Camp Registration

Student Information

*First Name
*Last Name
Hebrew Name
*Gender
*Date of Birth
*Address
*City
*Province
*Postal Code

*Home Phone
*School
*Grade entering
Notes: Allergies/Learning Challenges/Disabilities

Parent Information

Father

Title
First Name
Last Name
Work Phone
Cell Phone
Email

Mother

Title
First Name
Last Name
Work Phone
Cell Phone
Email

*Marital Status
*Is Mother Jewish?

If there have been adoptions or conversions in the family, please explain.

Emergency Information

	Name	Phone #	Relation
*Emergency 1
Emergency 2
Emergency 3

Registration / Tuition & Fees

$50 Non refundable Registration & Book fee will be charged now. Tuition Fee is $850 minus Discounts and does not include the registration fee. Tuition fee can be charged either in one payment on September 1 ($10 discount) or in four payments on the first of September, October, November, & December. For alternative payment plans kindly contact shaina@chabadmaple.com.

Sessions

All Sessions

2024-25 School Year: Sept. 2024 - May 2025

*Payment Options
Total Amount:

A $50 discount will be applied to the Tuition Fees for Registrations submitted by Friday May 31st. A $25 sibling discount and a $25 referral discount is also available. Please note referrals in the comment section above.

Payment Information

Only registration fee ($50) will be charged at this time.
Registration Fee: $50
Card Type
*Card Number
*Expiration Date
*Security Code
	Use Information above
Name on Card
*Billing Address
*Billing Postal Code

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad Maple Hebrew School to hospitalize or secure treatment for my/our child, I/we further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad Maple Hebrew School personnel will try, but are not required, to communicate with me/us prior to such treatment. I/we hereby give permission for my/our child to participate in all school activities, join in class and school trips on and beyond school properties and allow my/our child to be photographed while participating in Hebrew School activities. I/we also understand that all liability and costs resulting from damage to property and/or personal injury caused or attributable to my/our child/children will be my/our responsibility and I/we agree to fully indemnify and save Chabad Maple Hebrew School and its associates, teachers and agents harmless there from. I/we consent to Chabad Maple Hebrew School’s use of our personal information and of our child/children at its discretion in pursuit of school activities. I have Read and Agree to the Schools Behavioural and Covid-19 Policy.

I agree to the terms and conditions above

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