2024-2025 Registration Form

Registration
בס"ד

Dear Parent(s),

Thank you for considering Tomchei Tmimim Ocean Parkway for your son's Chinuch.

Preschool aplicants

Any child born between September 1, 2020- August 31, 2021 is eligible to apply for our Nursery class. Any child born between September 1, 2019 - August 31, 2020 is eligible to apply for our Pre-K class.

A confirmation email will be sent out once we have received your application. Please understand that filling out an application does not guarantee acceptance.

Elementry applicants

There are three application forms:

1. Registration.

2. Teacher evaluation.

3. Financial aid (optional).

A confirmation email will be sent out once we have received your application.
Please understand that filling out an application does not guarantee acceptance.

Registration Inquires:
- Email: registration@ulyop.com
- Phone: Contact Naomi at (718) 859-7600, Ext. #0
What email address should we send registration information to?*
example@example.com

Grade Applying For
Grade Applying For*
We are currently only accepting applications for our Nursery through 2nd Grade classes.
Please specify the grade

Student Information
Student's Legal Name*

First NameMiddle NameLast Name
Student's Name Hebrew Letters*

First NameMiddle NameLast Name
Student Preferred Name
Date Of Birth*

MonthDayYear
Date
Jewish Date of Birth *
Age on September 1, 2024
Current Student Residence Information
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Immunization Policy

As per our Yeshiva policy, please understand that all applicants must be up to date with all age-appropriate immunizations. We welcome your application once documentation is submitted.
Is your child immunized?*

YesNo
Please attach your son's most recent immunization records*

Cancelof
Does your child have allergies?*

YesNo
What is child allergic to?*
What reaction does child display?*
How is allergic reaction treated?*

Family Information
Sibling Registration: Is this family a current ULYOP family?*

YesNo
Please attach a current photo of your son*

Cancelof
Please attach a current picture of your family*

Cancelof
Please list all siblings by name, along with grade and school attending*

Marital Status*

MarriedWidowedDivorcedSeparated
Mother / Guardian Information
Mother / Guardian Name*

First NameMiddle NameLast Name
Relationship To Student*
Occupation*
Email*
example@example.com
Cell Phone Number*
Please enter a valid phone number.
Work Phone Number*
Please enter a valid phone number.
Ext.
Address (If different than student)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Maternal Grandparents Name*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father / Guardian Information
Father / Guardian Name*

First NameMiddle NameLast Name
Relationship To Student*
Occupation*
Shul Affiliation*
Email*
example@example.com
Cell Phone Number*
Please enter a valid phone number.
Work Phone Number*
Please enter a valid phone number.
Ext.
Address (If different than student)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Paternal Grandparents Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please provide two non-family references
Reference 1 *
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Relationship To Student*
Reference 2 *
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Relationship To Student*

Current / Previous School / Day Care
School Name*
City*
State*
Date Started*

MonthDayYear
Date
Date Ended

MonthDayYear
Date
Please provide a reason for leaving current school *
Current Grade*
Current Teacher's Name*
Current Teacher's Phone Number*
Please enter a valid phone number.
Current Teacher's Email Address
example@example.com

Teacher Evaluation Form

Please note that we will begin reviewing your application once we receive the Teacher Evaluation form below.
Please share the link below with your son's primary teacher.

http://ulyop.com/eval
Please indicate the date the Teacher Evaluation Form was submitted to the teacher. *

MonthDayYear

Emergency Contacts
Emergency Contact 1
Name*

First NameLast Name
Phone Number*
Relationship To Student*
Emergency Contact 2
Name*

First NameLast Name
Phone Number*
Relationship To Student*

Financial Pre-Requisite Agreement
Are you applying for financial aid?*

YesNo
Preschool offers a government funded 3K and UPK program. Please be sure to apply through the MyShools portal.

Pre-1A - 5th Grade = $12,000.

6th - 8th Grade = $12,500.

Scholarships will be available upon request and eligibility.

Admission decisions are made independent of the need for tuition assistance. We do offer scholarships which are determined by the tuition team based on availability and the information provided by the applicant.

All financial aid information is kept in the strictest of confidence.

I understand that there are no negotiations or exceptions to this tuition policy.

Please sign below to acknowledge your acceptance of the tuition policy.
Print Name*
Signature*

Clear
Date Signed*

MonthDayYear

Financial Aid Application
Number of children in Tomchei Tmimim Ocean Parkway*
Number of children in other educational institutions*
Total yearly tuition you are able to pay*
Total yearly tuition for children in other educational institutes for 2023/2024*
Ancillary Income & Expenses
Are you a single parent?*

YesNo
Are you financially supported by anyone?*

YesNo
Are you on any form of public support?*

YesNo
Did your child(ren) attend summer camp?*

YesNo
Please disclose any special medical expenses or liabilities, and indicate their combined total.*
Please disclose any unusual financial circumstances, and indicate their combined total.*
ASSETS
Please indicate total current value of assets, including cash, investments, pension, real estate, automobiles, and any other assets.*
LIABILITIES
Please indicate the total amount of all liabilities, including mortgage loans, home equity loans, auto loans, credit card balances, and all other liabilities.*
ANNUAL FAMILY INCOME
Please indicate the total family income, from all sources, including salary, self-employment income, interest and dividends, disability benefits, pensions, net rental income, alimony, child support, and any other income.*
MONTHLY FAMILY EXPENSES
Mortgage/Rent payment (Include principal, interest, taxes, and insurance)*
Auto payments (Loan or Lease)*
Credit Card / Installment loan payments*
AUTO EXPENSES*
Gas, Insurance, Repairs
UTILITIES*
Electricity, Gas, Water/Sewer
Telephone and Internet service*
Home Repairs / Maintenance*
Food Supplies*
Insurance - Health*
Insurance - Life and Disability*
Housekeeper, Babysitter*
Medical and Dental Care*
Donations*
Total Monthly Expenses*
CERTIFICATIONS AND AUTHORIZATION FOR FINANCIAL DISCLOSURE
I certify that all of the financial information submitted on this application form is accurate and true. I will inform the school of any change in status which may occur during the school year.

I hereby authorize ULYOP to make credit inquiries as it seems necessary. I hereby direct any and all employers, bands, credit card companies and credit reporting agencies to release any and all financial information, records, reports and documentation to ULYOP without limitation, until this authorization is revoked in writing by the undersigned.
Parent's Full Name*
Relationship to Student*
If Other Please Specify*
Parent's Signature*

Clear
Date Signed*

School Year Fees
Security Fee – $350.00 Annual fee per family, which will be spread into 10 equal monthly payments.

Tzivos Hashem Parents' Fee - $50.00 Annual fee per child, which will be spread into 10 equal monthly payments.
Please Check The Box Below:*

I acknowledge and agree to the annual school fees

Registration Fee
I understand that in order for my application to be processed, registration fee must be paid.

Use our "EarlyBird" code for applications submitted on or before February 28, for a $50 discount. Any applications received after that date will pay the full $200 fee.

Application fee is Non-Refundable and NOT included as part of tuition.

Applications cannot be considered until all forms are fully completed and the registration fee is paid.

Should be Empty:

Registration

Grade Applying For

Student Information

Immunization Policy

Family Information

Please provide two non-family references

Developmental Assessment

Current / Previous School / Day Care

Teacher Evaluation Form

Emergency Contacts

The Home-Yeshiva Partnership Understanding

Chinuch Partnership

Commitment To Halachah

Commitment To Our Rebbe

Commitment To Torah Views And Values

General Studies

Commitment To Ahavas Yisroel

Standards At Home

Exposure To Non-Torah Content

Screen Time

To address the negative effects of smartphone usage, parents are required to commit not to purchase smartphones for their children during their enrollment at Tomchei Tmimim Ocean Parkway.

Dress Code

Student Influence

Financial Pre-Requisite Agreement

Financial Aid Application

Ancillary Income & Expenses

ASSETS

LIABILITIES

ANNUAL FAMILY INCOME

MONTHLY FAMILY EXPENSES

CERTIFICATIONS AND AUTHORIZATION FOR FINANCIAL DISCLOSURE

School Year Fees

Registration Fee

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