Downtown Jewish Preschool Application - DJCC

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

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STUDENT INFORMATION:
Name*
First Last
Jewish Name:*
Sex*
- Male
- Female
Age now*
How old will child be on 9/1/24?*
Date of Birth*
CLASS*
- 18 months
- 2’s (2 by Sept 1/24)
- 3’s (3 by Sept 1/24)
- 4's (4 by Sept 1/24)
FAMILY INFORMATION:
Mother's Information
Mother's Name*
First Last
Jewish?*
- Yes
- No
If Yes, by:*
- Birth
- Choice
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone*
Cell Phone*
Email*
Employer*
Position*
Father's Information
Father's Name
First Last
Jewish?
- Yes
- No
If Yes, by:
- Birth
- Choice
Address
Street Address Address Line 2 City State ZIP Code
Home Phone
Cell Phone
Email
Employer
Position
Child lives with*
- Mother
- Father
- Both
- Other
Parents are*
- Married
- Separated
- Divorced
- Single
- Other
Who has legal custody?*
Please send all preschool correspondence to:*
- Mother
- Father
- Both
- Other as indicated
Have there been any conversions or adoptions in the family?*
- Yes
- No
Who?*
please submit conversion forms
Max. file size: 50 MB.
What languages are spoken at home?*
Siblings and ages*
Previous programs or schools attended?*
In order to better serve your child, it may be helpful for us to contact the school he/she previously attended. Please check the box below giving permission for information to be shared*
- I give permission for information to be shared
Is there any special situation or characteristic concerning your child that is important for the school to be aware of?*
Ex; Intellectual| emotional | physical | developmental |
Select Schedule: (No half day option for Researchers. If switching to full day mid year you are responsible for the full difference in tuition- the rate will not be prorated)*
- Mon - Fri: Full Day (9am - 3:00pm - Fri ends 2:30pm) $14,808 ($1,481- 10 monthly payments first payment due on August 1, 2024)
- Mon - Fri: Half Day (9am - 12:30pm) $13,522 ($1,353- 10 monthly payments first payment due on Aug 1 2024)
- Mon-Fri January enrollment: (when space is available) $11,117 ($1,853 - 6 monthly payments December 1st - May 1st
Lunch $1240 for the year includes afternoon snacks and hot lunch. Morning snack is provided to all and included in your tuition.
- Lunch $1240
- I do not want lunch. I will provide my child with lunch and afternoon snack
Indicate your choice of payment for Yearly Tuition. A payment plan must be confirmed with the office. First tuition payment is due on August 1, 2024. Tuition must be paid in full by May 1, 2025. After submitting this form you will be directed to the Tuition Payment Form. Your spot is reserved upon completion of the Tuition payment form and a viable credit card or payment option is on file with the office. Registration and Security fees are due upon registration. and are non refundable*
- Check
- Credit Card (3% credit card processing fee will be added to your payments)
- ACH - Direct deposit recurring payment
1. I/ we agree to pay according to the selection indicated above.
2. If choosing a monthly payment option, I (we) understand that I/we will make 10 payments or the amount necessary to complete the full yearly tuition. The school will be provided with a viable credit card to be kept on file for payments.
3. If sufficient funds are not available or if the account has been closed, my/our account will be charged $25 for each transaction that could not be processed.
4. I/We agree that my/our child(ren) will not be allowed to attend classes unless tuition is kept current.
5. I/We understand that my/our child(ren) will be unable to attend DJP unless and until the state required good health and immunization certification is received from a physician.
6. I/We understand that my/our child(ren) are enrolled for the entire year. The school cannot issue refunds or credits for illness, holidays or family vacations.
7. In the event that 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.
8. In the event of early withdrawal, you are responsible for a pro-rated amount of the tuition, plus 30% of the annual tuition, not to exceed the total tuition amount for the year.
9. The registration and security fees are non-refundable.
Signature*
Print Name*
Are you interested in Pre care or After care Mon- Thur until 5. (No after care Friday.) Pickup between 3:06pm and 4:05 is $15 per child; pickup between 4:05pm and 5:00pm is $30 per child.
- Pre care 8:00 - 9:00am
- After Care 3:00 – 5:00pm
pre care and after care is automatically charged to your account on a weekly basis
Please upload Copy of child’s birth certificate, Copy of parents’ Government Issued Photo ID, Current Medical Forms and Immunization Records for child
Drop files here or

Max. file size: 50 MB.

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