JRCC East Thornhill Bar Mitzvah Club Online Registration!

Please fill out the form below carefully. When you press submit, this form (secure form) will be sent to our administration office.

Note: Please use a separate form for each student.

Student/Parent Information
Name
   First
Last
Hebrew Name  
Address
   Street City
Province
Postal code
Date of Birth
    
Contact Info
   Home phone Email
Schools
   School Hebrew School Grade:
Student's Mother
   Mother's Name
Hebrew Name Work Phone Cell
Student's Father
   Father's Name
Hebrew Name Work Phone Cell
    Where did you hear about us?

Mother Jewish?

Father Jewish?
PAYMENT & FEES:

Dates

   Start date at BMC Date of Bar Mitzvah:
Fees  

$ 1,125 for the year. (1,025 Tuition + one time $100.00 (registration and Book fee). S cholarships Available.
 

 

 I will be paying by: Credit Card Check  Etransfer to [email protected]


if paying by credit card: Charge in full now  Charge the reg. fee now and and split the fee to 5 payments (October 1 to February 1) .

Card Type

 

 

 

Card Number

 

Expiration Date

  
   
IMPORTANT
 

I hereby register my child in JRCC East Thornhill Bar Mitzvah Club:
 
  • Our club will be meeting Wednesdays throughout the year. See calendar for details.
  • I give my child permission to participate in all club activities and trips.
  • The student, as well as his parents or guardians, agree to abide by the rules and regulations set forth by the club.
  • Photos may be taken and used for future advertising.
  • I understand that JRCC East Thornhill does not assume responsibility for any injury, and in case of emergency necessary medical attention may be secured by the JRCC East Thornhill.
   
  Parent's signature: