Infant/Toddler Registration 2022/23

Bonim Infant/Toddler Registration Form 2022/23

Registration for infant-toddlers to the Bonim Preschool.

Today's Date(Required)

Anticipated Start Date(Required)

Congregation B'nai Israel Member in good standing?(Required)

CHILD INFORMATION

Child's Name(Required)

First Last

Child's Date of Birth(Required)

Address(Required)

Street Address Apartment or Unit # City State ZIP Code

PARENT/GUARDIAN INFORMATION

Parent/Guardian 1 Name(Required)

First Last

Relationship to Child(Required)

If other, what is your relationship to the child?

Your Phone Number(Required)

Your Email Address(Required)

Address (if different from above)

Street Address City State ZIP Code

Parent/Guardian 2 Name

First Last

Relationship to Child

If other, what is your relationship to the child?

Your Phone Number

Your Email Address

Address (if different from above)

Street Address City State ZIP Code

Do you have other dependent children at home?(Required)

Yes

Sibling(s)

Full Name

Date of Birth

Male or Female

FORM OF DEPOSIT

A non refundable deposit equal to the first month's tuition is required for all new students to reserve your space. The deposit will be applied towards the first month's tuition.

Please indicate your form of deposit(Required)

Sending a check made payable to Congregation B'nai Israel

Making a payment by credit card now

Deposit Amount (equal to your first month's tuition)(Required)

Credit Card Fee 2%

Price: $0.00

Total Monthly Charge (if paying by credit card)

If you choose to pay by credit card:

Once you click on the "submit registration now" button, you will be brought to a page titled Pay with PayPal. You do not need to have a PayPal account of your own to proceed. Click below it where it says Pay with Debit or Credit Card. This will bring you to the PayPal Guest Checkout. Complete the form with your credit card information there and select Pay Now at the end. If you do not get to the Pay Now button at the end, your purchase is not complete.

SERVICE AGREEMENT

I wish to enroll my child in Congregation B’nai Israel Bonim Preschool. I understand that tuition is based on a monthly fee. The rate will be the same regardless of snow days, school vacation, half days and holidays. Tuition can either be paid in full or a monthly payment authorization plan can be established. All families are required to pay one month in advance of service (i.e., July payment is due on June 1, 2022). Tuition is non-refundable and non-transferable. If at any time services are terminated by you, the following is required:

* Sixty (60) days written notice of withdrawal of your child from the program.

* Thirty (30) days written notice for all changes made to your child's schedule/payment plan.

Congregation B'nai Israel Bonim Preschool reserves the right to charge for full services throughout the notice period. I have read and understand all policy and tuition information and agree to comply.