*Last Name
*First Name
*Hebrew Name
*Gender Male Female
*Date of Birth
*Address
*City
*Province
*Postal code
*Home Phone
Previous School
If we are full at this location, would you consider our Ledbury Location?
*Physician Name
*Physician Phone
Insurance
*Ohip Number
*Allergies
Medical Note
*Title --Select Title-- Dr. Mr. Rabbi
*Work Phone
*Cell Phone
*Email
*Title --Select Title-- Dr. Mrs. Ms.
Work Phone
*Marital Status --Select -- Divorced Married Single Separated Widow(er)
*Affiliation --Select -- Adath Israel Agudah South Armour Heights Jewish Centre Beth David Beth Emeth Beth Haminyan Beth Lida Beth Radom Beth Sholom Beth Tikvah Beth Torah Beth Tzedec Chabad on Bayview Chabad Flamingo Chabad Markham Chabad of Midtown Darchei Noam Forest Hill Jewish Centre Habonim Holy Blossom Kehilat Shaarei Torah Khal Toras Chessed Kollel Ohalei Yom Tov Ledbury Jewish Centre Lodzer Cong. Magen David Marlee Shul Mishkan Avraham None Oraynu Cong. Other Petah Tikvah Sephardic Kehilla Centre Shaarei Shomayim Shaarei Tefillah Shaarei-Beth El Shomrei Shabbos Song Shul Stashover-Slipia Temple Emanuel Temple Har Zion Temple Sinai Toras Emeth - Viewmount oronto Partnership Minyan Uptown Chabad Village Shul Yorkville Jewish Centre Zichron Shneur
Have there been adoptions or conversions in the family?
If yes, please explain
Name Phone # Relation
*Emergency 1
*Emergency 2
Please choose enrollment options
*Tuition --Select-- Annual Tuition
Total Amount:
These fees will only be charged upon acceptance of your child
Upon acceptance, a $1000 non-refundable and non-transferable payment will be charged.
For credit card payments, a 3% fee will be added. Etransfer can be sent to info@chabadavenue.com
Card Type --Card Type-- Visa MC
Card Number
Expiration Date --Month-- 01 02 03 04 05 06 07 08 09 10 11 12 --Year-- 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037
Security Code
Use Information above
Name on Card
Billing Address
Billing Zip code
Upon acceptance of your child, a non-refundable deposit will be charged to your credit card. This deposit goes toward tuition. Once your child is accepted into the program we require post dated cheques mailed or dropped off or you can opt to pay by credit card which will be charged as per the payment plan (3% credit card processing fee applies.) Please see the Tuition Schedule for the payment plan. Please note that there are no tuition credits or make up days for illness, holidays or family vacations. We require a one-month notice in writing if it becomes necessary to withdraw your child from the preschool. At that point your remaining post-dated cheques will be returned to you or we will cease to charge your credit card. The deposit and all fees paid are Non-Refundable and Non-Transferable, no exceptions. Please click the box to acknowledge that you accept the terms and conditions of our Payment and Refund policy. We will be contacting you via SMS occasionally.
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