We are currently accepting application forms for the 2018-2019 school year. Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us.

If you prefer, you can print a PDF by CLICKING HERE .

Please note that one registration form per child is needed.

We look forward to a wonderful year of learning and growth.

Enrollment Form for JRCC West Thornhill Hebrew School ~ 2018-2019 

Student Profile
First Name
Last Name
Hebrew Name
Age Male Female
DOB
School
Grade Entering
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Where?

Family Information
My child is a
Are the natural father and mother of the child Jewish? Yes No
If no, please explain.
Have there been any conversions or adoptions in the family? Yes No
If yes, please explain.
Are you interested in carpooling? Yes No
If yes, can we give your number to other parents? Yes No

Parent Information
Father's Name
Occupation
Mobile
Mother's Name
Occupation
Mobile
Home Phone
Address
City
Zip
Email*
* Email address allows us to communicate in the most efficient and economical manner. We do not use your address for other purposes.

Emergency Information
Emergency Contact 1
Phone
Relationship
Emergency Contact 2
Phone
Relationship


CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.

 

Tuesday 4:00-6:00 pm cost: $650 plus non-refundable registration and book fee: $50.


Terms of Agreement

I hereby consent to the administration of JRCC Hebrew School to take whatever medical measures they deem necessary for my child in the event of a medical emergency. JRCC Hebrew School has my permission to use my child's photo in its publicity materials. I have completed the Enrollment Form and agree to pay any balance according to the terms of agreement outlined above.

I Accept

Name: Initials:

We look forward to a wonderful year of learning and growth!

Payment Information
Charge Amount
Card Type
Card Number
Expiration Date
CVV code
Comments