Registration

Armour Heights Hebrew School

Registration Form 2022-2023

416-633-7659

[email protected]

First day of school: Sunday, September 11, 2022

School Hours: Sunday, 9:30 am – 12:00 pm

PLEASE NOTE: Each child must have their own registration.

Full Name*

First NameLast Name

Hebrew Name*

Gender*

MaleFemale

Birthdate*

Address*

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

Phone Number*

Area CodePhone Number

Public School Attending*

Grade starting in September*

Parents are:*

MarriedDivorcedSeparatedOther

Child Lives With*

BothFatherMotherOther

Are there any allergies or medical conditions we should be aware of? If yes, please explain:*

Full Name*

First NameLast Name

Hebrew Name*

Address*

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

Phone Number*

Area CodePhone Number

E-mail*

Occupation*

Company*

Work Phone*

Area CodePhone Number

Cell Phone*

Area CodePhone Number

Full Name*

First NameLast Name

Hebrew Name*

Address*

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

Phone Number*

Area CodePhone Number

E-mail*

Occupation*

Company*

Work Phone*

Area CodePhone Number

Cell Phone*

Area CodePhone Number

Synagogue your family is affiliated with:*

Are you a member?*

YesNo

Is the natural mother of the child Jewish:*

YesNo

If no, please explain:

Were there any conversions or adoptions in your family:*

YesNo

If yes, please explain:

Name of local relative or friend (not living at same address)*

Relationship to child*

Home Phone*

Area CodePhone Number

Cell Phone*

Area CodePhone Number

The above information is true to the best of my knowledge. I confirm the enrolment of my child in Beth Joseph Chabad Hebrew School and I permit my child to participate in all school activities. In case of emergency, I hereby authorize Beth Joseph Chabad Hebrew School to take whatever measures the situation may call for.

Parent/Guardian signature (Please type name):*

Date:*

2022-2023 Tuition:

$850 per child which includes a $200 non refundable deposit per child (fully tax deductible), payable upon submission of registration forms.

For payment plans, please contact [email protected]

Child's Name:*

Grade*

Payment Medthod*

ChequeE-Transfer (to [email protected])Credit Card (3% processing fee applies)

Credit Card Type

Card Number

Exp Date

CVC

Name on the Card

Total Amount

Child Information

Parent/Guardian1 Information

Parent/Guardian2 Information

Affiliation

In case of emergency

Tuition Information