Returning Students Registration Form

Quick Registration Form 2024-25
For returning students

JRCC Maple Hebrew School
Day & Time: Sundays at 10:00 am - 12:30 pm
Location: Nellie McClung Public School - 360 Thomas Cook Ave.
Tuition: $1,075 / Returning student discount until September 1 is $975

Student's Full Name*

First Name Last Name

Grade as of Sep 2024*

Address*

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

Any change in your contact information? Would you like a different email address or phone number to receive Hebrew School communications?

Any change in the child's medical state since last school year? Allergies?

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

|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.

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

Returning student tuition $975 - $100 deposit = $875 - payed in up to 5 installments

Price will go up to $1,075 after September 1, 2024.

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

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.

Please select how you would prefer your Tuition receipt

Childcare StatementDonation ReceiptNo receipt

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 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*