Quick Registration Form 2022/2023 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. (Permit pending) - 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 Name Last Name Grade as of Sep 2022* Parent's Name* First Name Last Name Parent's E-mail* Up to date with immunizations* YesNo Allergies Cell Phone Number* Area Code Phone Number Any other information that would be helpful to best care for your child |Payment Information $100 non-refundable deposit* Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 Expiration Year Billing Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Please Select United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile People's Republic of China Republic of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country CVV Please note: First payment is $100 non-refundable deposit. In the event of a student withdrawing from Hebrew School before November 30, 2022, 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, 2022, 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 9 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, 2023. 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 |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* Submit Should be Empty: This page uses TLS encryption to keep your data secure.