The Prosserman JCC Supplementary Hebrew Schools Registration Form

Parent 1 Information
*

Parent 2 Information

Emergency Contact

Family Information

How many children do you want to register?

Student One Information

( Type N/A if your child does not have a Hebrew name )

Other Information

Photograph Release
*

Consent for out of class activities
*

Student Two Information

( Type N/A if your child does not have a Hebrew name )

Other Information

Photograph Release
*

Consent for out of class activities
*

Student Three Information

( Type N/A if your child does not have a Hebrew name )

Other Information

Photograph Release
*

Consent for out of class activities
*

Student Four Information

( Type N/A if your child does not have a Hebrew name )

Other Information

Photograph Release
*

Consent for out of class activities
*

Consent for student's pickup
*

Registration Policy
*

E-mail Consent
*

Accept Declaration
*

Charitable Tax Receipts

All registration fees and tuition fees and any charitable donations are fully tax deductible. Tax receipts will be provided by The Prosserman JCC accounting department upon full payment. Receipts are issued once a year, usually in February for the previous year.

Tuition Chart

Payment Options

*** If you select cash or cheque ( only the deposit will be charged to your card )

I agree to pay the fees specified in this agreement. Monthly payments will be made on or after the 15th of each month. You authorize The Schwartz/Reisman Centre to charge these dues to your bank account or credit card. You agree to notify us in writing within 10 days of any change to your bank account or credit card account.

Refund Policy for J. Roots and Kachol Lavan

Your registration deposit is part of your tuition fees: it is not an additional fee. A $120/per child deposit is mandatory and non-refundable before you pay for the yearly tuition. A registration deposit is required only once for the 2017-2018 year.

The Supplementary Hebrew School must be notified 4 classes prior to the last class about the cancellation in writing. In the case of a refund, the tuition fee will be based on classes attended plus four classes based on the price at the time of registration.

Deposit Details:

The $120 deposit is part of the yearly fee and charged at the time of registration

($120/student) Total Deposit Amount: $120

Credit Card Details:

* Note that this card will be used to charge your future payments
Please re-check all fields before submitting.