Full Fee$50 Family Discount10% SJCC Membership DiscountB'nai Mitzvah Program Fee $1,300
Total Due $
Scholarship $
Approved
Payment: FullPost-Dated ChequesCashE-transferOne Month Trial * E-transfer: pearlpbs@magma.ca
Last Name
First Name
Hebrew Name
Gender
Grade
Allergies
How did you hear about OMJS? Please tell us how.
Does your child have an individual education plan? YesNo
Are you considering Bar/Bat Mitzvah? YesNo
Can we use your child's photo in school promotions? (e.g. OMJS Facebook page, website, brochure) YesNo
Can your child walk with their class to Hillel Lodge? (2 -3 times per year as part of our curriculum). YesNo
Who has permission to pick up your child?
Can they leave on their own? YesNo
Parent/Guardian 1:
Name
Relationship
Address
Phone # (C)
Email
Occupation
Parent/Guardian 2:
Issue Tax Receipt to
Emergency Contact Information: Name
Phone Number
OMJS is a parent-run school and thrives on your participation. How would you like to help?
Board Member? Yes
Other ( please indicate area of expertise)
