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Application Form

Application Form

We are currently accepting application forms for the 2017-2018 school year. Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us.

We look forward to a wonderful year of learning and growth.

Student Information
Child's Name Hebrew Name
Date of Birth School
Previous Jewish Education Where?
       
Is the natural mother and maternal grandmother of the child Jewish?
Have there been any conversions or adoptions in the family? If Yes, please explain.

 
Parent Information
Father's Name Email
Work Phone Cell Phone
Mother's Name Email
Work Phone Cell Phone
Address City
State Zip
 
Emergency Information
Emergency Contact Phone
Emergency Contact Phone
 
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.
 
Program
Select
See here for program listing and pricing

 
Payment Information
Jewish Creative Preschool tuition details can be found here.
I understand to complete the Enrollment Application a non-refundable $175 registration fee and a $1000 deposit, which will be applied to tuition, must be submitted. My Application will not be considered complete until both the Enrollment Application and the $1000 deposit are received in the Office.
 
Payment Method Checks can be mailed to 349 Dedham Street • Newton, MA 02459
Card Number Billing Zip Code
Expiration CVV Code What's This?
Total Amount to Charge Card    
 
Terms of Enrollment

As the parent(s) or legal guardian of the above child(ren), I/we authorize any adult acting on behalf of Jewish Creative Preschool to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Jewish Creative Preschool personnel will try, but are not required, to communicate with me prior to such treatment.

I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Jewish Creative Preschool activities and that these pictures may be used for marketing purposes.

I Accept Name: Initials:

We look forward to a wonderful year of learning and growth!

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Updates
Registration Open
Now open for 2017/18 Scholastic Year!
Click Here to Book a Tour
Register Today! Click Here
Call Us at 617-244-1200
or email preschool@jewishnewton.com.