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  ONLINE RE-REGISTRATION FORM 2020-21

If you have nothing to change from last year's registration form, you can use this one to re-register.  

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 REGISTRATION FEES:

  • Sunday School- $199 First Child, $189 Second Child.10:00am-12:30pm (Or Shalom- 96 Fredmir St., DDO) 
  • Lunch Program @ Summit School$69 (Thursdays except Summit Annexe is Wednesdays)
  • Virtual/Online Lessons via Zoom: $149 (Tuesdays 430-530pm, grades 3-5 | Thursdays 430-530pm, Kg- Grade 2) NOW: $99
  • Wednesdays on Zoom: 4:00pm-5:00pm  (KG& Grade 1)  
  • Thursdays (3:30pm-4:15pm)$99.  45mins Zoom Lesson or 45mins In Person Lesson at Friendship Circle Building (4585 Bourret)

 


Please Note:  

 -Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us.

-One registration form per child is needed. 


 We look forward to a wonderful year of learning! 

* Which program are you registering for?  

If you are registering for  Lunch Program, please specify:  

Student Profile
 

First Name *

Last Name *
School Attending *
Grade Entering in Sept 2020*
Home Phone Number *
E-mail*

 

Payment

Please indicate form of payment:

Check Cash Credit Card, please fill out below:

Name on card
Card Number

Expiration date

Amount

In order to ensure that every child gets picked up safely, please fill in the following information:

Does your child walk home by him/herself? Yes No
Does your child go to late class? Yes No
If not, who picks him/her up?
What is this person's relation to the child?
Additional information:

CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.

As  the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Free Hebrew for Juniors to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Free Hebrew for Juniors personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Free Hebrew activities and that these pictures may be used for marketing purposes. I agree not to register my child(ren) in any other program (i.e. hockey, swimming etc.) during the same hours as Hebrew school.

I Accept

Name: Initials:

We look forward to a wonderful year of learning!