JRCC East Thornhill Bar Mitzvah Club Online Registration!

Please fill out the form below carefully. When you press submit, this form (secure form) will be sent to our administration office.

Note: Please use a separate form for each student.

Student/Parent Information
Name
  First
Last
Hebrew Name  
Address
  Street City
Province
Postal code
Date of Birth
   
Contact Info
  Home phone Email
Schools
  School Hebrew School Grade:
Student's Mother
  Mother's Name
Hebrew Name Work Phone Cell
Student's Father
  Father's Name
Hebrew Name Work Phone Cell
    Where did you hear about us?

Mother Jewish?

Father Jewish?

PAYMENT & FEES:

Dates

  Start date at BMC Date of Bar Mitzvah:
Fees  

$ 70.00 Club tuition a month + one time $50.00 (registration and Book fee).

 

 

I will be paying by: Credit Card Check

Card Type

 

Card Number

 

Expiration Date

 
   
IMPORTANT
 

I hereby register my child in JRCC East Thornhill Bar Mitzvah Club:

 
  • Our club will be meeting Wednesdays throughout the year. See calendar for details.
  • I give my child permission to participate in all club activities and trips.
  • The student, as well as his parents or guardians, agree to abide by the rules and regulations set forth by the club.
  • Photos may be taken and used for future advertising.
  • I understand that JRCC East Thornhill does not assume responsibility for any injury, and in case of emergency necessary medical attention may be secured by the JRCC East Thornhill.
   
  Parent's signature: