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Ganon Gil 2021-2022 Online Registration Contract

The Temple-Tifereth Israel Early Learning Center, Ganon Gil - 26000 Shaker Boulevard, Beachwood, Ohio 44122 - 216.464.0536 - www.ttti.org

Completing this Registration Contract and submitting your payment online reserves your 2021-2022 enrollment space.

Child's Information

* Child's Full Name

* Child's Birthdate

Parent 1 Information

* Parent 1 Full Name

* Parent 1 Street Address

* Parent 1 City, State, and Zip Code (+4 if you know it)

* Parent 1 Home Phone Number

If no land line, please type "none" in the space.

* Parent 1 Mobile Phone

If no mobile phone, please type "none' in the space.

* Parent 1 Work Phone Number

If no work phone, please type "none" on the space.

* Parent 1 Primary Email Address

Parent 2 Information

Parent 2 Full Name

If no second parent, please type "none" in the space.

Parent 2 Street Address

If the same as Parent 1, please type "same" in the space.

Parent 2 City, State, and Zip Code (+4 if you know it)

If the same as Parent 1, please type "same" in the space.

Parent 2 Home Phone Number

If the same as Parent 1, please type "same" in the space. If no land line, please type "none" in the space.

Parent 2 Mobile Phone

If no mobile phone, please type "none' in the space.

Parent 2 Work Phone Number

If no work phone, please type "none" on the space.

Parent 2 Primary Email Address

If the same as Parent 1, please type "same" in the space.

Emergency Contact Information (note: contains required fields)

All required fields have an asterisk (*). All fields must be filled in to be able to submit this form.

* Emergency Contact 1 Full Name

* Emergency Contact 1 Best Phone Number

* Emergency Contact 1 Alternate Phone Number (type n/a if none)

* Emergency Contact 1 Relationship to Child

* Emergency Contact 2 Full Name

* Emergency Contact 2 Best Phone Number

* Emergency Contact 2 Alternate Phone Number

* Emergency Contact 2 Relationship to Child

I wish to enroll my child in the following program(s):

* Full Day

Full Day: 50 Weeks Monday - Friday 7:30 AM - 6:00 PM

* Full Day Age Levels

	Infant - 5 Days - $ 395
	Toddler (18 months - 36 months) - 5 Days - $ 350
	Preschool (4 years old by Sept. 30, 2021) - 5 Days - $ 325

* Will your child be attending Kindergarten Fall 2022?

	No
	Yes

Policy Consent

* Registration Fees

	There is a non-refundable registration fee of $600.00 for all NEW enrolled children; $300.00 will be applied to the last tuition payment of the fiscal year (May 2022)	$600.00
	There is a non-refundable re-registration fee of $400.00 for all returning children which will be applied to the last tuition payment of the fiscal year (May 2022)	$400.00

* Please check each box as you read through the following information.

	The monthly tuition is based on annual expenses. Therefore, no tuition reduction is made for absences, snow days, emergencies, holidays, or vacations.
	All tuition is to be paid by the beginning of each month of service as billed. Should payment not be received within 15 days of the end of the prior month, we hold the right to discontinue care until payment has been received
	Regular school hours are 7:30 am to 5:00 pm. Fees for picking up children after 5:00 pm are as follows: 5:05 pm - 5:15 pm = $10, 5:16 pm - 5:30 pm = $20, 5:31 pm - 5:50 pm = $50, 5:51 pm - and later = $100
	Once a family has completed this annual registration contract and the registration fee has been paid, they are then committed to this contract.
	There will be a Security Fee that will be assessed to all families on July 1, 2021.

* This electronic signature and date confirms that I have read and agreed to all of the policies above:

Please type in your Full Name (first and last) as well as today's date (mm/dd/yyyy)

Select YES if you would like to Register Now but pay later by check or other means (please call the Ganon Gil Office at 216-831-3233 and speak to Erica Wilkov or email [email protected] to make arrangements). Please keep in mind that your child's enrollment is not complete until a payment has been received.

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the payment amount by 3% to cover credit card fees (No fee for Checking)

Total:

Ganon Gil 2021-2022 Online Registration Contract

Child's Information

Parent 1 Information

Parent 2 Information

Emergency Contact Information (note: contains required fields)

I wish to enroll my child in the following program(s):

Policy Consent

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

Ganon Gil 2021-2022 Online Registration Contract

Child's Information

Parent 1 Information

Parent 2 Information

Emergency Contact Information (note: contains required fields)

I wish to enroll my child in the following program(s):

Policy Consent

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

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