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Online Registration

Online Registration

  The Maurice A. Halperin Torah Tots Early Childhood Center

 

Please check with the school office before registering to confirm that there
is space available. 

 

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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