City Shul School Registration 2024/25 - Form

Note: If you are a member, please log in before filling out this form. Much of the information will be filled in automatically, and the correct options will be available.

REFER A FRIEND AND YOU EACH SAVE AN ADDITIONAL $50!
For existing City Shul School Families, if you refer a friend to our program, $50 will be credited to both your accounts, once registration of each family is confirmed.

* Registration Confirmation Email

* Child's Full Name

Child's Hebrew Name

* Child's Date of Birth

* Current Elementary School

* Education Assessment

YesNoIn the process

City Shul requires that Educational Assessments and the suggested modifications and/ or accommodations found therein be shared confidentially with the Director of the School. We strive to differentiate learning and help our students meet with success as best as we can during our school time.

* Primary Address Line 1

* Primary Address Line 2

* City

* Postal Code

* Parent #1 First Name

* Parent #1 Last Name

* Parent #1 Email

* Parent #1 Cell Phone

Parent #2 First Name

Parent #2 Last name

Parent #2 Email

Parent #2 Cell Phone

* School Correspondence

Both ParentsParent #1 onlyParent #2 only

I would like to receive the weekly City Shul Connects newsletter

* Emergency Contact Name

* Relationship to Child

* Emergency Contact's Phone

* Emergency Contact's Email

* Physician's Name

* Physician's Phone Number

* Health Card Number

Include Version Code

* General Immunizations Up to Date?

YesNo

Please list name, age, and grade of any siblings (Grade 7 and under) not yet registered at City Shul School

* Allergies?

Please indicate either N/A or types of allergies.

* Epipen?

YesNo

Is your child attending a Jewish Day School? Which one?

Is your family a member of a synagogue? Which one?

How did you hear about City Shul School?

Returning studentA friendOther

If you chose 'other' please let us know where you heard about us

Are you referring a friend?

YesNo

If yes, what is the first/last name of your friend?

Are you interested in learning more about the UJA part-time school subsidy?

YesNo
IF YES:

1. Please complete the City Shul application first with payment.

2. Visit www.ujacommunityscholarships.ca
to fill out your subsidy application. Please note that the UJA Community Scholarship site is now open to accept applications for the 2024-25 coming school year! We normally find out from UJA if you have received a subsidy in October/November of 2024. If you receive a subsidy at that time, you can either receive a refund or credit to your City Shul School account right away.

3. Questions? Please email Rae Szereszewski, our Interim Director of Jewish Learning -
learning@cityshul.com.

If you are not a member please click NON MEMBER from the drop down box below.

Program Registration for 2024/25 MEMBERS

If you are a member of City Shul, but not logged in to your account, please click MEMBER from the drop down below

Program Registration for 2024/25 NON-MEMBERS

Please take the time to read our Education Covenant so that you are fully committed to all its contents before renewing or registering your child for our City Shul school. Thank you.

EDUCATION COVENANT DURING For all children and families registered in our school in Grades 6 & 7

In keeping with City Shul’s Covenant of Membership, we agree to: Attend City Shul services and/or events as follows:

Grade 6: • 6 Shabbat (Saturday morning) services

Grade 7 (BM): • 8 Shabbat (Saturday morning) services AND attendance at the BM Shabbaton

* Education Covenant Agreement, for students in Grades 6 & 7

Yes

We have read and agree to abide by the Education Covenant.

* Student Media Release Consent Form

AgreeDo Not Agree

I hereby agree and give my permission for the City Shul and School and or partners to record, film, photograph, audiotape or videotape my child's image, student work, and performance for the purpose of publishing, posting on the City Shul website, and posting on social media sites. Children's names will NOT be published in any way without additional consent from parents.

* Walking Excursion Form

Permission to participate in school specific curricular activities off propertyPermission for my child to be driven by a school appointed driver on a school field trip

Periodically, students are engaged in curricular activities that occur off school property in the immediate community, but within walking distance of the school. Some examples of these activities are walking to the library, the local park, Wolfond Centre, Jewish walking tour of the neighbourhood.

The Director will approve these activities and teacher supervision will be provided at all times. Whenever possible, parents/ guardians will be notified in advance by email.

Payment agreement for each applicant at the time of registration.

City Shul Cancellation Policy: After September 1, 2024 tuition is completely non-refundable and considered a charitable donation. No exceptions will be made to this policy. The cancellation fees are as follows:

Withdrawal from program in writing:
Prior to July 1, 2024: $150 administration fee per child
Between July 1 and August 31, 2024: 50% of year tuition per child
After September 1, 2024: Full tuition fee per child (no refund)

Charitable Donation

Please consider making an additional donation at this time to City Shul School. A tax receipt will be given for the full amount of your donation. Thank you for your support.

Total Due:

Make your gift go further by adding 2% to cover processing fees. Full details will be on the payment page.