Family Information

Family Name:

Tuition Questions

I'm interested in learning more about the following:
$50 Family DiscountFederation Tuition Incentive ProgramRequesting ScholarshipBar/Bat Mitzvah

I will be paying using the following method(s):
Full FeeMonthlyPost Dated ChequesE-TransferOnline Payment

I'm interested in registering for the following:

Sunday JCC ProgramTuesday Knoxdale Program

Student Information

First Student

Last Name:

First Name:

Hebrew Name:

Gender:

Grade:

Allergies:

Has an IEP:
YesNo
Allow Photo Use:
YesNo
My child can walk with the class to Hillel Lodge. (This only applies to the JCC program):
YesNo

Second Student

Last Name:

First Name:

Hebrew Name:

Gender:

Grade:

Allergies:

Has an IEP:
YesNo
Allow Photo Use:
YesNo
My child can walk with the class to Hillel Lodge. (This only applies to the JCC program):
YesNo

Third Student

Last Name:

First Name:

Hebrew Name:

Gender:

Grade:

Allergies:

Has an IEP:
YesNo
Allow Photo Use:
YesNo
My child can walk with the class to Hillel Lodge. (This only applies to the JCC program):
YesNo

Parent Information

How did you hear about OMJS?

OMJS is a parent-run school and thrives on your participation. How would you like to help?
Board MemberOther (Indicate Expertise Below)
Volunteer Expertise:

Who has permission to pick up your child?

Emergency Contact Information

Last Name:

First Name:

Relationship:

Phone Number:

Parent/Guardian 1

Name:

Relationship:

Address:

Phone Number:

Email:

Parent/Guardian 2

Name:

Relationship:

Address:

Phone Number:

Email:

Tax Receipt

Issue Tax Receipt To:

Confirmations

I understand that this tuition incentive program is for families enrolling students for the first time and confirm that I meet this criterion.By Applying to the Tuition Incentive Program, I understand that my personal information can and will be shared with the Jewish Federation of Ottawa.

Human Check

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