Re-Registration - 2015/16 School Year

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To secure your child's (children's) priority status, it is important that you complete the re-registration process by Friday, November 28, 2014.

After this date, applications from outside the Bialik community will be considered. Spaces will then be allocated chronologically, based on the date of receipt of the completed application or re-registration form, subject to the School's general priority classification rules.

Current Bialik students must re-register in order to be placed in classes for 2015/16.

Deposit Information

A deposit of $1,000 per student is required for re-registration. You can pay this deposit in two payments: one cheque for $500 per student dated no later than November 28, 2014; and one post-dated cheque for $500 per student dated no later than February 19, 2015.

If you are unable to meet the deposit requirements, please advise the Tuition Support Committee in writing (in the Comments field near the end of this form) upon submitting this online form. Consideration will be given to reducing the deposit. Please be assured that all requests will be kept strictly confidential.

Re-registration will not be considered complete until we receive your deposit cheque(s). All deposits will be credited to your tuition account.

Refund Policy

Deposits will be refunded, less an administrative fee of $200 per student, if notification of cancellation is received by the School Registrar (registrar@bialik.ca) in writing on or before February 19, 2015.

After February 19, 2015, all deposits are non-refundable.

Regardless of timing, deposits are fully refundable if the parents and the School mutually determine that it is in the student's best interest not to return to Bialik in the upcoming year, in accordance with the School's guidelines.

Non-returning Students

The re-registration form also applies to students who are not returning to Bialik. Please complete the relevant section below and submit the form online by November 28, 2014.

Email address *

4-Digit Family Number: *

You will have received notification of your Family Number by email.
Please contact the School Registrar - registrar@bialik.ca - if you
do not know your Family Number.

Returning Students:

I hereby request that the following student(s) be re-registered at Bialik Hebrew Day School for the 2015/16 school year:

Last Name

First Name

Current Grade/Class

Refund Policy / Payment Information *

I have read and understand the above Refund Policy.

A deposit of $1,000 per student payable by cheque is required. Cheques must be made payable to 'Bialik Hebrew Day School' and sent to the School Registrar at Bialik Hebrew Day School, 2760 Bathurst Street, Toronto, ON, M6B 3A1.

Please note your Family Number on your cheque(s).

Please provide your cheque information below:

Cheque No

Date

Amount

Non-returning Students:

I hereby notify Bialik Hebrew Day School of my intention not to enroll the following student(s) for the 2015/16 school year:

Last Name

First Name

Current Grade/Class

Comments:

IMPORTANT - READ CAREFULLY BEFORE PROCEEDING:

• Your signature on this form is required; we use the electronic signature service provided by DocuSign.
• To sign this form, please enter your name in the "User name" field and your email address in the "E-mail" field after these instructions, then click the "Sign with DocuSign" button.
• After you click the "Sign with DocuSign" button, a pop-up window will appear showing the DocuSign request for signature screen.
• On this request for signature screen, check the "I consent to use Electronic Records and Signature" box, then click the "Review Document" button.
• A Re-Registration Form Signature Holding Page will now be displayed; click on the "Sign Here" icon on the signature line.
• A dialogue box will now be shown; click on the "Adopt and Sign" button.
• You will now be taken back to the Re-Registration Form Signature Holding Page. Click on the "Confirm Signing" button on the left-hand edge of the Page to complete the electronic signature process.

NOTE: The DocuSign electronic signature system currently has issues. Therefore, please do not use this feature to sign the form. When the issues have been resolved the electronic signature feature will be reinstated.

Note: User name = your full name
E-mail = your email address

If you have a pop-up blocker, you may have to
turn it off for the DocuSign process to work.

Application E-Signature

By typing your name here, you are acknowledging your electronic signature of this application *

Bialik is considering alternate payment options for future use.

If you had an option to pay tuition by credit card, subject to an administrative fee (2-3%), would you likely use that option? *

Yes No

• IMPORTANT - PLEASE READ: If, after clicking the Submit button below, you are not taken to a thank-you/confirmation page, then check that you have completed all of the required fields, which are indicated by a red asterisk (*) - click here to return to the top of the form. It may take several seconds for the thank-you/confirmation page to appear after clicking the Submit button.
• If you continue to have technical diffculty, please email it@bialik.ca.

Cheque 1 Received

Cheque 1 Amount

Cheque 2 Received

Cheque 2 Amount

Re-Registration - 2015/2016 School Year