BMC Register - DJCC

954-667-8000
info@downtownjewish.com
900 East Broward Blvd Fort Lauderdale FL 33301

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Bat Mitzvah Club
Registration

Child's Information
Child's Name
First Last
Hebrew Name
Age
Birthday
School child will be entering in fall:
Grade child will be entering fall 2023
Mother's Information
Mother's Name
Mother's Hebrew Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
E-mail
- Please send all Hebrew School/ BMC Correspondence
Father's Information
Father's Name
Father's Hebrew Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
- Please send all Hebrew School/ BMC Correspondence
CONVERSION
If mother and/or child is a convert, please submit conversion forms.
Max. file size: 50 MB.
PLEASE NOTE : acceptance into Hebrew school does not affirm or deny the authenticity of your child’s religion.
Emergency Contact
In the rare case that there is an emergency and we cannot reach either parents please let us know who we can call.
Name
First Last
Relationship
Cell Phone
Home Phone
Medical Information
Physician's Name
Phone
Insurance Company
Policy Number
- I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in the case of an emergency.
Special Needs
Help us be the best advocate for your child and ensure the safest and most productive learning environment.
Does your child have special needs?
- Allergies
- Academic
- Behavior
- Social
- Physical
- Medical
Please explain:

Class Information
My child will be attending:*
- Sunday Hebrew School 10:00am – 12:00pm
- Tuesday Hebrew School 3:30pm – 5:00pm
- Bat-Mitzvah Club | Bi-monthly
Tuition Information
Hebrew School & Bat-Mitzvah Club: $100 Registration {non-refundable} $180 Security per student. (non-refundable) $1200 Tuition Bat-Mitzvah Club is an additional program to Hebrew School. $1200 per student {not including end of year ceremony}
Please check appropriate boxes
- DJCC Members 5783/ 2022-2023 : 10% discount per child =$1080 (Fill out membership forms)
- Sunday $100+$180+ $1200= $1,480
- Tuesday $100+$180+$1200= $1,480
- Bat Mitzvah Club $100+$180 + $1200=$1,480
Payment Information
Indicate your choice of payment for yearly tuition.
- Payment in full
- Monthly Payments
Monthly Payment Agreement
- I understand I will make my first tuition payment wih the Registration Fee and Security fee after completing the Online Registration Form on the Payment Plan Form.
- I understand my card will be charged equal payments on the first of each month from Sept 1st/22- May 1st/23 for the remainder of my tuition, as per the tuition selections herein.
Registration & Security Fee Agreement*
- I understand I will make a payment after completing the Online Registration Form for the registration fee of $100 and the security guard fee of $180
- I understand the registration fees and security guard fees are non-refundable.
Payment Contract
- I understand that I am responsible to pay according to the above agreed upon payment schedule.
- If sufficient funds are not available or if the account has been closed, I understand that my account will be charged $25 for each transaction that could not be processed.
- I agree that my child(ren) will not be allowed to attend classes unless tuition payments are current.
- I understand that my child(ren) are enrolled for the entire year. The school cannot issue refunds or credits for illness, holidays, or family vacations.
- If the school is closed due to or resulting from a weather emergency or other unforeseen circumstance, there will be no make-up days, refunds, or credits for days that school is not in session.
- In the event of early withdrawal, I understand that I am responsible for a pro-rated amount of the tuition that is added to a withdrawal fee equal to 30% of the annual tuition.
- The registration fees and security guard fees are non-refundable.
Total Due: Registration + Security fee +Tuition = Total Due
Please indicate name of parent/ guardian who should receive bills:
Signature*
I understand registration is not complete until I set up a payment plan as per my selections above for Class Information, Tuition and Payment.

Forms & Guidelines
Please Check and Sign Below*
- I have read the Parent Handbook
By signing below you are indicating you have read the above*
Permission Slips
Parent Release for Media Usage*
- Unrestricted Usage: I give unrestricted permission for my child’s image to be used in print, video, and digital media. I agree that these images may be used by DJCC for a variety of purposes and that these images may be used without notifying me further. I do understand that the child’s last name will not be used in conjunction with any video or digital images.
Kids love to see themselves in photos and parents love to see the smiling faces and activities going on with their children while they are not around We take photos and videos each and every day at Hebrew for Kids, updating our photo page and allowing you a glimpse into our classrooms and all the fun we are having! We are very sensitive to your privacy. Please NOTE: The Hebrew school photo link can only be accessed on our Hebrew school page on our website – not from the usual home page. Our Facebook page is a private page and only open to invited Hebrew school families.
I give permission for the following people to pick up my child from HFK:
Trips & Nature Walk Permissions
- I give permission for my child(ren) to be taken off School premises for Educational related activities or trips provided by Downtown Hebrew for Kids.
- I understand that this may either be by foot or in a licensed insured vehicle chosen for a trip day or excursion.
During the course of the year, there may be occasions where the children will be visiting a nursing home, supermarket or fun zone. All families will be notified in advance. To help expedite the process and have permission slips on file please sign below.

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