Enrollment Form

Please submit the enrollment form

HTML

Please submit the enrollment form and then click on Payment.

Name

Student Information

Childs First Name *

Childs Surname * *

Make a selection *BoyGirl

DOB *

Childs Grade (2016) *

Parents Form

Fathers First Name * *

Mothers First Name * *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Country

Main Contact Number * *

Mobile Number (Mother or Father)

Main Email Address

Mother Email Address

Fathers Email Address

Father is Jewish by

Mother is Jewish by

Please indicate anything you feel we need to know about your child

What day of the week would best suit your child?Sunday (morning/afternoon)Sunday (evening)MondayTuesdayWednesdayThursday

What time works out best for your child?

Hours

Minutes

AM/PM

How did you hear about Barmitzvah Online?

Consent *

Terms and Conditions

Bar Mitzvah and One-On-One classes:I understand that payment to Hebrew School Online is a non-refundable payment.

I further understand that should my child have a one-on-one lesson scheduled, I will give Hebrew School Online 24 hour notice if my child can't attend the lesson.
I will be charged a $25 cancelation fee should I cancel within 24 hours.

Withdrawal: In the event of a withdrawal, a full month is payable, unless one full month's notice is given by email.

Barmitzvah-online and group classes: I understand that payment to Barmitzvah Online is a non-refundable payment.

I fully understand that this enrolment, as part of my commitment to a long-term Jewish education at Barmitzvah Online, is accepted only on the basis of a minimum of 4 months, and agree to pay the full fees accordingly.

Withdrawal: In the event of a withdrawal mid-term, the Term’s remainder is payable plus a Termination Fee of $180 unless one full Term’s notice is given by email.