Registration

Full Name*

First Name Last Name

Hebrew Name*

Birth Date*

Month Day Year

Address*

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

Student's Email*

Home Phone*

School*

Hebrew School*

Grade for Sept 2026*

Jewish Birthday*

Shul Affiliation*

Bar Mitzvah Parsha*

Date of Aliya and Reading from the Torah*

Where is Aliya taking place?*

Where will Tefillin be purchased from?

A SoferWith BMC

If purchasing through the BMC, how much are you willing to spend (Full price is $650)?

Mother's Name*

First Name Last Name

Mother's E-mail*

Mother's Cell #*

Mother's Work #*

Is mother Jewish?*

YesNo

Mother's Hebrew Name*

Maternal gradmother's name*

Maternal grandfather's name*

Are both maternal grandparents Jewish?*

YesNo

Are there any conversions and/or adoption in the maternal side of the family?*

YesNo

Please outline details*

Father's Name*

First Name Last Name

Father's Email*

Father's Cell #*

Is father Jewish?*

YesNo

Father's Hebrew Name*

Paternal grandmother's name*

Paternal grandfather's name*

Are both paternal grandparents Jewish?*

YesNo

Are there any conversions and/or adoptions in the paternal side of the family?*

YesNo

Please outline details*

Where did you hear about us?*

Tuition is $1,000 for the entire year + $50 non-refundable registration fee & $60 book fee.

First tuition payment is due by September 15th and can be spread out to up to five Payments (January 15).

Tuition Payment Options*

One Time Credit Card Payment - $1100Schedule Credit Card Payments ($110 today. Balance of $1000 divided in up to 5 installements)Cheque ($110 today. Balance of $1000 divided in up to 5 postdated cheques)

Please choose your preferred payment plan of up to 5 installments, paid in full by Jan 1, 2026. We will contact you to confirm.*

Tuition Receipt Preference*

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.

Total

$0.00

Total Due Now:

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

I hereby register my child in JRCC West Thornhill Bar Mitzvah Club

Our club will be meeting Sundays throughout the year. See calendar for details.

I give my child permission to participate in all club activities and trips.

The student, as well as his parents or guardians, agree to abide by the rules and regulations set forth by the club.

Photos may be taken and used for future advertising.

I understand that JRCC West Thornhill does not assume responsibility for any injury, and in case of emergency necessary medical attention may be secured by the JRCC West Thornhill.

I confirm that all the details provided above are accurate, to the best of my knowledge, and if it becomes apparent that some of the provided information is inaccurate, it may be grounds to dismiss my child from the Bar Mitzvah Club

We might recommend that prior to the Bar Mitzvah your son have one or more private lesson. In that case, we will recommend a teacher and it will be your responsibility to pay the teacher.

*

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

Type in your signature*

Date*

Month Day Year

For more info or to discuss details please email Mrs Jacobson at ndjacobson@rogers.com

Register for Bar Mitzvah Club 2026-27

Student's Information

Bar Mitzvah Information

Tefillin

Parents' Information

Payment & Fees

Consent

Our Centre

Holiday Celebrations

Women's Events

Youth

Adult Education

Seniors