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JCO Torah School Enrollment Form

First name student

DOB student

Hebrew name student

Phone number student

Last name student

E-Mail student

Name of parent / guardian 1

Address parent / guardian 1

Name of parent / guardian 2

Address parent / guardian 2

Email parent / guardian 1

Phone number parent / guardian 1

Email parent / guardian 2

Phone number parent / guardian 2

Emergency information for students:

Name of emergency contact

Relationship of emergency contact

Phone number emergency contact

Name of emergency contact

Relationship of emergency contact

Phone number emergency contact

Please let us know if the student has any serious medical conditions, medications, medication allergies, allergies, food allergies, etc.

Select an item ($)

Member / 1 year of Torah School ($ 648 annual fee + $180 safety fee) - $828

Non-member / 1 year of Torah School ($972 annual fee + $180 safety fee)* - $1152

* Non-members who join JCO during the year receive $9 per session credit towards membership

I acknowledge and agree that for any of my children who are expelled from school for disciplinary reasons all financial aid will be revoked and the balance of tuition fees for the year for said child become immediately forfeit and are due in full to JCO Torah School.

I acknowledge that JCO Torah School will withhold services until/unless the family’s financial obligations are current/paid in full or in accordance with an approved payment plan.

Your Signature

Your name

Thanks for registering.

Jewish Community of Ojai

JCO Torah School Enrollment Form

Emergency information for students:

* Non-members who join JCO during the year receive $9 per session credit towards membership

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