The Schwartz/Reisman Centre's Supplementary Schools Registration Form

Parent 1: First Name

Parent 1: Last Name

Parent 1: Email

Parent 1: Cell Number

(eg: 4171236666)

Parent 1: Home Number (eg: 4171236666)

Address (Street Name)

Apt #

City

Province

Postal Code

Parent 2: First Name

Parent 2: Last Name

Parent 2: Email

Parent 2: Cell Number (eg: 4171236666)

Parent 2: Home Number (eg: 4171236666)

Parent 2 : Address (if different from Parent 1)

(Parent 1 and 2 will be contacted in the case of emergency. In the case both parents are unavailable, please enter two emergency contacts.)

Contact 1 Name

Contact 1 Number

(eg: 4171236666)

Contact 1 Email

Contact 1 Relationship

Contact 2 Name

Contact 2 Number

(eg: 4171236666)

Contact 2 Email

Contact 2 Relationship

Are you/your family a JCC member/s

Yes

If yes, which JCC?

Synagogue affiliation

Yes

If yes, which one?

One

Two

Three

Four

PLEASE READ AND ACCEPT OUR PROGRAM REGISTRATION POLICY

Deposit of $120/student is part of the tuition fee.
Flexible deposit refund policy for any school cancelation is in effect until August 5, 2021.

In the event the premises closure and/or due to special provincial restrictions, the school will automatically transfer to distance learning platform. Classes will continue operating online on the same dates as posted on the calendar, while session duration will be modified to accommodate various age groups and pro-rated fees will be applied. In case of in-person programs closure, families will have two options:
1. Continue class online with modified session duration and pro-rated tuition fees.
2. Freeze registration until classes will resume in -person. In this case, parents must notify School Management in written email within five business days following in -person program closure announcement. Families who don’t notify the school will be assumed as transferred to the distance learning program and their pro-rated tuition will be applied to the remaining balance.

Withdrawal Policy: The Supplementary Hebrew Schools must be notified in writing 4 classes prior to the last class. In case of a refund, the amount will be calculated based on classes attended plus four classes.

I am the parent or legal guardian of the above named minor and have legal authority to execute this informed consent agreement on his/her behalf. I understand that the activities of The Schwartz/Reisman Centre Supplementary Schools include some physical activities including dance, hands on and interactive games and recognize there are inherent risks in these activities and hereby approve my child’s participation. I am aware that from time to time parents or staff members of the Schwartz/Reisman Centre or its designees photograph, audiotape, videotape or film in our classrooms. I agree and give permission to The Schwartz/Reisman Centre, associates and affiliates to collect information contained in this application and or provided subsequently for use in contacting participants and or their families. I have read and fully understood the contents of this informed consent agreement.

I Agree

I authorize the JCC Supplementary Hebrew Schools to send emails to the address indicated on the registration form. I understand I can unsubscribe at any time.

I Agree

I agree and give permission to The Schwartz/Reisman Centre Supplementary Hebrew Schools or its nominees, associates and affiliates to collect information contained in this application and or provided subsequently for use in contacting participants and or their families. I have read and fully understood the contents of this informed consent agreement.

I accept the above declaration: I acknowledge and understand that by checking the box below. I am electronically signing the within document, and that by doing so I acknowledge the truth and completeness of the contents thereof.

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 Schwartz/Reisman 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.

I Agree

All registration fees and tuition fees and any charitable donations are fully tax deductible. Tax receipts will be provided by The Schwartz/Reisman Centre accounting department upon full payment. Receipts are issued once a year, usually in February for the previous year.

Please select your payment method for school fees

Visa/Mastercard

EFT (Provide a void cheque)

Please choose your payment plan

8 equal monthly installments (Sep 15, 2021 to Apr 15, 2022)

4 equal monthly installments (Sep 15, 2021 to Dec 15, 2021)

One time full payment (will be charged on Sep 15, 2021)

Click here to view our COVID-19 ASSUMPTION OF RISK, WAIVER AND CONDUCT document. .

I Agree

The $120 deposit is part of the tuition fee and charged at the time of registration

($120/student) Total Deposit Amount: $120

* Note that this card will be used to charge your future payments

First Name

Last Name

Card Type

Card Number

Expiry Date (MMYY)

CVV

Please re-check all fields before submitting.

The Schwartz/Reisman Centre's Supplementary Hebrew Schools Registration Form

Parent/Guardian 1 Information *

Parent/Guardian 2 Information

Emergency Contacts

Family Information

How many children do you want to register?

Student One Information

Other Information

School preferences

Photo Release *

Consent for out of class activities*

Photo Release *

Consent for out of class activities*

Student Two Information

Other Information

School preferences

Photo Release *

Consent for out of class activities*

Photo Release *

Consent for out of class activities*

Student Three Information

Other Information

School preferences

Photo Release *

Consent for out of class activities*

Photo Release *

Consent for out of class activities*

Student Four Information

Other Information

School preferences

Photo Release *

Consent for out of class activities*

Photo Release *

Consent for out of class activities*

Registration Policies *

E-mail Consent *

Accept Declaration *

Charitable Tax Receipts

Payment Options

COVID-19 ASSUMPTION OF RISK, WAIVER AND CONDUCT

Deposit Details:

($120/student) Total Deposit Amount: $120

Credit Card Details:

Parent/Guardian 1 Information
*

Photo Release
*

Consent for out of class activities
*

Photo Release
*

Consent for out of class activities
*

Photo Release
*

Consent for out of class activities
*

Photo Release
*

Consent for out of class activities
*

Photo Release
*

Consent for out of class activities
*

Photo Release
*

Consent for out of class activities
*

Photo Release
*

Consent for out of class activities
*

Photo Release
*

Consent for out of class activities
*

Registration Policies
*

E-mail Consent
*

Accept Declaration
*