Returning Students Registration Form - Jewish Russian Community Centre of Ontario

Quick Registration Form 2021/2022
For returning students

Please choose one location.

Early Bird price from May 2 to June 30. Regular price from July 1.

Sundays

Maple - Nellie McClung P.S. (starting at 9699 Bathurst St.) - 10:00am - 12:30pm - Early Bird $775, Regular $825Rockford - 18 Rockford - Kids Club - 11:00am-1:00pm - Early Bird $700, Regular $750Willowdale – 5700 Yonge St., #G1 - 11:00am-1:00pm - Early Bird $700, Regular $750

Mondays

Concord – 411 Confederation #14 - 5:00 pm – 6:30 pm -Early Bird $700, Regular $750

Tuesdays

West Thornhill - Centre Street - 4:00pm-6:00pm - Early Bird $700, Regular $750N Richmond Hill - Beynon Fields PS - 6:00 pm – 7:30 pm - Early Bird $700, Regular $750

Wednesdays

East Thornhill - 7608 Yonge St. - 5:00pm-7:00pm - Early Bird $700, Regular $750

Student's Full Name*

First NameLast Name

Grade as of Sep 2021*

Parent's Name*

First NameLast Name

Parent's E-mail*

Up to date with immunizations*

YesNo

Allergies

Cell Phone Number*

Area CodePhone Number

Any other information that would be helpful to best care for your child

|Payment Information

$100 non-refundable deposit*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Please note: First payment is $100 non-refundable deposit. In the event of a student withdrawing from Hebrew School before November 30, 2021, tuition fees will be returned, minus the $100 non-refundable fee, on a prorated basis applied upon written or emailed notification of the withdrawal. On or after December 1, 2021, no refunds will be issued. The registration fee, charged upon submission of this application, is non-refundable.

Tuition Payment Options*

One time credit card paymentCredit card payments : First Payment $100 non-refundable fee. Balance in up to 5 installments - using the card I submitted above. (Please outline your preferred breakdown in the notes below.)Cheque: Balance in up to 5 postdated cheques

Please outline your preferred payment plan of up to 5 installments, paid in full by Jan 1, 2022. We will contact you to confirm.

I would like to assist a child who cannot afford Hebrew School Education

|Consent

Click HERE to read our COVID-19 Waiver

Please Confirm

I have read, understand and agree to the COVID-19 waiver

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of JRCC Hebrew School to hospitalize or secure treatment for my/our child, I/we further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, JRCC Hebrew School personnel will try, but are not required, to communicate with me/us prior to such treatment.

I/we hereby give permission for my/our child to participate in all school activities, join in class and school trips on and beyond school properties and allow my/our child to be photographed while participating in Hebrew School activities. I/we also understand that all liability and costs resulting from damage to property and/or personal injury caused or attributable to my/our child/children will be my/our responsibility.

Type your name as a signature*

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