Netivot Pathways: Registration 2022-2023

Please fill out one form per family

* Parent 1: First name

* Last name

* Email

* Home

* Cell

* Parent 2: First name

* Last name

* Email

* Home

* Cell

Address

Province

Postal Code

* Legal Guardian/Custodial Parent

First Name

Last Name

Hebrew Name

Age

* Birthdate

School:

Grade

as of Sept. 2022

Upload your child's picture

First Name

Last Name

Hebrew Name

Age

Birthdate

School

Grade

as of Sept 2022

Upload your child's picture

First Name

Last Name

Hebrew Name

Age

Birthdate

School

Grade

as of Sept 2022

Upload your child's picture

First Name

Last Name

Hebrew Name

Age

Birthdate

School

Grade

as of Sept 2022

Upload your child's picture

Tell us about your family's Jewish involvement/affiliations.

Please name all that apply. Synagogue; camp; Jewish schools; extracurricular activities; family gatherings/holidays

Is there anything else we should know about your child or your family's Jewish life?

Does your child have any special learning needs we should know about to ensure we can maximize his/her experience at Netivot?

Parents' initials

Date

Does your family require early drop off (at 3:30 PM)?

YesNo

* Media Acknowledgement

Media AcknowledgementBy registering, I am aware that photographs and/or videos may taken by Congregation Shaar Hashomayim and Netivot School for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and website content, and that no royalty, fee, or other compensation shall become payable to me by reason of such use.

I hereby acknowledge that the name(s) of the child(ren) will not be associated with said media.

Please select one payment option:

IF PAYING OFFLINE: Please select one of the following

Even though you are paying offline, please choose from the drop down list how many children you are registering for Netivot. Additionally, click on the button "Continue to Payment" to submit your form.

IF PAYING ONLINE: Please select one of the following

Fee: $1300 first child
A sibling discount of $200 per additional child is given.

Tuition Fees: $1300.00 which includes a $50.00 nonrefundable administrative fee. All books/learning materials are provided by the school. Basic school supplies should be provided by students (their preferred pencils, pen and paper).

Online Payments: Must be paid in full at the time of registration.

For payment related questions or to pay by cheque/ credit card installments:
contact Michael Carreiro, 514.937.9474, ext. 139

Withdrawal: You may withdraw your child from the school before the first class, and receive a full refund. Once Netivot has started, you may withdraw your child and pay a prorated fee for classes attended, as well as the $50 nonrefundable administrative fee. Financial Aid is available. For more information, please contact Netta Rotstein, Director of Netivot, nrotstein@theshaar.org

Tuesday, June 6, 2023 17 Sivan 5783