2022/2023 Jewish Studies Registration - Form

*Please note that you will need to submit a separate form for each student in your household.*

If you would like to apply for a subsidy for DJC Children's Jewish Studies program fees, please complete SUBSIDY REQUEST FORM first. Once that is approved, you will be able to register here! Please note that you do not need to fill in a subsidy request form in order to indicate that you would like to divide up your payments - that offer is extended to all at the end of this registration form.

Please contact Alysse Rich (Director of Education) if you want more information or need help with completing the form: djc.js.principal@gmail.com

Student Information

* Student's First Name

* Student's Last Name

Student's Pronouns (ex. he/him, she/her, they/them, etc.)

* Date of Birth

* Street Address

* City

* Postal Code

* Primary Phone Number

* School

Student's Contact Email (if applicable)

Accessibility Information

The DJC is committed to ensuring that all students in our program have equal access to a Jewish education. Please let us know if your child requires accommodations so we can make their education an inclusive and exciting experience. Please describe any specific concerns (including any learning requirements and/or IEP, allergies, food restrictions, etc, your child may have).

Parent / Guardian Information

Parent / Guardian #1

* First Name

* Last Name

* Street Address

* City

* Postal Code

* Primary Phone Number

* Work Phone Number

* Email Address

Please note that we will correspond with you at this email address.

Parent / Guardian #2

First Name

Last Name

Street Address

City

Postal Code

Primary Phone Number

Work Phone Number

Email Address

Please note that we will correspond with you at this email address.

Other Parents / Guardians

If there are other parents/guardians who should receive our email correspondence, please list their full names and emails below.

Emergency Contacts

* Emergency Contact Information - Please list the full names and phone numbers of 2 people we can contact in an emergency situation. These should not be parents/guardians.

Permissions - Walking Excursions

* Walking Excursions - 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.

Please Select OneYes, I give permission for my child to participate in school-specific curricular activities that occur off school properties in the immediate communityNo, I do not give permissionOther (please send details to teacher)

Permissions - Photos

* Photo Permissions - We would like to keep you and the community informed of the things that go on in our program, 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 Class Parents/Guardians OnlyDJC Communications (Newsletter, Weekly Updates, Website, Fundraising Materials)DJC Social MediaALL - I give permission for photos to be used in any of the aboveNONE - I do not give permission for my child's picture and/or work to be emailed or published

Permissions - Pick-Up

* Pick-Up Permissions - When classes and events 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/TTC Home UnaccompaniedBe Picked Up By The Following Adults (indicate below)Leave With The Following Friends (indicate below)

Pick-Up Permission Names - Please list the names of the adults who may pick up your child, or the class friends your child may leave with.

Consent for Emergency Services and Registration Disclaimer

* 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.

Please Select OneYes, I consentOther (I will be communicating my requests directly to the teacher)

* Registration Disclaimer - In consideration of my child's participation in the DJC Jewish Studies / B'nei Mitzvah 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 / B'nei Mitzvah program. By checking this box, I acknowledge my consent.

Registration Disclaimer - In consideration of my child's participation in the DJC Jewish Studies / B'nei Mitzvah 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 / B'nei Mitzvah program. By checking this box, I acknowledge my consent.

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: $950-$1650
Non-DJC Member families per child: $1200-$1850

DJC Member families (per child) $950-$1650

Non-DJC Member families (per child) $1200-$1850

Total Amount

REFUND POLICY
*Full refund minus $75 (registration fee) before first class.
**Full refund minus $200 (registration fee) after completion of second class.
*** NO REFUND after the third class

* The DJC has added a New Option -
After clicking “continue to payment” you will have the option to cover the 2.44% convenience fee/credit card processing fee. When you pay this small transaction fee, you help us offset the processing cost, and your money goes to benefit our community further!