Youth Education Centre: Registration Form 21/22

Parent/Guardian Information 

Please update all information below accordingly.
Parent/Guardian 1 













Help us create a stronger Holy Blossom community! Click here if you are willing to volunteer periodically for special programs.



Parent/Guardian 2












Parent/Guardian 2








Please contact them as a parent volunteer for:
Hidden Fields





Student Information 

Student



Displays MM/DD/YYYY





Note: If you are undecided select virtual and know that there will be opportunity to switch if desired. In-person is subject to COVID protocols.
Junior Kindergarten
Tuition:  $950

We will connect with you over the summer as to the specific days and times.

Sunday mornings

Senior Kindergarten
Tuition:  $950

We will connect with you over the summer as to the specific days and times.

Sunday mornings 

Grade 1
Tuition:   $950

We will connect with you over the summer as to the specific days and times.

Sunday mornings 

Grade 2

We will connect with you over the summer as to the specific days and times.

Sunday mornings + virtual Hebrew during the week

Grade 3

We will connect with you over the summer as to the specific days and times.

Sunday mornings + virtual Hebrew during the week

Grade 4

We will connect with you over the summer as to the specific days and times.

Sunday mornings + virtual Hebrew during the week

Grade 5

We will connect with you over the summer as to the specific days and times.

Sunday mornings + virtual Hebrew during the week

Grade 6

We will connect with you over the summer as to the specific days and times.

Sunday mornings + virtual Hebrew during the week

Grade 7
Tuition:  $1,250                                                                      

Monday nights 

We will connect with you over the summer as to the specific days and times.


If your child does not have a Hebrew name, our Rabbis are happy to help you choose one that is meaningful for your family.









Please review all pre-filled information and update where necessary.


Emergency Contact

In the event of an emergency, while we will make every attempt to contact a parent, it is important that we have an alternative. Please provide a non-parent emergency contact along with a cell phone and home phone number, if applicable.





Immunization

A copy of your child's immunization record or doctor's note must be made available to the YEC by the start of in-person classes.  Please email Neomi Offman at noffman@holyblossom.org or send directly to Holy Blossom Temple ATTN: Neomi Offman at 1950 Bathurst Street, Toronto, ON M5P 3K9 
Allergies/Asthma


Doctor Prescribed

If a student is required to carry an Epi-Pen and/or an inhaler, it must remain on the student at all times

Permission 
Accessibility and Inclusion 
The YEC is committed to ensuring that all students in our programs have equal access to Jewish education. Please share with us any type of special accommodations that your child requires to ensure that we offer an inclusive experience. 






$

Student Information

Student



Displays MM/DD/YYYY





Note: If you are undecided select virtual and know that there will be opportunity to switch if desired. In-person is subject to COVID protocols.
Junior Kindergarten
Tuition:  $1,250
We will connect with you over the summer as to the specific days and times.
Sunday mornings 
Senior Kindergarten
Tuition:  $1,250
We will connect with you over the summer as to the specific days and times.
Sunday mornings 
Grade 1
Tuition:  $1,250
We will connect with you over the summer as to the specific days and times.
Sunday mornings 
Grade 2

We will connect with you over the summer as to the specific days and times.
Sunday mornings + virtual Hebrew during the week
Grade 3

We will connect with you over the summer as to the specific days and times.
Sunday mornings + virtual Hebrew during the week
Education Options - Grade 4-7
Please note that you must be a member at Holy Blossom Temple to participate in Grade 4-7 at the Youth Education Centre.  We would love to have you join our family.  Please contact Lisa Isen Baumal, Principal of Youth Education at 416-789-3291 ext. 242 or email for further information.  

If your child does not have a Hebrew name, our Rabbis are happy to help you choose one that is meaningful for your family.









Please review all pre-filled information and update where necessary.


Emergency Contact

In the event of an emergency, while we will make every attempt to contact a parent, it is important that we have an alternative. Please provide a non-parent emergency contact along with a cell phone and home phone number, if applicable.





Medical Conditions

Immunization

A copy of your child's immunization record or doctor's note must be made available to the YEC by the start of in-person classes. Please email Neomi Offman at noffman@holyblossom.org or send directly to Holy Blossom Temple ATTN: Neomi Offman at 1950 Bathurst Street, Toronto, ON M5P 3K9 
Allergies/Asthma


Doctor Prescribed

If a student is required to carry an Epi-Pen and/or an inhaler, it must remain on the student at all times

Permission 
Accessibility and Inclusion 
The YEC is committed to ensuring that all students in our programs have equal access to Jewish education. Please share with us any type of special accommodations that your child requires to ensure that we offer an inclusive experience. 




Emotional/Behavioural Challenges


$

Communication and Media Releases

The responses below will apply to all registered students.
Media Release


Thank you!


$

Payment
Credit Card Fee
Please note that there is a new mandatory charge of 2.5% for using credit card payments. This value is 100% tax deductible.

$

$

*Payment will commence once this form is submitted.
Payment Information

$

Visa or Mastercard






*Please make sure the billing address matches the credit card given.  Thank you.
Tax Receipting
  • All payments received by December 2021 will be tax receipted in February 2022
  • Your tax receipt will be sent via email
Deposit by Cheque
Please note: Registration will not be considered complete until a $200 deposit has been received.  
  • Please make cheque payable to Holy Blossom Temple
  • Payment must be made in full by May 1, 2022
  • Please contact Neomi Offman at the Youth Education Centre to arrange for complete payment of tuition at 416-789-3291 ext. 237 or noffman@holyblossom.org

Please send cheques to:

Holy Blossom Temple ATTN: Youth Education Centre

1950 Bathurst Street

Toronto, ON  M5P 2K9

Tax Receipting
  • All payments received by December 2021 will be tax receipted in February 2022
  • Your tax receipt will be sent via email
Pre-Authorized Debit 

$


$


Please note: Registration will not be considered complete until the void cheque has been received.  
  • Please send a copy of a void cheque to Holy Blossom Temple
  • Payment will proceed as you have indicated above. 
  • Please contact Neomi Offman at the Youth Education Centre with any questions at 416-789-3291 ext. 237 or noffman@holyblossom.org

Please send the cheque to:

Holy Blossom Temple ATTN: Youth Education Centre

1950 Bathurst Street

Toronto, ON  M5P 2K9

Upload a Void cheque
Payment will proceed as you have indicated above.

Tax Receipting
  • All payments received by December 2021 will be tax receipted in February 2022
  • Your tax receipt will be sent via email
Please make sure to complete the CAPTCHA before submitting the form.