Application for School Year 2021-2022 Step 1 of 5 20% Grade Entering*Junior KindergartenSenior KindergartenPre1AGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Please note: There is no subsidy available for tuition in Junior Kindergarten.Preschool Location* South (410 Lawrence Ave. W.) North (475 Patricia Ave.) Child's Name* First Last Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Home Phone*Father Cell*Mother Cell*Father Email* Mother Email* Date of Birth* MM slash DD slash YYYY City/Country of Birth* First Child DetailsDo you have other children in the Cheder?* Yes No Number of children in the family*Yeshiva or Pre-School attended* Dates Attended* Start Date End Date Name of Principal* First Tel*Has child experienced any serious illness or accident?* Yes No Give dates and nature of illness Does your child take any medications?* Yes No Please specify medications* Have you sought professional help for behavioral or academic reasons?* Yes No Name of physician First Phone*What is the child's general behavior at home? What has been the child's general behavior in school? What are the child's leisure activities? Does child attend Pirchei on Shabbos? Yes No Please specify: Do you have a television at home?* Yes No How much time does your son spend watching?* Does your child watch movies, sports or TV on the Internet?* Yes No Is your child allowed to use the Internet:* Supervised Unsupervised Never Does your child watch videos?* Yes No Languages spoken at home: Father DetailsFather's Name* First Last Father's profession or business* Name of place of employment* Address of place of employment* Street Address City State / Province / Region ZIP / Postal Code Mesivta Attended First Bais Medrash Attended First Kollel Attended First With which of the above Yeshivos and/or Roshei Yeshiva does father still maintain a close affiliation? First PhoneFather's secular education: High School Post High School Shul with which father is affiliated* Name of Rov* First Phone*Mother DetailsMother's Name* First Last Mother's Occupation* Name of place of employment First Address of place of employment Street Address City State / Province / Region ZIP / Postal Code In what organizations are the parents active? Grandparent DetailsPaternal Father First Middle Last Paternal Mother First Middle Last Maternal Father First Middle Last Maternal Mother First Middle Last Who recommended you to The Toronto Cheder?* Briefly describe your reasons for the selection of The Toronto Cheder for your child.* Sibling DetailsList names of brothers and sisters in order of their age and last school and summer camp they attended. (Attach additional sheet if necessary.)*NameAgeSchoolSummer Camp Signature of Parent*Please note: This is an application for admission. Neither your receipt nor your submission of it should be construed as guaranteeing admission. The applicant’s registration in The Toronto Cheder will not be considered complete without a signed release from the previous school indicating that financial matters have been concluded to the satisfaction of the school. It is not necessary to secure the release to submit the application. However, we must receive the release before the applicant is admitted to any class.