value="9">9 - ספטמבר</option><option value="10">10 - אוקטובר</option><option value="11">11 - נובמבר</option><option value="12">12 - דצמבר</option></select>  <label class="form-sub-label" for="input_61_month" id="sublabel_month">חודש</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q61_input61[day]" id="input_61_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_61_day" id="sublabel_day">יום</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q61_input61[year]" id="input_61_year"><option></option><option value="2026">2026</option><option value="2025">2025</option><option value="2024">2024</option><option value="2023">2023</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><option value="2011">2011</option><option value="2010">2010</option><option value="2009">2009</option><option value="2008">2008</option><option value="2007">2007</option><option value="2006">2006</option><option value="2005">2005</option><option value="2004">2004</option><option value="2003">2003</option><option value="2002">2002</option><option value="2001">2001</option><option value="2000">2000</option><option value="1999">1999</option><option value="1998">1998</option><option value="1997">1997</option><option value="1996">1996</option><option value="1995">1995</option><option value="1994">1994</option><option value="1993">1993</option><option value="1992">1992</option><option value="1991">1991</option><option value="1990">1990</option><option value="1989">1989</option><option value="1988">1988</option><option value="1987">1987</option><option value="1986">1986</option><option value="1985">1985</option><option value="1984">1984</option><option value="1983">1983</option><option value="1982">1982</option><option value="1981">1981</option><option value="1980">1980</option><option value="1979">1979</option><option value="1978">1978</option><option value="1977">1977</option><option value="1976">1976</option><option value="1975">1975</option><option value="1974">1974</option><option value="1973">1973</option><option value="1972">1972</option><option value="1971">1971</option><option value="1970">1970</option><option value="1969">1969</option><option value="1968">1968</option><option value="1967">1967</option><option value="1966">1966</option><option value="1965">1965</option><option value="1964">1964</option><option value="1963">1963</option><option value="1962">1962</option><option value="1961">1961</option><option value="1960">1960</option><option value="1959">1959</option><option value="1958">1958</option><option value="1957">1957</option><option value="1956">1956</option><option value="1955">1955</option><option value="1954">1954</option><option value="1953">1953</option><option value="1952">1952</option><option value="1951">1951</option><option value="1950">1950</option><option value="1949">1949</option><option value="1948">1948</option><option value="1947">1947</option><option value="1946">1946</option><option value="1945">1945</option><option value="1944">1944</option><option value="1943">1943</option><option value="1942">1942</option><option value="1941">1941</option><option value="1940">1940</option><option value="1939">1939</option><option value="1938">1938</option><option value="1937">1937</option><option value="1936">1936</option><option value="1935">1935</option><option value="1934">1934</option><option value="1933">1933</option><option value="1932">1932</option><option value="1931">1931</option><option value="1930">1930</option><option value="1929">1929</option><option value="1928">1928</option><option value="1927">1927</option><option value="1926">1926</option><option value="1925">1925</option><option value="1924">1924</option><option value="1923">1923</option><option value="1922">1922</option><option value="1921">1921</option><option value="1920">1920</option></select>  <label class="form-sub-label" for="input_61_year" id="sublabel_year">שנה</label></span></div> </div></li><li class="form-line" id="id_62"><div class="form-label-left" id="label_62"><label for="input_62"> לאיזה כיתה ייכנס בספטמבר? </label><label class="label-message" for="input_62"> </label></div><div id="cid_62" class="form-input"> <select class="form-dropdown" style="width:150px" id="input_62" name="q62_input62"><option value=""></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></select> </div></li><li class="form-line" id="id_63"><div class="form-label-left" id="label_63"><label for="input_63"> האם יש לילד אלרגיות או מחלה כלשהי שאנו צריכים לדעת? במידה וכן אנא ציינו מהי וכיצד עלינו לנהוג במידה ודרוש טיפול ראשוני </label><label class="label-message" for="input_63"> </label></div><div id="cid_63" class="form-input"> <textarea id="input_63" class="form-textarea" name="q63_input63" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_64"><div class="form-label-left" id="label_64"><label for="input_64"> האם ילדך נוטל תרופות לטיפול בהפרעת קשב על בסיס יומי? </label><label class="label-message" for="input_64"> </label></div><div id="cid_64" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_64_0" name="q64_input64[]" value="כן" /><label id="label_input_64_0" for="input_64_0"><span>כן</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_64_1" name="q64_input64[]" value="לא" /><label id="label_input_64_1" for="input_64_1"><span>לא</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_64_2" name="q64_input64[]" value="האם ישנם פרטים נוספים שעלינו לדעת? אם כן, אנא סמנו תיבה זו" /><label id="label_input_64_2" for="input_64_2"><span>האם ישנם פרטים נוספים שעלינו לדעת? אם כן, אנא סמנו תיבה זו</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_65"><div class="form-label-left" id="label_65"><label for="input_65"> האם לילדך ישIEP או 504 PLAN </label><label class="label-message" for="input_65"> </label></div><div id="cid_65" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_65_0" name="q65_input65[]" value="כן" /><label id="label_input_65_0" for="input_65_0"><span>כן</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_65_1" name="q65_input65[]" value="לא" /><label id="label_input_65_1" for="input_65_1"><span>לא</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_65_2" name="q65_input65[]" value="האם יש פרטים נוספים שעלינו לדעת?אם כן, אנא סמנו תיבה זו" /><label id="label_input_65_2" for="input_65_2"><span>האם יש פרטים נוספים שעלינו לדעת?אם כן, אנא סמנו תיבה זו</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_79" class="form-input-wide"> <div class="form-header-group"><h2 id="header_79" class="form-header">פרטי תלמיד רביעי</h2></div> </li><li class="form-line" id="id_67"><div class="form-label-left" id="label_67"><label for="input_67"> שם מלא באנגלית </label><label class="label-message" for="input_67"> </label></div><div id="cid_67" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q67_input67[first]" id="first_67" autocomplete="given-name" />  <label class="form-sub-label" for="first_67" id="sublabel_first">First name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q67_input67[last]" id="last_67" autocomplete="family-name" />  <label class="form-sub-label" for="last_67" id="sublabel_last">Last name</label></span> </div></li><li class="form-line" id="id_68"><div class="form-label-left" id="label_68"><label for="input_68"> שם מלא בעברית </label><label class="label-message" for="input_68"> </label></div><div id="cid_68" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q68_input68[first]" id="first_68" autocomplete="given-name" />  <label class="form-sub-label" for="first_68" id="sublabel_first">שם פרטי</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q68_input68[last]" id="last_68" autocomplete="family-name" />  <label class="form-sub-label" for="last_68" id="sublabel_last">שם משפחה</label></span> </div></li><li class="form-line" id="id_69"><div class="form-label-left" id="label_69"><label for="input_69"> תאריך לידה </label><label class="label-message" for="input_69"> </label></div><div id="cid_69" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q69_input69[month]" id="input_69_month"><option></option><option value="1">1 - ינואר</option><option value="2">2 - פברואר</option><option value="3">3 - מרץ</option><option value="4">4 - אפריל</option><option value="5">5 - מאי</option><option value="6">6 - יוני</option><option value="7">7 - יולי</option><option value="8">8 - אוגוסט</option><option value="9">9 - ספטמבר</option><option value="10">10 - אוקטובר</option><option value="11">11 - נובמבר</option><option value="12">12 - דצמבר</option></select>  <label class="form-sub-label" for="input_69_month" id="sublabel_month">חודש</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q69_input69[day]" id="input_69_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_69_day" id="sublabel_day">יום</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown" name="q69_input69[year]" id="input_69_year"><option></option><option value="2026">2026</option><option value="2025">2025</option><option value="2024">2024</option><option value="2023">2023</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><option value="2011">2011</option><option value="2010">2010</option><option value="2009">2009</option><option value="2008">2008</option><option value="2007">2007</option><option value="2006">2006</option><option value="2005">2005</option><option value="2004">2004</option><option value="2003">2003</option><option value="2002">2002</option><option value="2001">2001</option><option value="2000">2000</option><option value="1999">1999</option><option value="1998">1998</option><option value="1997">1997</option><option value="1996">1996</option><option value="1995">1995</option><option value="1994">1994</option><option value="1993">1993</option><option value="1992">1992</option><option value="1991">1991</option><option value="1990">1990</option><option value="1989">1989</option><option value="1988">1988</option><option value="1987">1987</option><option value="1986">1986</option><option value="1985">1985</option><option value="1984">1984</option><option value="1983">1983</option><option value="1982">1982</option><option value="1981">1981</option><option value="1980">1980</option><option value="1979">1979</option><option value="1978">1978</option><option value="1977">1977</option><option value="1976">1976</option><option value="1975">1975</option><option value="1974">1974</option><option value="1973">1973</option><option value="1972">1972</option><option value="1971">1971</option><option value="1970">1970</option><option value="1969">1969</option><option value="1968">1968</option><option value="1967">1967</option><option value="1966">1966</option><option value="1965">1965</option><option value="1964">1964</option><option value="1963">1963</option><option value="1962">1962</option><option value="1961">1961</option><option value="1960">1960</option><option value="1959">1959</option><option value="1958">1958</option><option value="1957">1957</option><option value="1956">1956</option><option value="1955">1955</option><option value="1954">1954</option><option value="1953">1953</option><option value="1952">1952</option><option value="1951">1951</option><option value="1950">1950</option><option value="1949">1949</option><option value="1948">1948</option><option value="1947">1947</option><option value="1946">1946</option><option value="1945">1945</option><option value="1944">1944</option><option value="1943">1943</option><option value="1942">1942</option><option value="1941">1941</option><option value="1940">1940</option><option value="1939">1939</option><option value="1938">1938</option><option value="1937">1937</option><option value="1936">1936</option><option value="1935">1935</option><option value="1934">1934</option><option value="1933">1933</option><option value="1932">1932</option><option value="1931">1931</option><option value="1930">1930</option><option value="1929">1929</option><option value="1928">1928</option><option value="1927">1927</option><option value="1926">1926</option><option value="1925">1925</option><option value="1924">1924</option><option value="1923">1923</option><option value="1922">1922</option><option value="1921">1921</option><option value="1920">1920</option></select>  <label class="form-sub-label" for="input_69_year" id="sublabel_year">שנה</label></span></div> </div></li><li class="form-line" id="id_70"><div class="form-label-left" id="label_70"><label for="input_70"> לאיזה כיתה ייכנס בספטמבר? </label><label class="label-message" for="input_70"> </label></div><div id="cid_70" class="form-input"> <select class="form-dropdown" style="width:150px" id="input_70" name="q70_input70"><option value=""></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></select> </div></li><li class="form-line" id="id_71"><div class="form-label-left" id="label_71"><label for="input_71"> האם יש לילד אלרגיות או מחלה כלשהי שאנו צריכים לדעת? במידה וכן אנא ציינו מהי וכיצד עלינו לנהוג במידה ודרוש טיפול ראשוני </label><label class="label-message" for="input_71"> </label></div><div id="cid_71" class="form-input"> <textarea id="input_71" class="form-textarea" name="q71_input71" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_72"><div class="form-label-left" id="label_72"><label for="input_72"> האם ילדך נוטל תרופות לטיפול בהפרעת קשב על בסיס יומי? </label><label class="label-message" for="input_72"> </label></div><div id="cid_72" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_72_0" name="q72_input72[]" value="כן" /><label id="label_input_72_0" for="input_72_0"><span>כן</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_72_1" name="q72_input72[]" value="לא" /><label id="label_input_72_1" for="input_72_1"><span>לא</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_72_2" name="q72_input72[]" value="האם ישנם פרטים נוספים שעלינו לדעת? אם כן, אנא סמנו תיבה זו" /><label id="label_input_72_2" for="input_72_2"><span>האם ישנם פרטים נוספים שעלינו לדעת? אם כן, אנא סמנו תיבה זו</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_73"><div class="form-label-left" id="label_73"><label for="input_73"> האם לילדך ישIEP או 504 PLAN </label><label class="label-message" for="input_73"> </label></div><div id="cid_73" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_73_0" name="q73_input73[]" value="כן" /><label id="label_input_73_0" for="input_73_0"><span>כן</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_73_1" name="q73_input73[]" value="לא" /><label id="label_input_73_1" for="input_73_1"><span>לא</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_73_2" name="q73_input73[]" value="האם יש פרטים נוספים שעלינו לדעת?אם כן, אנא סמנו תיבה זו" /><label id="label_input_73_2" for="input_73_2"><span>האם יש פרטים נוספים שעלינו לדעת?אם כן, אנא סמנו תיבה זו</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_10" class="form-input-wide"> <div class="form-header-group"><h2 id="header_10" class="form-header">פרטי ההורים</h2></div> </li><li class="form-line" id="id_11"><div class="form-label-left" id="label_11"><label for="input_11"> שם האב<span class="form-required">*</span> </label><label class="label-message" for="input_11"> </label></div><div id="cid_11" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_11" name="q11_input11" size="20" value="" /> </div></li><li class="form-line" id="id_13"><div class="form-label-left" id="label_13"><label for="input_13"> טלפון<span class="form-required">*</span> </label><label class="label-message" for="input_13"> </label></div><div id="cid_13" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q13_input13[area]" id="input_13_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_13_area" id="sublabel_area">קידומת</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q13_input13[phone]" id="input_13_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_13_phone" id="sublabel_phone">טלפון</label></span></div> </div></li><li class="form-line" id="id_12"><div class="form-label-left" id="label_12"><label for="input_12"> שם האם<span class="form-required">*</span> </label><label class="label-message" for="input_12"> </label></div><div id="cid_12" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_12" name="q12_input12" size="20" value="" /> </div></li><li class="form-line" id="id_14"><div class="form-label-left" id="label_14"><label for="input_14"> טלפון<span class="form-required">*</span> </label><label class="label-message" for="input_14"> </label></div><div id="cid_14" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q14_input14[area]" id="input_14_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_14_area" id="sublabel_area">קידומת</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q14_input14[phone]" id="input_14_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_14_phone" id="sublabel_phone">טלפון</label></span></div> </div></li><li class="form-line" id="id_16"><div class="form-label-left" id="label_16"><label for="input_16"> דוא"ל<span class="form-required">*</span> </label><label class="label-message" for="input_16"> </label></div><div id="cid_16" class="form-input"> <input type="email" class=" form-textbox validate[required, Email]" id="input_16" name="q16_input16" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_17"><div class="form-label-left form-label-hidden" id="label_17"></div><div id="cid_17" class="form-input"> <div class="form-single-column form-checkbox-item"><input name="optin" value="true" type="checkbox" checked="checked" class="form-checkbox" id="input_17" /><label id="label_input_17" for="input_17">אשמח לקבל חדשות ועדכונים למייל</label></div> </div></li><li class="form-line" id="id_29"><div class="form-label-left" id="label_29"><label for="input_29"> האם האמא עברה גיור? אם כן, אנא פרט<span class="form-required">*</span> </label><label class="label-message" for="input_29"> </label></div><div id="cid_29" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_29" name="q29_input29" size="20" value="" /> </div></li><li class="form-line" id="id_18"><div class="form-label-left" id="label_18"><label for="input_18"> שם איש קשר לחירום<span class="form-required">*</span> </label><label class="label-message" for="input_18"> </label></div><div id="cid_18" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_18" name="q18_input18" size="20" value="" /> </div></li><li class="form-line" id="id_19"><div class="form-label-left" id="label_19"><label for="input_19"> טלפון של איש קשר חירום<span class="form-required">*</span> </label><label class="label-message" for="input_19"> </label></div><div id="cid_19" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q19_input19[area]" id="input_19_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_19_area" id="sublabel_area">קידומת</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q19_input19[phone]" id="input_19_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_19_phone" id="sublabel_phone">טלפון</label></span></div> </div></li><li class="form-line" id="id_31"><div id="cid_31" class="form-input-wide"> <div id="text_31" class="form-html"><p dir="rtl" style="text-align: left;">As the parent(s) or legal guardian of the above child, in case of emergency, I/we authorize any adult acting on behalf of Chabad Hebrew School to hospitalize or secure treatment for my child/ren, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances permit, Chabad Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child/ren to participate in all school activities, join in class and school trips on and beyond school properties and allow my child/ren to be photographed while participating in Chabad Hebrew School activities and that these pictures may be used for marketing purposes</p>
</div> </div></li><li class="form-line" id="id_32"><div class="form-label-left" id="label_32"><label for="input_32">  </label><label class="label-message" for="input_32"> </label></div><div id="cid_32" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_32_0" name="q32_input32[]" value="I Accept" /><label id="label_input_32_0" for="input_32_0"><span>I Accept</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_33"><div class="form-label-left" id="label_33"><label for="input_33"> Name +Initials<span class="form-required">*</span> </label><label class="label-message" for="input_33"> </label></div><div id="cid_33" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_33" name="q33_input33" size="20" value="" /> </div></li><li class="form-line" id="id_21"><div id="cid_21" class="form-input-wide"> <div id="text_21" class="form-html"><p dir="rtl" style="text-align: center;">For 2025-2026 school calendar <a href="/media/pdf/1324/jtcD13246027.pdf">click here</a></p>

<p dir="rtl" style="text-align: center;">The school year begins on 9/14/25 and ends on 05/31/26<br />
The cost of Chabad Hebrew School is $725 plus $100 non refundable registration fee</p>

<p dir="rtl" style="text-align: center;"><strong>A $50 discount off tuition is applied to applications received before 7/15/25</strong> </p>

<p dir="rtl" style="text-align: center;"><strong>There is a $75 discount per family of 2 or more children attending Hebrew School</strong></p>
</div> </div></li><li class="form-line" id="id_22"><div id="cid_22" class="form-input-wide"> <div id="text_22" class="form-html"><p style="text-align: center;"> ללוח השנה לשנת 2025-2026 <a href="/media/pdf/1324/jtcD13246027.pdf"><span style="color: rgb(0, 0, 255);"><strong>לחץ </strong></span><span style="color: rgb(0, 0, 255);"><strong>כא</strong></span><span style="color: rgb(0, 0, 255);"><strong>ן</strong></span></a></p>

<p dir="rtl" style="text-align: center;">העלות לשנת הלימודים לחב"ד היברו סקול היא 725$ + 100$ דמי הרשמה<br />
 שנת הלימודים מתחילה ב14לספטמבר 2025 ומסתיימת ב31 למאי 2026</p>

<p dir="rtl" style="text-align: center;">הנחה של 50$ תינתן למי שימלא את הטופס לפני ה-15 ליולי</p>

<p style="text-align: center;"> הנחה של 75$ תינתן למשפחה עם 2+ ילדים רשומים להיברו סקול</p>
</div> </div></li><li id="cid_23" class="form-input-wide"> <div class="form-header-group"><h2 id="header_23" class="form-header">אפשרויות תשלום</h2></div> </li><li class="form-line" id="id_80"><div class="form-label-left" id="label_80"><label for="input_80"> תשלום דמי רישום עבור ילד 1<span class="form-required">*</span> </label><label class="label-message" for="input_80"> </label></div><div id="cid_80" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_80_0" name="q80_input80" value="$100" /><label id="label_input_80_0" for="input_80_0"><span>$100</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_81"><div class="form-label-left" id="label_81"><label for="input_81"> תשלום רישום עבור 2 ילדים<span class="form-required">*</span> </label><label class="label-message" for="input_81"> </label></div><div id="cid_81" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_81_0" name="q81_input81" value="$200" /><label id="label_input_81_0" for="input_81_0"><span>$200</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_82"><div class="form-label-left" id="label_82"><label for="input_82"> תשלום רישום עבור 3 ילדים<span class="form-required">*</span> </label><label class="label-message" for="input_82"> </label></div><div id="cid_82" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_82_0" name="q82_input82" value="$300" /><label id="label_input_82_0" for="input_82_0"><span>$300</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_83"><div class="form-label-left" id="label_83"><label for="input_83"> תשלום רישום עבור 4 ילדים<span class="form-required">*</span> </label><label class="label-message" for="input_83"> </label></div><div id="cid_83" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_83_0" name="q83_input83" value="$400" /><label id="label_input_83_0" for="input_83_0"><span>$400</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_30"><div class="form-label-left" id="label_30"><label for="input_30"> אנא בחרו את אפשרות התשלום העדיפה עליכם<span class="form-required">*</span> </label><label class="label-message" for="input_30"> </label></div><div id="cid_30" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_30_0" name="q30_input30[]" value="תשלום שנתי מלא ב9/14/2025" /><label id="label_input_30_0" for="input_30_0"><span>תשלום שנתי מלא ב9/14/2025</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_30_1" name="q30_input30[]" value="אני מאשר/ת לחייב בכרטיס אשראי את התשלום הראשון ב9/14/2025 והשני ב 1/1/2026" /><label id="label_input_30_1" for="input_30_1"><span>אני מאשר/ת לחייב בכרטיס אשראי את התשלום הראשון ב9/14/2025 והשני ב 1/1/2026</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_38"><div class="form-label-left" id="label_38"><label for="input_38"> סך הכל </label></div><div id="cid_38" class="form-input"> <div id="total_amount">$0.00 </div> </div></li><li class="form-line" id="id_36"><div class="form-label-left" id="label_36"><label for="input_36"> תשלום באשראי <span class="form-required">*</span> </label><label class="label-message" for="input_36"> </label></div><div id="cid_36" 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"></td></tr><tr class="credit_card "><th colspan="2">כרטיס אשראי</th></tr><tr class="credit_card "><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="q36_input36[cc_type]" id="input_36_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[required, visible, creditcard]" type="text" name="q36_input36[cc_number]" id="input_36_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_36_cc_number" id="sublabel_cc_number">מספר כרטיס אשראי</label></span></div></td><td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q36_input36[cc_ccv]" id="input_36_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_36_cc_ccv" id="sublabel_cc_ccv">קוד אבטחה</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q36_input36[cc_nameOnCard]" id="input_36_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_36_cc_nameOnCard" id="sublabel_cc_nameOnCard">שם כפי שמופיע על-גבי הכרטיס</label></span></td></tr><tr class="credit_card "><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q36_input36[cc_exp_month]" id="input_36_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - ינואר</option><option value="2">2 - פברואר</option><option value="3">3 - מרץ</option><option value="4">4 - אפריל</option><option value="5">5 - מאי</option><option value="6">6 - יוני</option><option value="7">7 - יולי</option><option value="8">8 - אוגוסט</option><option value="9">9 - ספטמבר</option><option value="10">10 - אוקטובר</option><option value="11">11 - נובמבר</option><option value="12">12 - דצמבר</option></select>  <label class="form-sub-label" for="input_36_cc_exp_month" id="sublabel_cc_exp_month">חודש פקיעת תוקף</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q36_input36[cc_exp_year]" id="input_36_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_36_cc_exp_year" id="sublabel_cc_exp_year">שנת פקיעת תוקף</label></span></td></tr></tbody></table></td></tr><tr class="billing_address "><th colspan="2">כתובת</th></tr><tr class="billing_address "><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-line" type="text" name="q36_input36[addr_line1]" id="input_36_addr_line1" autocomplete="billing address-line1" />  <label class="form-sub-label" for="input_36_addr_line1" id="sublabel_36_addr_line1">מספר בית ורחוב</label></span></td></tr><tr class="billing_address "><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-city" type="text" name="q36_input36[city]" id="input_36_city" autocomplete="billing address-level2" />  <label class="form-sub-label" for="input_36_city" id="sublabel_36_city">עיר</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-state" type="text" name="q36_input36[state]" id="input_36_state" autocomplete="billing address-level1" />  <label class="form-sub-label" for="input_36_state" id="sublabel_36_state">מדינה / מחוז</label></span></td></tr><tr class="billing_address "><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-postal" type="text" name="q36_input36[postal]" id="input_36_postal" size="10" autocomplete="billing postal-code" />  <label class="form-sub-label" for="input_36_postal" id="sublabel_36_postal">מיקוד</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown validate[required] form-address-country" name="q36_input36[country]" id="input_36_country" autocomplete="billing country-name"><option value="" selected="selected">אנא בחרו</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 value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="People's Republic of China">People's Republic of China</option><option value="Republic of China">Republic of China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Eswatini">Eswatini</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands">Falkland Islands</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Polynesia">French Polynesia</option><option value="Gabon">Gabon</option><option value="The Gambia">The Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guernsey">Guernsey</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jersey">Jersey</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="North Korea">North Korea</option><option value="South Korea">South Korea</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macau">Macau</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Mariana">Northern Mariana</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Pitcairn Islands">Pitcairn Islands</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Romania">Romania</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Barthelemy">Saint Barthelemy</option><option value="Saint Helena">Saint Helena</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Martin">Saint Martin</option><option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option><option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="Somaliland">Somaliland</option><option value="South Africa">South Africa</option><option value="South Ossetia">South Ossetia</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Svalbard">Svalbard</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option 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">אחר</option></select>  <label class="form-sub-label" for="input_36_country" id="sublabel_36_country">ארץ</label></span></td></tr></tbody></table> </div></li><li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li><li class="form-line" id="id_84"><div id="cid_84" class="form-input-wide"><div style="text-align:center" class="form-buttons-wrapper"><button id="input_84" type="submit" class="form-submit-button form-submit-button-none;">שלח</button></div></div></li></ul></div><input type="hidden" id="simple_spc" name="simple_spc" value="7396408" /><script type="text/javascript">document.getElementById("si"+"mple"+"_spc").value = "7396408-7396408";</script><div>


<script>
	var recaptchaIsEnterprise = false;
		 var recaptchaV2Key = "6LcG_TcUAAAAAKAVgwgW39ujc9OCjXSoQYFIA-Su";

</script>

	<input type="hidden" class="js-recaptcha-input" name="cdo-captcha-response" value="" data-div-id="d8ef869d-3936-4b93-8b84-2928d99876c5" data-processed="false" />
	<div class="js-recaptcha-wrapper" id="d8ef869d-3936-4b93-8b84-2928d99876c5"></div>	
</div></form></div>
<div class="center small">
	<img valign="absbottom" src="https://w2.chabad.org/images/global/icons/lock.gif" width="16" height="16" alt="Secure"> This page uses TLS encryption to keep your data secure.
</div>
	<div class="break_floats"></div>
	

<div class="content-footer">
	<!-- END CACHE -->
	
	
	
	
	
</div>
	</article>

		</div>
	</div>
</div>
						
						<div class="break_floats"></div>
						
					</div>
				</div>
				
				
				
			</div>
			
			<!-- BEGIN FOOTER --></div></div>
<div id="chabad_right_colum">

<div id="chabad_updates">
<div class="chabad_updates_head text">
<div>
עדכון</div>
</div>
<div class="chabad_updates_body">
<div class="chabad_updates_gradient">
<div class="chabad_updates_text">

<div class="item">
<div class="chabad_title_update">Lorem ipsum is simply</div>
<div class="chabad_text_update">Lorem Ipsum is simply dummy text of the printing and typesetting industry.</div>
</div>
</div>
</div>
</div>
<div class="chabad_updates_footer"></div>
</div>




<div class="co_section">
<div class="co_section_head text">
<div>במדור זה</div>
</div>
<div class="co_section_body">
<div class="co_section_gradient">
<div class="co_section_text">
<div class="item first last">
<span>●</span>
<a href="/article.asp?aid=7396408">הרשמה</a>
</div>
</div>
</div>
</div>
<div class="co_section_footer" ></div>
</div>

</div>
</div>

<div class="FooterContainer">

<div class="FooterText">
Educate Your Child... Educate a Generation</div>
<div class="FooterButton1">

<a href="/5580299">להרשמה!</a></div>
</div>
</div>
<div id="border_bottom"></div>
</div>
<!-- END FOOTER -->
		</div>
		
		<aside class="page-tools-sidebar js-page-tools-sidebar hide_for_print">
<div class="page-tools js-page-tools-menu">
<div class="page-tools__section page-tools__section--share">
<a class="page-tools__tool js-share-popup page-tools__tool--facebook" data-share-url="https://www.facebook.com/dialog/share?app_id=188669250943&amp;display=popup&amp;href=https%3a%2f%2fwww.chabadisraelicenter.org%2ftemplates%2farticlecco_cdo%2faid%2f7396408%2fjewish%2fpage.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dFB">
				<i class="fa fa-facebook"></i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--twitter" data-share-url="https://twitter.com/intent/tweet?text=%d7%94%d7%a8%d7%a9%d7%9e%d7%94+%d7%9c%d7%94%d7%99%d7%91%d7%a8%d7%95+%d7%9c%d7%a1%d7%a7%d7%95%d7%9c+-+Chabad+Israeli+Center+of+Rockville&amp;url=https%3a%2f%2fwww.chabadisraelicenter.org%2ftemplates%2farticlecco_cdo%2faid%2f7396408%2fjewish%2fpage.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dtwitter&amp;via=Chabad">
				<i class="fa fa-twitter"></i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--whatsapp d-lg-none js-share-whatsapp" data-share-url="whatsapp://send?text=%d7%94%d7%a8%d7%a9%d7%9e%d7%94+%d7%9c%d7%94%d7%99%d7%91%d7%a8%d7%95+%d7%9c%d7%a1%d7%a7%d7%95%d7%9c+-+Chabad+Israeli+Center+of+Rockville https%3a%2f%2fwww.chabadisraelicenter.org%2ftemplates%2farticlecco_cdo%2faid%2f7396408%2fjewish%2fpage.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dwhatsapp">
				<i class="fa fa-whatsapp">
					<svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 50 50" fill="#128c7e" width="1em" height="1em"><path d="M25 2C12.318 2 2 12.318 2 25c0 3.96 1.023 7.854 2.963 11.29L2.037 46.73c-.096.343-.003.711.245.966.191.197.451.304.718.304.08 0 .161-.01.24-.029l10.896-2.699C17.463 47.058 21.21 48 25 48c12.682 0 23-10.318 23-23S37.682 2 25 2zm11.57 31.116c-.492 1.362-2.852 2.605-3.986 2.772-1.018.149-2.306.213-3.72-.231-.857-.27-1.957-.628-3.366-1.229-5.923-2.526-9.791-8.415-10.087-8.804-.295-.389-2.411-3.161-2.411-6.03s1.525-4.28 2.067-4.864c.542-.584 1.181-.73 1.575-.73s.787.005 1.132.021c.363.018.85-.137 1.329 1.001.492 1.168 1.673 4.037 1.819 4.33.148.292.246.633.05 1.022s-.294.632-.59.973-.62.76-.886 1.022c-.296.291-.603.606-.259 1.19s1.529 2.493 3.285 4.039c2.255 1.986 4.158 2.602 4.748 2.894.59.292.935.243 1.279-.146.344-.39 1.476-1.703 1.869-2.286s.787-.487 1.329-.292c.542.194 3.445 1.604 4.035 1.896.59.292.984.438 1.132.681.148.242.148 1.41-.344 2.771z"/></svg>
				</i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--pinterest d-none d-lg-block" data-share-url="http://pinterest.com/pin/create/button/?url=https%3a%2f%2fwww.chabadisraelicenter.org%2ftemplates%2farticlecco_cdo%2faid%2f7396408%2fjewish%2fpage.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dpinterest&amp;description=%d7%94%d7%a8%d7%a9%d7%9e%d7%94+%d7%9c%d7%94%d7%99%d7%91%d7%a8%d7%95+%d7%9c%d7%a1%d7%a7%d7%95%d7%9c+-+Chabad+Israeli+Center+of+Rockville">
				<i class="fa fa-pinterest"></i>
			</a>
<a class="page-tools__tool" onclick="showEmailLayer(this);">
<i class="fa fa-envelope"></i>
</a>
</div>
<div class="page-tools__section page-tools__section--other js-page-tool-other">
<div class="page-tools__tool popover-parent d-lg-block">
<div class="popover popover--left align_left nowrap">
<div class="popover__content">
<label class="bold bottom_margin block">
אפשרויות הדפסה:
</label>
<form class="vcenter" name="print-form" onsubmit="coPrint(event, 5580299);return false;">
<div>
<label><input type="checkbox" name="print-green"><span title="Save paper and ink">הדפס ללא תמונות <i class="fa fa-leaf text-green"></i></span></label>
</div>
<br/>
<div class="center">
<button class="co-button page-tools__print-button">להדפסה</button>
</div>
</form>
</div>
</div>
<i class="fa fa-print"></i>
</div>
</div>
</div>
<div class="js-fab-wrapper fab-wrapper">
<div class="fab">
<i class="fab-icon"></i>
</div>
</div>
</aside>
<!-- END CACHE -->
	</div>

				<div class="break_floats"></div>
			</div>
		</div>
	</div>
	<div id="footer">
		
	

		<div class="wrapper body_container">
			
				<div class="g960 footer_family_text bottom_padding">
					
		<div class="footer_container footer_text copyright_text">
			<div class="bottom_padding clear_float">
				<img class="footer_hr" src="https://w2.chabad.org/images/global/spacer.gif" vspace="12" width="100%" height="1" /><br />
				
				<div class="footer_inner_container clearfix">
					

					


	<div class="footer3"><b>CHABAD ISRAELI CENTER OF ROCKVILLE 216 Rollins Avenue Rockville, MD 20852 301-770-4343</b></div>
	<img src="https://w2.chabad.org/images/global/spacer.gif" width="1" height="6" border="0" /><br />




מופעל על ידי <a href="https://www.chabad.org/" target="_new" class="">Chabad.org</a> © 1993-2026 <a href="/4026210" target="_blank" class="privacy-link">מדיניות  שמירת הפרטיות</a>




					
				</div>
			</div>
		</div>
	


<div class="cs-f-social-icons">
	
			<a href="https://www.facebook.com/ChabadIsraeliCommunity" class="fa fa-facebook facebook_homepage" title="Facebook"></a>
		
			<a href="https://www.instagram.com/cic.rockville/" class="fa fa-instagram instagram_homepage" title="Instagram"></a>
		
</div>
	

				</div>
			
		</div>
	</div>

	
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/os/jquery-latest.min.js?v=0293E3EC"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/os/jquery/jquery.inputmask.min.js?v=BF33D3B4"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/co/dist/CoLib.js?v=F809B22F"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/WebComponents/bundles/magen-cdo-global.js?v=16F176A4"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/sites6.js?v=E04072E1"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/primarynavigation.js?v=76ABCD73"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/BetaFeedback.js?v=D421ABC8"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/language_selector.js?v=46FE19A8"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/multimedia/infolayer.js?v=ED1B8531"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/forms/userform.js?v=7F5B58AF"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/commentsloader.js?v=AD6AAB79"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/minisites.js?v=F38E4DA5"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/subscribeprompt.js?v=86D84DC2"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/FormDecoder.js?v=83AF6F1A"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/modules/pagetools.js?v=930B07AB"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/deprecated.js?v=D506A83E"></script>
<script type="text/javascript" defer src="/api/content/translations"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/OverrideJSDocumentWrite.js?v=9A0227AA"></script><script>$j = $j.fn ? $j : jQuery;$j(()=>{$q.forEach(f=>{try{f.call(window);}catch(ex){console.error(ex);}});})</script>
	

<script  language="javascript" type="text/javascript"> Co.Settings      = {CacheClassName:'js-cache-default',MosadName:'Chabad Israeli Center of Rockville'}; Co.ArticleId     = '7396408';Co.SectionId     = 6021344;Co.PartnerSiteId = 0;Co.SiteId        = 3568;Co.IsMobilePage  = false;Co.IsResponsive  = false;Co.DbDomain      = 'ChabadIsraeliCenter.org';Co.LanguageCode  = '';Co.LoginStatus   = 'None';</script><script>
function showLangDialog()
	{
		Co.Dialog.Confirm('<div class="lang_dialog">אנא בחר את השפה שלך:</div>', {
			buttons: {'English':'en','עברית':'he'},
			Title: "שפה",
			func: function(ev, buttonClickValue)
			{
				var url = Co.Request.ScriptName();
				document.location.href = url + Co.Request.Append("lang", buttonClickValue);
			}
		});
	}

	Co.DomEvents.AddListener(window, 'domload', function() {
		var showLangLayer = document.getElementById('show_lang_layer');
		if (showLangLayer)
		{
			Co.DomEvents.AddListener(showLangLayer, 'click', function() {
				showLangDialog();				
			});
		}
	});
</script><script>
$j(showLangDialog);
</script>

    

</body>
</html>