Online Registration Form for 2019 – 2020 School Year

Yearly Fees

The Children’s Jewish Studies program is following the DJC’s fee structures and offering a sliding scale.  We invite you to pay the amount that feels comfortable for your family, and we thank you for your support.

Our program is subsidized by grants and the generosity of the DJC community.  If you are able to increase your fees as a way of making a donation to the school, this money will help to fund and enrich our programming, as well as helping us to continue to offer subsidies to those who need them.

Fees ~ DJC Member families per child: $800 – $1300 / Non-DJC Member families per child: $1050 – $1550.

As always, we are committed to making our program financially accessible for all.  No one will be turned away for lack of funds.  For assistance, please contact us in confidence at info@djctoronto.com.

If you are human, leave this field blank.

Number of Children included in this registration *

1

2

3

4

Parent Contact Information

First Parent's First Name: *

Family Name *

Email *

Home Phone *

Cell Phone *

Work Phone *

Second Parent Contact Information

Second Parent's First Name

Second Parent's Family Name

Second Parent's Email

Second Parent's Home Phone

Second Parent's Cell Phone

Second Parent's Work Phone

First Child Information

Child's First Name *

Child's Family Name *

Birth Date *

Health Card #: *

School: *

2019/20 School Grade *

Second Child Information

Child's First Name

Child's Family Name

Birth Date

Health Card #:

School:

2019/20 School Grade

Third Child Information

Child's First Name

Child's Family Name

Birth Date

Health Card #:

School:

2019/20 School Grade

Fourth Child Information

Child's First Name

Child's Family Name

Birth Date

Health Card #:

School:

2019/20 School Grade

Emergency Contacts

(please list 2 contacts, other than parents, to be called in an Emergency)

First Name: *

Family Name *

Cell Phone *

Second Contact: First Name *

SecondContact: Family Name *

Second Contact Cell Phone *

Permissions

Please fill out the following section. *Note that this information will be stored online and accessed by teachers and administrative staff of the DJC to verify permissions throughout the year.

Permission for Walking Excursions: Immediate Community *

From time to time, students are engaged in curricular activities that occur off school property, but within walking distance of the school. Some examples may include walking to the community sukkah, a library, park, or store in the neighbourhood. Field trip forms will not be sent for these small excursions; the principal will approve these excursions, and teacher supervision will be provided at all times. *Note: This also includes walking between our two class locations: Danforth Church and Eastminster United Church.

Yes, I give permission for my child(ren) to participate in school-specific curricular activities that occur off school properties in the immediate community (including walking between churches)

No, I do not give permission

Other (please explain)Other (please explain)

Photo Release *

We would like to keep you and the community informed of the things that go on in the school, as well as school-related events. To this end, we would like to occasionally take photographs of children and/or their work. We may send the photos to you by email, or publish them on the DJC website, newsletter, fundraising materials, or social media pages. Please select the categories you grant permission for use of photos, or choose "all of the above" or "none" accordingly.

Emails to parents only

DJC newsletter and weekly updates

DJC website

DJC social media accounts

DJC fundraising materials

I give permission to use my child(ren)'s photo in any of the above

I do not give permission for my child's picture and/or work to be emailed or published in any category above

Other (please explain)Other (please explain)

Pick-Up: Parental Release *

At 6:15pm, as classes end, please indicate how your child will be picked up. If you select any answer other than 'walk home unaccompanied', please include the names of all friends or adults who may pick up your child.

Walk home unaccompanied

Be picked up by the following adults (please list full names)Be picked up by the following adults (please list full names)

Walk home with friends (please indicate names and ages/grades of all friends)Walk home with friends (please indicate names and ages/grades of all friends)

Emergency Services *

In the case of an emergency, we authorize and give consent to representatives of the DJC to contact emergency services on our behalf in order to obtain medical care for our child.

Yes, I consent

Other (please explain)Other (please explain)

Registration Disclaimer *

In consideration of my child's participation in the DJC Jewish Studies program, I, the parent/guardian, hereby waive and fully release the Danforth Jewish Circle, Alysse Rich, and other staff and volunteers, from any claims whatsoever arising from or related in any way, to the planning, preparation, and execution of any programming provided by the Danforth Jewish Circle Children's Jewish Studies program. By checking below, I acknowledge my consent.

Yes, I consent to the above statement

Required Accommodations:

The DJC is committed to ensuring that all students in our program have equal access to a Jewish education, regardless of their physical and/or intellectual needs. Please let us know if your child requires accommodations so we can make their education an inclusive and exciting experience.

Please list any specific concerns (learning requirements, allergies, food restrictions, etc, your child may have):

VOLUNTEERING

Volunteers are the very lifeblood of our Children's Jewish Studies 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 and your child.

I would like to:

Join the Education Committee

Be a Class Parent

I would like to help plan:

Chanukah

Purim

Passover

OtherOther

I would like to help with:

Building the Community Sukkah

Set/Clear for Potluck Services

Set/Clear for Shabbat Services

YEARLY FEES

We are offering a sliding scale fee structure, and invite you to pay the amount that feels comfortable for your family. We thank you for your support!

• DJC member families per child: $800 - $1300.
• Non-DJC member families per child: $1050 - $1550
• Yearly fees include a $75 non-refundable registration fee

REFUND POLICY

for a registered student who is withdrawn prior to or during the school year

• Before August 14: Full refund minus $75 registration fee
• August 15 to completion of second class: Full refund minus $200 registration fee
• Beginning of third class, no refund

Are you a DJC member? *

Yes

No

Non-Member registration amount per child. Enter amount from sliding scale.

Non-DJC member families per child: $1050 - $1550.

Member registration amount per child. Enter amount from sliding scale.

DJC member families per child: $800 - $1300.

PAYMENT

Donation to the Children's Jewish Studies Program

The DJC Children’s Jewish Studies Program relies on the support of the community and member donations. The actual cost for the program is over $1,050 per student. Please donate to support our child and youth programs if you can.

Total:

Section

Checkboxes

Option 1

Option 2