2017-2018 ENROLLMENT APPLICATION AND CONTRACT

Name: Youth Enrichment Center Sign Up - Pre-K
SKU: 7800
Availability: InStock

Pre-K Tuition - $995

General Information

Child's Name*

First Last

Child's Hebrew Name*

Date of Birth*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Day School/Public School*

Does your child speak Hebrew?*

Yes
No

Enroll another child in Pre-K?*

Yes
No

Child's Name*

First Last

Child's Hebrew Name*

Date of Birth*

Name of Day School/Public School*

Does your child speak Hebrew?*

Yes
No

Tuition*

Price:

Family Information

Father's Name*

First Last

Phone*

Email*

Mother's Name*

First Last

Mother's Maiden Name*

Phone*

Email*

Synagogue Affiliation*

TUITION

Parents agree to pay $995.00 in full tuition. The tuition must be paid in one full payment together with the submission of this application. No refunds, credit or allowance will be made for any reason whatsoever once School begins whether on account of the withdrawal, absences of the student or otherwise.

STUDENT PARTICIPATION IN SCHOOL ACTIVITIES:
RELEASE AND INDEMNIFICATION

Unless written notice to the contrary is received by the School in advance, the student shall be deemed to have the Undersigned’s permission to (i) take part in any and all school activities Page 2 of 3 (including, without limitation, academic, sports, music, artistic, technical and other extra-curricular or intramural activities), whether conducted on or off campus grounds, and to use any and all equipment and supplies used in connection with any such activities, and (ii) to ride in vehicles driven by employees of the School and in buses chartered by the School.

The Undersigned, on behalf of himself/herself/themselves and the student and their respective family members, heirs or legal representatives (collectively, the ”Releasing Parties”), hereby (i) release the School and its affiliates, trustees, administrators, faculty members, employees, volunteers, agents and other representatives, and all other parents, guardians and students (collectively, the “Released Parties”) from any action, claim or demand that any of the Releasing Parties have or may in the future for any and all injuries to the person or property of the student by reason of his or her participation in such activities or riding in such vehicles, except to the extent that any such injury as resulted directly from the gross negligence of any of the Released Parties and (ii) agree to fully indemnify and hold the Released Parties completely harmless from any action, claim, demand, loss, damage, cost and expense (including, without limitation, attorney’s fees) that may be suffered by any of the Released Parties in connection with (A) any claim arising out of the student’s participation in such activities or riding in such vehicles, except to the extent that any such injury has resulted directly from the gross negligence of any of the Released Parties or (B) this Contract, the student’s enrollment in the School or any determination of the School or any of the Released Parties regarding or in any way affecting any of the Releasing Parties.

The release and indemnification obligations set forth herein shall survive the termination of this Contract for any reason. In no way limiting the release and indemnification set forth in the immediately preceding sentence, the Undersigned shall promptly notify the School in writing of any and all known medical or other conditions that could interfere with the student’s participation in any school activity or which might make the student’s participation in any school activity inadvisable.

Notwithstanding the foregoing, the School reserves the right to require the Undersigned’s separate written consent to the student’s participation in any particular school activity and the release and indemnification set forth in this paragraph shall apply with equal force and effect to the student’s participation in any such activity.

EMERGENCY TREATMENT

If at any time due to accident or illness emergency medical treatment is necessary, parents authorize the school to obtain required care from local physician, hospital or emergency medical service. Parents will be notified as soon as possible under circumstances.

PHOTOGRAPHS

The Undersigned further consent to the School’s use of any photograph, likeness or other image of the student for promotional purpose of the School, including, without limitation, in printed materials and on the School’s website.

SCOPE OF ENROLLMENT

The Undersigned acknowledge and agree that this Contract does not entitle the Undersigned or the student to any enrollment for any academic year beyond the academic year referenced herein. The School may refuse to offer enrollment or may terminate an existing enrollment contract if the administrators of the School, in their sole discretion, determine at any time that (i) the student has not satisfactorily met the School’s standards of academic performance or social conduct or (ii) the enrollment of the student at the School is contrary to the best interests of the School or the general welfare of the School community. In no way limiting the sole discretion of the administrators of the School, any such determination may be based upon the actions of the student or of anyone associated with the student, including, without limitation, the Undersigned, or upon a general evaluation of the best interests of the School or the School community. No termination of this Contract by the School Page 3 of 3 in connection with any such determination shall release the Undersigned from its payment obligations hereunder.

By signing below, the Undersigned accepts and agrees to the foregoing terms and conditions. If the student has two living parents (or guardians), both parents must sign this Contract.

*Busing is not available to Pre-K students.

Tuition*

Price:

Parent/ Guardian Name*

Signature*

Total

$0.00

2017-2018 ENROLLMENT APPLICATION AND CONTRACT

General Information

Family Information

TUITION

STUDENT PARTICIPATION IN SCHOOL ACTIVITIES:RELEASE AND INDEMNIFICATION

EMERGENCY TREATMENT

PHOTOGRAPHS

SCOPE OF ENROLLMENT

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STUDENT PARTICIPATION IN SCHOOL ACTIVITIES:
RELEASE AND INDEMNIFICATION