Returning Student

Enrollment Form

Student Information:

First name

Last name

Hebrew Name

Date of Birth

Does your child have any new allergies?

Yes

Other

This child was born to a Jewish mother

Yes

Does your child have any medical conditions we should be aware of?

Grade Entering

Address

Emergency Contact Information:

Name

Phone

Relationship to student

Payment

Payment option

Tuition (Pay now or later) 1 student $650, 2 students $1275

CA$650

CA$625

CA$200

TUITION AGREEMENT

To enroll your child(ren) in Chabad Hebrew School, all forms must be completed and sent in. Your application will not be processed without the required forms and fees.

Enrollment is considered to be for the entire scholastic year. There will be no refunds even if the child is absent due to illness, holidays, vacations and snow days, or should the parents decide to withdraw the child from the program.

RELEASE OF INFORMATION AND PHOTOGRAPHS

Parents allow for child(ren)'s picture to be used for internal PR mailing and website where name is not given. If not, please contact us.

Please print name

Add another student

Make Payment

CHABAD JEWISH CENTRE OF GEORGINA

Spreading the warmth of Judaism in the Town of Georgina

Returning Student

Enrollment Form

Student Information:

Emergency Contact Information:

Payment

Chabad Jewish Centre of Georgina

Serving the Jewish Community in the Town of Georgina
info@jewishgeorgina.ca | (905) 909-8818