Quick Registration Form 2021/2022 For returning studentsPlease choose one location.Early Bird price from May 2 to June 30. Regular price from July 1.SundaysMaple - 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 $750MondaysConcord – 411 Confederation #14 - 5:00 pm – 6:30 pm -Early Bird $700, Regular $750TuesdaysWest 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 $750WednesdaysEast Thornhill - 7608 Yonge St. - 5:00pm-7:00pm - Early Bird $700, Regular $750Student's Full Name*First NameLast NameGrade as of Sep 2021*Parent's Name*First NameLast NameParent's E-mail*Up to date with immunizations*YesNoAllergiesCell Phone Number*Area CodePhone NumberAny other information that would be helpful to best care for your child|Payment Information$100 non-refundable deposit*Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2021202220232024202520262027202820292030Expiration YearBilling AddressStreet AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountryPlease 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 chequesPlease 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$18$36$72$180$360$550$650$750$1500$18,000|ConsentClick HERE to read our COVID-19 WaiverPlease ConfirmI 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*SubmitShould be Empty: This page uses TLS encryption to keep your data secure.