Hebrew School Registration 2026-2027

Student Information
New to our Hebrew School community? We’d be so happy to speak with you first, answer any questions, and help you get started. Please contact Director Bina Druk at [email protected] to schedule a quick call before registering.
Full Name*
First Name Last Name
How many children are you registering?*
Child 1
Name*
First Name Last Name
Birth Date*

Month Day Year
Gender

MaleFemale
Jewish Name*
School*
Grade entering*
Is the natural mother of child Jewish?*

YesNo
Is the natural father of child Jewish*

YesNo
Is the maternal grandmother Jewish?*

YesNo
Conversions / adoptions in family?*

YesNo
If yes, please describe
Does your child have any special learning needs or an IEP?*
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Child 2
Name*
First Name Last Name
Birth Date*

Month Day Year
Gender

MaleFemale
Jewish Name*
School*
Grade entering*
Is the natural mother of child Jewish?*

YesNo
Is the natural father of child Jewish*

YesNo
Conversions / adoptions in family?*

YesNo
Is the maternal grandmother Jewish?*

YesNo
Conversions / adoptions in family?*

YesNo
If yes, please describe
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Does your child have any special learning needs or an IEP?*
Child 3
Name*
First Name Last Name
Birth Date*

Month Day Year
Gender

MaleFemale
Jewish Name*
School*
Grade entering*
Is the natural mother of child Jewish?*

YesNo
Is the natural father of child Jewish*

YesNo
Is the maternal grandmother Jewish?*

YesNo
Conversions / adoptions in family?*

YesNo
If yes, please describe
Does your child have any special learning needs or an IEP?*
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Parents Information
Marital Status*
Parent 1 Information
Parent 1*
First Name Last Name
Parent 1 Cell*
Parent 1 E-mail*
Parent 2 Information
Previous Jewish Education
Parent 2*
First Name Last Name
Parent 2 Cell*
Parent 2 E-mail*

Family Address*

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

Emergency contact other than parents
Full Name*
First Name Last Name
Relationship to child?*
Phone Number*

Area Code Phone Number
Payment
Tuition: $1000
(After Aug 15: $1100)
Includes all supplies, weekly classes, arts & crafts, and a healthy snack.

Sibling Discount: A $50 discount is available upon request for each additional child from the same family. Please request this when registering.

Registration Fee: A $100 non-refundable deposit is required at the time of registration. This amount will be applied toward your tuition balance.
Registration Fee*

$100
I would like to pay the tuition:

Charge me the full tuition amount todayWith 10 monthly instalments
Total

$100.00 CAD

Payment

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

Anything you want us to know?
Please review our policies*

I hereby permit staff of Hebrew School to provide routine health care and to obtain emergency medical care as the situation mandates.
*

I allow staff of Hebrew School to use photographs/video of my child for promotional purposes, including social networking sites.
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Educate Your Child... Educate a Generation

Student Information

Child 1

Child 2

Child 3

Parents Information

Parent 1 Information

Parent 2 Information

Emergency contact other than parents

Payment