Student Information
*First Name
*Last Name
*Hebrew Name
*Date of Birth
*Postal Code
*Home Phone
*Grade (2023-24)
Anything we need to know about your child?
Parent Information
*First Name
*Last Name
*Work Phone
*Cell Phone
*First Name
*Last Name
Work Phone
*Cell Phone
*Marital Status
Have there been adoptions or conversions in the family?
If yes, please explain
Medical Information
*Physician Name
*Physician Phone
*OHIP Number
Medical Note
Emergency Information
Name Phone # Relation
*Emergency 1
Emergency 2
Emergency 3
Enrollment Options / Tuition & Fees

Please choose enrollment options


*Tuition (per child)
Total Amount:

All payments are non-refundable and non transferable. You will receive a tax-deductible receipt for the entire amount.

Payment Information
Visa/MasterCard payments are accepted with a 3% fee.
Card Type
Card Number
Expiration Date
Security Code
Use Information above
Name on Card
Billing Address
Billing Postal Code

I agree to the terms and conditions above