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Online Registration

Online Registration

  The Maurice A. Halperin Torah Tots Early Childhood Center

 

REGISTRATION FORM FOR NEW FAMILIES 2017-2018
Click here for a printable Registration Form

Please read our Registration & Tuition Payment Procedures

Each Registration Form must be accompanied by:
$175 non-refundable registration fee per student
$300 non-refundable deposit per student, which is applied toward tuition balance

Registration is not complete until we receive a signed Tuition Payment Form.
Click here for the Tuition Payment Form (fax to 561-892-4696 or email to pamturk@halperintorahtots.com)

Child #1

Child's Name: (First, Last)

Hebrew Name: DOB:

Turning Twos:  Children must turn 2 between September 1, 2017 and February 28, 2018
EC2:  Children must be 2 by September 1, 2017
EC3:  Children must be 3 by September 1, 2017
EC4:  Children must be 4 by September 1, 2017

Highlight the option you are registering for.

Class: Days: 9-1: 9-3: Pre-care: Aftercare:

Child #2

Child's Name: (First, Last)

Hebrew Name: DOB:

Highlight the option you are registering for.

Class: Days: 9-1: 9-3: Pre-care: Aftercare:

Father's Name:

Mother's Name:

Home Address:

Telephone: Home -

Please provide cell carrier info so that we can text you if need be from the school. 

Mother's Cell -    Mother's Cell Carrier - 

Father's Cell -     Father Cell Carrier - 

Father's Email:

Mother's Email:

Previous Programs Attended:

Languages Spoken at Home:

Siblings and Ages:

Is there any special situation or characteristic concerning your child that is important for the school to be aware of (intellectual, emotional, physical)?

Synagogue Affiliation:

Name of synagogue:

Is/Are the child(ren)'s natural mother Jewish by birth? Yes No

Have there been any conversations of adoptions in your family? Yes No
Explain:

In order to better serve your child, it may be helpful for us to contact the school he/she previously attended. Please type your name in the space available giving permission for information to be shared.
Your name: Date:

Payment due of $475 per child due with Registration along with a completed Tuition Payment Form.

Credit Card #: Exp Date

Billing Address:

I hereby enroll my child(ren) in The Maurice A. Halperin Torah Tots Early Childhood Center. I understand that the Registration Fee and Deposit are non-refundable. The deposit will be applied to the tuition balance.

I agree that Torah Tots will charge my account a total of $ .

Signature:

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