Child Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Enrollment *

New

Returning

Sibling in school

Sibling in School

First Name

Last Name

Start Date *

MM

DD

YYYY

Programs *

Toddler Town is our Infant/Toddler program (Ages 8 weeks - 30 months). LWECC is our Preschool, Pre-K 3/Pre-K 4 program. Prices per month.

Toddler Town | $1095

LWECC | $1095

Financial Agreement *

I agree to pay the tuition selected above for the school year on time. I also agree to pay the non-refundable registration fee of $300 and the non-refundable annual building fee of $199. As explained in the JCC Policies & Procedures, I understand that I will be charged if I am late to pick up my child. ($5/minute until your child is picked up)

I agree

Policy Confirmation *

I confirm I have read, understood, and accepted the terms and policies outlined in the JCC Policies and Procedures.

I confirm

Photo and Video Permission *

The JCC of Bayonne regularly takes photographs and videos of children enrolled. They may be shared with you and other families on Brightwheel, emails or newsletters to illustrate the daily curriculum, to chronicle a child’s development, or to document program activities. Additionally, they may be used for other communication and marketing purposes including (but not limited to) our website, our social media channels, program brochures and printed materials.

I give permission for photographs and videos of my child to be used as described above.

I ONLY give permission for photographs and videos of my child to be used for curriculum purposes, documenting my child’s progress and communication with me and other families.

Parent/Guardian 1 *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mobile *

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Parent/Guardian 2

First Name

Last Name

Parent/Guardian 2 Address

If different from Parent Guardian 1

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian 2 Mobile

(###)

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Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

###

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Emergency Contact 2 *

First Name

Last Name

Emergency Contact 2 Phone *

(###)

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