Address ___________________________________________________________________________________
                   Street                                  City                                     Apt.                         Zip



PARENT INFORMATION


Parent's Names: ______________________________________ Work Phone: (_____)_____-__________________

                         ______________________________________ Work Phone: (_____)_____-__________________


Home Phone: (_____)_____-_____________________ Cell Phone: (_____)_____-____________________

e-mail(s): _________________________________________, _________________________________________


TUITION:

FIRST CHILD: $650.00

EACH ADDITIONAL CHILD: $625.00


New Student Discount: Each returning family bringing in a new family will get a $50.00 discount for each new student they bring into the shule.

Our shule is a partents' cooperative. We ask that you sign up to join at least one committee listed on this page.

NAME:__________________________________________ COMMITTEE(s):___________________________________________________

Tuition payment of 1/2 the tuition is due with enrollment and the remainder will be billed in January. Other arrangements may be made upon special request.

Checks are to be made out to WC School of Westchester.

If mailed, please send to:

Jody Holtzman, Treasurer
21 Whitfield Terrace
New Rochelle, NY 10801

Please Note:

· In addition to tuition fees, each family will be asked to supply snacks for the children and refreshments for the parents once or twice during the school year.
In addition, there will be a charge of $10 per person for adults and non-enrolled children for each of our holiday celebrations.

. Our Shule is a parents' cooperative. We hope you will join a committee listed below.

· We are a Workmen's circle shule (Branch 1066) and receive a variety of benefits from this relationship. We ask that all families also become members of Workmen's Circle. Please contact Workmen's Circle/Ruth Strass at 212-889-6800 ext. 215 or email her at: ruth@circle.org