AHS Application for Admission

Application for Admission
Thank you for your interest in Associated Hebrew Schools.

Before filling out this form, please ensure you have available information, scans or pictures of the following documents that you will be asked to upload:
- a copy of your child's birth certificate
- if not a Canadian Citizen, a copy of your child's passport/student visa
- a copy of your child's immunization record
- a copy of your child's most recent report card (where applicable)
- a recent photograph of your child
- Ontario Health Card Number
- Private Medical Insurance (if applicable)
- Credit card information for non-refundable deposit
Please note that the application must be completed without leaving the site and that it will take approximately 20 minutes to complete.

(IF YOU DO NOT RECEIVE A CONFRMATION WITHIN 2 BUSINESS DAYS PLEASE CONTACT TOVA SABETI, tsabeti@ahschools.com. 416-494-7666-Ext 575)
Please select the Campus you wish to apply to:*

Kamin Education Centre in the Hurwich Building (Junior Kindergarten to Grade 5) - 252 Finch Avenue West, TorontoPosluns Education Centre (Nursery to Grade 5) - 18 Neptune Drive, TorontoDanilack Middle School, Hurwich Education Centre, (Grades 6 to 8) - 252 Finch Avenue West, Toronto
Grade applying for - Posluns:*

Nursery (Posluns Only)Junior KindergartenSenior KindergartenGrades (1 to 5)
Grade applying for - Kamin:*

Junior KindergartenSenior KindergartenGrades (1 to 5)
Year of entry:*
Please select which days your child will be in:*
Please choose a program time (Please note priority is given to full-day students.)*

AM Only (Half Day until 12:00 PM)Full Day
Kamin Elementary Grade*
Posluns Elementary Grade*
Middle School Grade*
Student Information
Name*

Last NameFirst NameMiddle name
Hebrew Name (Please transliterate using English letters) *
Student - Home Address*

Street Address

Street Address Line 2

CityProvince/State

Postal/Zip CodeCountry
Date of Birth*

YearMonthDay
Please upload a picture or scan of your child's birth certificate*

Upload a File
Only PDF, JPG, PNG, GIF files will be accepted. Maximum file size is 1GB. Cancelof
Please upload a picture or scan of a recent picture of your child*

Upload a File
Only PDF, JPG, PNG, GIF files will be accepted. Maximum file size is 1 GB. Cancelof
Child's City of Birth*
Child's City of Birth if Other:*
Citizenship*
If not a Canadian citizen, please indicate status in Canada*

Landed ImmigrantPermanent ResidentOther
If you could not find your country in the list, please type it in*
Please upload a picture or scan of the most current passport or visa for your child*

Upload a File
Only PDF, JPG, PNG, GIF files will be accepted. Maximum file size is 1GB. Cancelof
First Language*
Other Languages
If you could not find your language in the list, please type it in*
Child's Education History or Previous Program Attendance
School Type*
School Name*
School Address

Street Address

Street Address Line 2

CityProvince/State

Postal/Zip CodeCountry
Current Grade*
Date child started school*

YearMonthDay
Date child left/leaving school*

YearMonthDay
Please upload a copy of the most current report card from your child's previous school*

Upload a File
Only PDF, JPG, PNG, GIF files will be accepted. Maximum file size is 1 GB. Cancelof
Family Information
Parent/Guardian A
Parent/Guardian A - Name*

PrefixFirst NameLast Name
Parent/Guardian A - Hebrew Name*
Parent/Guardian A - Maiden Name
If applicable
Parent/Guardian A - Relationship to Child*

MotherFatherGrandmotherGrandfatherAuntUncleOther
Is Parent/Guardian A's home address the same as the Student's?*

YesNo
Parent/Guardian A - Home Address*

Street Address

Street Address Line 2

CityProvince/State

Postal/Zip CodeCountry
Parent/Guardian A - Country of Birth*
Parent/Guardian A - Country if Other*
Parent/Guardian A - City of Birth*
Parent/Guardian A - City*
Parent/Guardian A - Mobile Number*
Use for Emergency Contact*

YesNo
Parent/Guardian A - Home Number*
Use for Emergency Contact*

YesNo
Parent Guardian A - Employer
Parent/Guardian A - Occupation*
Parent Guardian A - Employer's Address

Street Address

Street Address Line 2

CityProvince/State

Postal Code
Parent/Guardian A - Work Phone Number
Parent/Guardian A - Email*
Parent/Guardian A - First Language*
Parent/Guardian A - If you could not find your language in the list, please type it in
Parent/Guardian A - Marital Status*

SingleMarriedDivorcedSeparatedWidow(er)RemarriedOther
Parent/Guardian A - Please upload a copy of the Divorce/Custody Documentation*

Upload a File
Only PDF, JPG, PNG, GIF files will be accepted. Maximum file size is 1 GB. Cancelof
Parent/Guardian A - Please let us know if there are any other legal/custody issues we should be aware of
Parent/Guardian A - Are you an AHS Alum?*

YesNo
Parent/Guardian A - Last Year at AHS*
Parent/Guardian A - Last Grade Completed at AHS*
Parent/Guardian A - Other Jewish Day School Alumnus*

YesNo
Parent/Guardian A - Name of Other Jewish Day School*
If Parent/Guardian A - If Other Jewish Day School
Parent/Guardian A - Last Grade Completed at Other Jewish Day School*
Parent/Guardian B
Parent/Guardian B - Name

PrefixFirst NameLast Name
Parent/Guardian B - Hebrew Name
Parent/Guardian B - Maiden Name
If applicable
Parent/Guardian B - Relationship to Child

MotherFatherGrandmotherGrandfatherAuntUncleOther
Is Parent/Guardian B's mailing address the same as Parent/Guardian A's?*

YesNo
Parent/Guardian B - Home Address

Street Address

Street Address Line 2

CityProvince/State

Postal/Zip CodeCountry
Parent/Guardian B - Country of Birth*
Parent/Guardian B - Country if Other*
Parent/Guardian B - City of Birth*
Parent/Guardian B - City*
Parent/Guardian B - Mobile Number
Use for Emergency Contact*

YesNo
Parent/Guardian B - Home Number
Use for Emergency Contact*

YesNo
Parent Guardian B - Employer
Parent/Guardian B - Occupation
Parent/Guardian B - Work Address

Street Address

Street Address Line 2

CityProvince/State

Postal Code
Parent/Guardian - Work Phone Number
Parent/Guardian B - Email
Must be different from Parent/Guardian A's Email
Parent/Guardian B - First Language
Parent/Guardian B - If you could not find your language in the list, please type it below.
Parent/Guardian B - Marital Status*

SingleMarriedDivorcedSeparatedWidow(er)RemarriedOther
Parent/Guardian B - Please upload a copy of the Divorce/Custody Documentation

Upload a File
Only PDF, JPG, PNG, GIF files will be accepted. Maximum file size is 1 GB. Cancelof
Parent/Guardian B - Please let us know if there are any other legal/custody issues we should be aware of
Parent/Guardian B - Are you an AHS Alum?

YesNo
Parent/Guardian B - Last Year at AHS
Parent/Guardian B - Last Grade Completed at AHS
Parent/Guardian B - Other Jewish Day School Alumnus

YesNo
Parent/Guardian B - Name of Other Jewish Day School
If Parent/Guardian B - If Other Jewish Day School
Parent/Guardian B - Last Grade Completed at Other Jewish Day School
Child Resides With*

BothParent/Guardian AParent/Guardian B
Correspondence should be sent to:*

BothParent/Guardian AParent/Guardian B
Names of Siblings
Student Health and Emergency Contact Information
I have:*

An Ontario Health Card NumberA Health Insurance Policy (other than OHIP)
Ontario Health Card Number*
Health Insurance Policy Issuer Name
Health Insurance Policy Number*
Doctor's Name*

First NameLast Name
Doctor's Phone Number*
Emergency Contact 1 (other than Parent/Guardian A or B)
Emergency Contact 1 - Name*

PrefixFirst NameLast Name
Emergency Contact 1 - Relationship to Child*
Emergency Contact 1 - Other Relationship to Child*
Emergency Contact 1 - Home Address*

Street Address

Street Address Line 2

CityProvince/State

Postal Code
Emergency Contact 1 - Mobile Phone Number*
Emergency Contact 1 - Home Phone Number
Emergency Contact 1 - Work Phone Number
Emergency Contact 2 (other than Parent/Guardian A or B)
Emergency Contact 2 - Name*

PrefixFirst NameLast Name
Emergency Contact 2 - Relationship to Child*
Emergency Contact 2 - Other Relationship to Child*
Emergency Contact 2 - Home Address*

Street Address

Street Address Line 2

CityProvince/State

Postal Code
Emergency Contact 2 - Mobile Phone Number*
Emergency Contact 2 - Home Phone Number
Emergency Contact 2 - Work Phone Number
Medical information that would be useful in the event of an emergency (check all that apply)*

HearingSightSkinAllergiesEpi PenNot ApplicableOther
Please list all allergies*
History of communicable diseases (check all that apply)*

Chicken PoxMumpsMeaslesWhooping CoughRubella (German Measles)Hepatitis BNot ApplicableOther
Special Instructions
(i.e. Diet, Rest, Exercises, etc.)
Please upload the most current immunization record for your child*

Upload a File
Only PDF, JPG, PNG, GIF files will be accepted. Maximum file size is 1GB. Cancelof
Congregational Affiliation
Name of Synagogue*
Other
How did you hear about Associated Hebrew Schools?
Please check all that apply

Social MediaNewspaperReputationReferral
Referral Name*

PrefixFirst NameLast Name
Referral Phone Number*

Area CodePhone Number
I understand that acceptance of my child is conditional upon the following:
Students attending Associated Hebrew Schools must be Jewish according to the requirements of Jewish Law*

Confirmed
An intake with a member of our educational staff*

Confirmed
Submission of completed enrolment documents and payments by the deadline*

Confirmed
I confirm that I am aware the Kamin branch will be moving to the Hurwich Education Centre (252 Finch Avenue West, Toronto) following the 2018/19 school year.*

Confirmed
I confirm that I am the legal parent/guardian for the child specified in this form and that I have the legal authority to enrol this child at Associated.*

Confirmed
I certify that all the information I have provided is accurate and true and that I have read and understood all the information and statements in this form.*

Confirmed
Parent/Guardian A - Signature*
Parent/Guardian B - Signature
Registration Requirements

Tuition Deposit*

AHS Non-Refundable Deposit$500.00CAD

Total $0.00CAD

Payment Method
Credit	Express

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	Province/State
Postal / Zip Code	Country

*Payment will be required after application is submitted
Should be Empty:

Application for Admission

Student Information

Child's Education History or Previous Program Attendance

Family Information

Student Health and Emergency Contact Information

Congregational Affiliation

How did you hear about Associated Hebrew Schools?

I understand that acceptance of my child is conditional upon the following:

Registration Requirements