HS Registration 2024/25

Registration Form for 2024-25 School YearJRCC Maple Hebrew SchoolDay & Time: Sundays at 10:00 am - 12:30 pmLocation: Nellie McClung Public School - 360 Thomas Cook Ave.Tuition: $1,250 | Scholarships availableFor returning Hebrew School students, please complete this conveniently abbreviated registration form.

|Student Information

Child's Full Name*

First Name Last Name

Jewish Name*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*

Area Code Phone Number

Birthday*

Month Day Year

at Hour Minutes

School Attending*

Grade as of Sep 2024*

|Parental Information

Marital Status*

MarriedDivorcedSeparated

Please detail child's custody arrangement that you wish Hebrew School to be aware of.

Father Information

Full Name*

First Name Last Name

Hebrew Name*

Occupation

Mobile*

Area Code Phone Number

Work Phone

Area Code Phone Number

E-mail*

Father's Jewish Identity*

JewishNot Jewish

Mother Information

Full Name*

First Name Last Name

Hebrew Name*

Occupation

Mobile Phone*

Area Code Phone Number

Work Phone

Area Code Phone Number

E-mail*

Mother's Jewish Identity*

JewishNot Jewish

|Additional Information

Does your child read Hebrew?

Understand/speak Hebrew Language

Any learning difficulties, please specify.

Previous formal Hebrew Education

Are there any conversions or adoptions in the family?*

|Medical Information

Allergies

Emergency Contact* Parents will always be the first ones contacted in case of an emergency. Please provide an additional contact in case parents can't be reach for an urgent matter.

First Name Last Name

Relationship to child*

Cell Phone Number*

Area Code Phone Number

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

I am interested in Hebrew School at another location and time Select which location interests you, and we will contact you.

East Thornhill - 7608 Yonge St. - Wednesdays - 5:00pm-7:00pm

|Payment Information

*

Yes, I am registering my child for Hebrew School, and agree to pay the $100 mandatory deposit. (will come off total tuition cost)

Total

$100.00

Credit Card Information*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

CVV*

Please note: First payment is $100 non-refundable deposit. In the event of a student withdrawing from Hebrew School before November 30, 2024, 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, 2024, no refunds will be issued. The registration fee, charged upon submission of this application, is non-refundable.

Deposit fee will be deducted from total tuition balance, as shown below:

Full Price $1,250 - $100 deposit = $1150 - payed in up to 5 installments

How would you like your Hebrew School payment receipts?*

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, 2025. We will contact you to confirm.

Tuition Scholarship Please understand that the scholarship will depend on your submission of the application to UJA in a timely fashion. JRCC Hebrew School will charge client a minimal $50 tuition per month starting October 1 if the scholarship approval is delayed for any reason. In the event of any overpayments, client will be refunded after the scholarship is determined.

I would like to apply for the UJA Part-Time Jewish Education Tuition Scholarship and I request that the application be sent to me.

Discount Code

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

|Consent

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, if an emergency arises. 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 further give permission for all photographs to be used by JRCC for PR services, however I do not grant permission for photos to be sold to 3rd party entities.

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.

Please Confirm*

I have read, understand and agree to the Hebrew School liability waiver above.

Type your name as a signature*

*

Month Day Year