Chai Hebrew School (Sunday School) Registration - Form

Registration for the year 2018-2019

Child's Information

* How many children are you registering?

For each additional child, press the plus sign below and complete accordingly.

* First Name

Middle Name

* Last Name

* Child's Gender

MaleFemale

* Child's Date of Birth

Hebrew Name

* Street Address

* City

* Province

* Postal Code

* Home Phone Number

* School child is attending

* Grade entering in September

Additional information

* Has your child attended Hebrew School before ?

Enter name of Hebrew School:

Please describe your child's ability to read, write and speak Hebrew

Medical Information

Physician Name

Physician Phone #

Health Card Number

Allergies or Medical Conditions

Please click the plus sign for each addition child registering.

* First Name

Middle Name

* Last Name

* Child's Gender

Please Select OneMaleFemale

* Child's Date of birth

Hebrew Name

* School child is attending

* Grade entering in September

Additional information

* Has your child attended Hebrew School before ?

Enter name of Hebrew School:

Please describe your child's ability to read, write and speak Hebrew

Medical Information

Physician Name

Physician Phone #

Health Card Number

Allergies or Medical Conditions

Father's Information

* First Name

* Last Name

Hebrew Name

* Home Phone

* Cell Phone

* Email

Company Name

Company Address

Work Phone

Date of Birth (optional)

Mother's Information

* First Name

* Last Name

Hebrew Name

* Home Phone

* Cell Phone

Company Name

Company Address

Work Phone

Date of Birth (optional)

Family Information

* Marital Status

Person responsible for pick up:

Please specifiy:

* Are you a member or affiliated with any synagogue?

Enter name of synagogue:

* Are there any conversions or adoptions in your family?

Please explain:

* Jewish law mandates that we ask if the biological mother of this child is Jewish from birth:

Please explain:

Emergency information

Emergency Contact #1

* First and Last name

* Relationship to child

* Home Phone

Work Phone

* Cell Phone

Emergency Contact #2

* First and Last name

* Relationship to child

* Home Phone

Work Phone

* Cell Phone

As the parent (s) or legal guardian of the above child, I / we authorize any adult acting on behalf of Chai Hebrew School to hospitalize or secure treatment for my / our child. I / we further agree to pay all charges for that care or treatment. It is understood that if time and circumstances reasonably permit, Chai Hebrew School personnel will try, but are not required, to communicate with me/us prior to such treatment. I/we hereby give permission for my/our child to participate in all school activities, join in class and school trips on and beyond school properties and allow my/our child to be photographed while participating in Hebrew School activities. I/we also understand that all liability and costs resulting from damage to property and/or personal injury caused or attributable to my/our child/children will be my/our responsibility and I/we agree to fully indemnify and save Chai Hebrew School and its associates, teachers and agents harmless there from. I/we consent to Chai Hebrew School’s use of our personal information and of our child/children at its discretion in pursuit of school activities.

* I Agree to the terms and conditions above.

I Agree to the terms and conditions above.

* Parent/Guardian signature

* Date

* Preffered email for confirmation

We will process your application shortly,

Please choose from the following Tuition option that apply to your application.

When you receive an acceptance email you will be prompted to process tuition payment.

2018 - 2019 Tuition:

$800 per child

+ $50 per child registration & book fee (non refundable).

* Tuition Options - please select which ones apply

$800 Per child$50 deduction for sibling One time payment3 Payments , in Sept., Oct., and November

A Tax deductible receipt will be issued for all tuition fees.

There are scholarships available.

Please e-mail info@chaihebrewschool.ca to check qualification and request a form.

Total Registration Fee