Danforth Jewish Circle
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Jewish Studies
REGISTRATION FORM

Membership Fees       $750 - one child/ yearly membership (DJC member families)
for 5773 [2012/2013]       $950 - one child/yearly membership (non-DJC member families)
  * Minus $25 per family if paid by June 28, 2012

Welcome to our on-line payment process. Please complete the on-line registration form below in full.

PLEASE NOTE: PAYMENT IN FULL is required for online registration (minus discount if paying by June 28, 2012).

If you prefer to pay in divided payments (cheques or Visa only), please download the registration form and mail it with all the post-dated payments to:

Danforth Jewish Circle, 283 Danforth Avenue, Ste 125, Toronto, ON M4K 1N2

REGISTRATION FORMS:

PDF version: DJC_JS_Registration_2012.13 or Word version: DJC_JS_Registration_2012.13

Calling all volunteers! Please take a moment to fill out the volunteering section after completing the registration form. Volunteering just a few hours of your time could make a world of difference to us... and to you.

Thank you.

1Parent's Name(s)
 
*Given Name:   
*Family Name: 
*E-mail:  
*Telephone:
 homeworkextcell

2  
Given Name:  
Family Name: 
E-mail:  
Telephone:
 homework ext cell

 Please check box if you are or are planning to become a DJC member in 2011- 2012

Emergency Contacts: (Please list two contacts to be called other than parents)
*Name 1: Phone:
*Name 2: Phone:

The DJC is committed to ensuring that all students attending the DJC Jewish Studies Program have equal access to Jewish Education. We’re committed to accommodating all children, regardless of their physical and/or intellectual needs. Please let us know if your child requires accommodation so that we can make their Jewish Studies education an inclusive and exciting experience!

Please list any specific concerns:
ie: learning requirements, allergies or food restrictions your child may have:
If your child(ren) present(s) no concerns here, please check this box to confirm:

Children to be registered:  (All Information Required for Each Student)
Name Date of Birth
mm/dd/yy		 Gender: F M
Name of SchoolGrade Next Year Health Card #
Name Date of Birth
mm/dd/yy		 Gender: F M
Name of SchoolGrade Next Year Health Card #
Name Date of Birth
mm/dd/yy		 Gender: F M
Name of SchoolGrade Next Year Health Card #
Name Date of Birth
mm/dd/yy		 Gender: F M
Name of SchoolGrade Next Year Health Card #
Name Date of Birth
mm/dd/yy		 Gender: F M
Name of SchoolGrade Next Year Health Card #

Payment of Time
Volunteers are the very lifeblood of the DJC JS Program. We simply could not exist were it not for the dedication and devotion of a handful of members. We need your help. A few hours of your time could make a world of difference to us…and you. Use the appropriate number (1 or 2) to indicate which parent is volunteering to help.
High Holidays: Children’s Services Committees
1 2 Help organize R.H. children’s service 1 2 Education Committee
1 2Help develop Yom Kippur children’s service 1 2Volunteer Coordination Committee
1 2Have your child read at this year’s services   
Children's EducationFestivals/Celebrations
1 2 Library 1 2 Purim
1 2 Curriculum 1 2 Passover
1 2 Assist in Class 1 2 Chanukah
1 2 Class Parent 1 2 Sukkot
1 2 Read Hebrew 1 2 Set-up / Clean-up
GeneralSkills to benefit children
1 2 Special events 1 2 Arts (Drama/Dance/Music/Singing/ Painting)
1 2 Set-up / Clean up 1 2 Sciences
Please let us know added skills — at home or at your workplace — as that can help us establish a resource base.
1Position/Skills
2Position/Skills

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