Camp Dates Session 1 • Tuesday July 2- Wednesday July 31 Session 2 • Thursday August 1 – Friday August 23 2024 Summer RegistrationDATE OF ADMISSION: MM slash DD slash YYYY 1. Program of InterestPre-Nursery/NurseryMonday – Friday: 9:00 am – 12:00 pm • Session 1- $354.38/month Session 2- $354.38/month 5 Day Preschool Pre-Nursery/Nursery (available at Adath Israel location) Monday – Friday: 9:00 am – 12:00 pm • Session 1- $354.38/month Session 2- $354.38/month Monday, Wednesday & Friday: 9:00 am – 12:00 pm • Session 1- $259.88/month Session 2- $259.88/month 3 Day Preschool Pre-Nursery/Nursery (only available at Adath Israel location) Monday, Wednesday & Friday: 9:00 am – 12:00 pm • Session 1- $259.88/month Session 2- $259.88/month Tuesday & Thursday: 9:00 am –12:00 pm • Session 1- $212.63/month Session 2- $212.63/month 2 Day Preschool Pre-Nursery/Nursery (only available at Adath Israel location) Tuesday & Thursday: 9:00 am –12:00 pm • Session 1- $212.63/month Session 2- $212.63/monthMonday – Friday: 9:00 am – 12:00 pm • Session 1- $354.38/month, Session 2- $354.38/month 5 Day Preschool Nursery (available at Adath Israel location) Monday – Friday: 9:00 am – 12:00 pm • Session 1- $354.38/month, Session 2- $354.38/month 2. Child information:Child’s first name:* Child’s last name:* Child’s Hebrew name Date of Birth* DD slash MM slash YYYY Sex* Male Female Home address* Street Address City Postal Code Home PhoneChild lives with* Child’s age in September:* Years and Months3. Parents information:Parent 1 Name* First Last Hebrew Name Address (if different from above): Street Address Address Line 2 City Postal Code Home Phone (if different from above)Cell Phone*Occupation* Company name Business Ph #Business address Street Address City Postal Code Email* I give permission to Torah Tots to include my e-mail address on the class list given to parents Parent 2 Name First Last Hebrew Name Address (if different from above): Street Address City Postal Code Home Phone (if different from above)Cell PhoneOccupation Company name Business Ph #Business address Street Address City Postal Code Email I give permission to Torah Tots to include my e-mail address on the class list given to parents Child’s Pediatrician* Phone numberAddress Street Address City Postal Code OHIP # Allergies or medical problems*Any history of communicable diseasePlease inform us of any special instruction regarding diet, rest or exerciseEMERGENCY CONTACTName* First Last Relation to child Home phone*Cell phone*Home Address Street Address City Postal Code AUTHORIZED PERSONS TO PICK UP CHILD FROM SCHOOL OTHER THAN PARENTS (Please add any additional information below):Name* First Last Relation to child Home phoneCell phoneHome Address Street Address City Postal Code I am aware that on occasion Torah Tots posts pictures on Social Media of the activities at school. Please inform us if you would not like your child to be in any of the pictures. I confirm that all of the above information is accurate. I am aware parents must inform Torah Tots if there are any changes to my child’s health or well being. I have read and agree to comply with the policies and procedures in the parent handbook and the Covid Parent Handbook Parent’s signature or name* Date DD slash MM slash YYYY How did you become interested in Torah Tots? Child’s previous/current schools/playgroups* Languages spoken at home Languages spoken by child SIBLINGSPlease list siblings below (click the + to add additional siblings)SiblingsNameAgeSchool Additional informationPAYMENTPay by* Cheque E-transfer Credit card PAD - Current Families a 3.5% processing fee appliesCheques should be made payable to Torah Tots E-transfers should be sent to info@ahjewish.comCredit Card Number Name on Credit Card Expiration Date CVV Code Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Deposit Deposit for all programs is $350 applied to camp tuition. Deposit is non-refundable. Applications will not be accepted without the following: Signed and completed enrollment form Non refundable deposit Post Dated Cheque dated July 1st Immunization Form Review the parent handbook
