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JRCC West Thornhill Bat Mitzvah Club Online Registration!

 

Registration is open for 2017-2018
Mondays 5:30-7:00 pm

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.

PROMO: Register a friend and pay no registration & book fee!!

Student Information

First Name

 

Last Name

Hebrew Name

 

DOB

Street Address

  City
Province   Postal Code
Home Phone   Email
School   Hebrew School
Grade      
Jewish Birthday      
Parent Information
Mother's Name   Father's Name
Hebrew Name   Hebrew Name
Mother's Work   Father's Work
Mother's Cell   Father's Cell
Mother Jewish   Father Jewish
Mother's Mother's Name   Father's Mother's Name
Mother's Father's Name   Father's Father's Name
Who from the Mother's Parents are Jewish?   Where did you hear about us?
Payment & Fees:

Dates

Start date at BMC   Fees $ 650.00 Club tuition + $50 initial registration and book fee
I will be paying by: Credit Card Check
Card Type   Card Number
Expiration Date      
Important

I hereby register my child in JRCC West Thornhill Bat Mitzvah Club

Our club will be meeting Mondays 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 West Thornhill does not assume responsibility for any injury, and in case of emergency necessary medical attention may be secured by the JRCC West Thornhill.

I confirm that all the details provided above are accurate, to the best of my knowledge, and if it becomes apparent that some of the provided information is inaccurate, it may be grounds to dismiss my child from the Bat Mitzvah Club

We might recommend that prior to the Bar Mitzvah your son have one or more private lesson. In that case, we will recommend a teacher and payment will be worked out with him directly.

Parent's Signature:

For help filling out the form please contact Mrs. Nechama Dina Jacobson
416.222.7105 x252 or ndjacobson@jrccwestThornhill.org