Hebrew School Registration - JRCC East Thornhill

Registration Form for 2026/2027 School Year

|Student Information

Full Name*

First Name Last Name

Jewish Name*

Child's email (if applicable)

Address*

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

Phone Number*

Area Code Phone Number

Age

Birthday*

Month Day Year

at Hour Minutes

School Attending*

Grade as of Sep 2025*

|Parental Information

Marital Status*

MarriedDivorcedSeparated

Father Information

Full Name*

First Name Last Name

Hebrew Name*

Occupation

Mobile*

Area Code Phone Number

Work Phone

Area Code Phone Number

E-mail*

Father's Jewish Identity*

Father is JewishNot Jewish

Mother Information

Full Name*

First Name Last Name

Hebrew Name*

Occupation

Mobile Phone*

Area Code Phone Number

Work Phone

Area Code Phone Number

E-mail*

Mother's Jewish Identity*

Mother is JewishNot Jewish

|Additional Information

Does your child read Hebrew?

Understand/speak Hebrew Language

Any learning difficulties, please specify.

Previous formal Hebrew Education

Are there any conversions or adoptions in the family?*

|Medical Information

Family Physician*

Phone Number*

Area Code Phone Number

Health Card Number*

Version Code

Up to date with immunizations*

YesNo

Allergies

Emergency Contact*

First Name Last Name

Relationship to child*

Cell Phone Number*

Area Code Phone Number

Any other information that would be helpful to best care for your child

Pizza (optional 4:45-5:00pm)*

|Payment Information

Tuition is $1125 for the year, payable with up to 10 payments.
Click here to apply for the UJA scholarship.

Total

$0.00

Payment for the deposit, and pizza if you chose it*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Please note: First payment is $100 non-refundable deposit. In the event of a student withdrawing from Hebrew School before November 30, 2024, tuition fees will be returned, minus the $100 non-refundable fee, on a prorated basis applied upon written or emailed notification of the withdrawal. On or after December 1, 2024, no refunds will be issued. The registration fee, charged upon submission of this application, is non-refundable.

Tuition Payment Options*

One time credit card paymentCredit card payments : First Payment $100 non-refundable fee. Balance in up to 10 installments - using the card I submitted above. (Please outline your preferred breakdown in the notes below.)I will apply for UJA scholarship

Please outline your preferred payment plan of up to 10 installments. We will contact you to confirm.

I would like to assist a child who cannot afford Hebrew School Education

Receipt, choose one* To file with your taxes

Donation receiptChild care receiptI don't need any

|Consent

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of JRCC Hebrew School to hospitalize or secure treatment for my/our child, I/we further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, JRCC 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.

Type your name as a signature*

*

Month Day Year

More in this section