Family Information
Family Name Parents Name
Mother's updated email Father's updated email
1. Child's Name: Grade entering:
2. Child's Name: Grade Entering:
3. Child's Name: Grade Entering:
4. Child's Name: Grade Entering
Updated Information
I verify that all the information on my child's previous is correct and up to date
The form requires changes and the changes are listed below
I filled out the medical form for each of my child(ren) for the new school year of 2015/2016
Please update the following information:
Payment & Tuition
PROGRAM:
EARLY BIRD DISCOUNT: Full payment by May 30, 2015 entitles you to a 5% discount
Member Rate $625 Tuition + $100 Book Fee + $25 Program Fee $750
Non-Member Rate $875 Tuition + $100 Book Fee + $25 Program Fee $1,000
Total:
PAYMENT:
I wish to pay by: Check Credit/Debit Card
Please charge the full tuition amount to the following credit card.
Please charge 10 payments on the following credit card on the of each month.
Checks should be made payable to Chabad of Weston, and sent to the Chabad Jewish Center at 18501 Tequesta Trace Park Lane, Weston. A fee of $25 will be charged for a return check.
Card Holder Name Card Type
Credit Card Number CVV
Exp Date Total Paying Now
Enrollment Agreement
To enroll your child(ren) in Weston Hebrew School, please confirm that all your information is up to date and filling out a new medical/allergy form. Your application will not be processed without the required forms and fees.
Full payment due, or a payment plan must be set up at the beginning of the school year, September 1, 2015
Enrollment is considered to be for the entire scholastic year. There will be no refunds even if the child is absent due to illness, holidays, vacations and snow days, or should the parents decide to withdraw the child from the program.
In the event that tuition is not paid, Weston Hebrew School reserves the right to debit your Credit/Debit card, plus a $25 processing fee
DISPOSITION
Parent acknowledges that the Weston Hebrew School serves children who are able to function successfully in a group setting. If, in the judgment of the school's Director, the child is not able to function in a group setting, the parent may be asked to withdraw the child. In the event that the parent is request to withdraw the child, the Director will work with the parent to identify possible alternative programs suitable for the child.
SCHOOL CLOSINGS
Every effort is made to remain open on all regularly scheduled days. However, if we are forced to be closed or to have a delayed opening, parents will be telephone and/or e-mailed by 8am. if parent does not answer phone, a message will be left on the answering machine.
RELEASE OF INFORMATION AND PHOTOGRAPHS
Parents allow for child(ren)'s picture to be used for internal PR mailing and website where name is not given. Parents allow for child(ren)'s photograph/name released to newspapers where last name will not be given. If not, please contact us.
By submitting and initialing this form, parents accept the terms outlined above.
Parent's Initials Date

WESTON HEBREW SCHOOL AT CHABAD OF WESTON