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The Prosserman JCC Supplementary Hebrew Schools Registration Form

Parent 1 Information
*

Parent 2 Information

Emergency Contacts

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 Policies
*

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 EFT, 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 Prosserman JCC 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.

COVID-19 ASSUMPTION OF RISK, WAIVER AND CONDUCT

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.