HEBREW WIZARDS ENROLLMENT

Tuition all handouts, snacks and activities. To secure your enrollment, please pay full amount for family membership and/or tuition.

Please make checks payable to:

Hebrew Wizards, Inc.
C/O Morah Deborah Salomon
130 Cummings Point Road
Stamford, CT 06902

Hebrew Wizards Family Application 2011- 2012
Contact Person's First Name  
Contact Person's Last Name  
Contact Person's E-mail Address  
Contact Person's Phone Number  
Annual Family Membership Fee $1,200.00

Parent's/Guardian's Details
Parent / Guardian 1
First Name  
Last Name  
E-mail Address  
Cell Phone  
Address  
City  
State  
Zip Code  
Parent / Guardian 2
First Name  
Last Name  
E-mail Address  
Cell Phone  
Address  
City  
State  
Zip Code  
Emergency Contact
First Name  
Last Name  
E-mail Address  
Cell Phone  
Address  
City  
State  
Zip Code  

Child Details
Child 1
Class (mark with an X)       Little-Wizards (Ages 2-3)
        Mini-Wizards (Ages 4-5)
        Wizards I (Ages 6-7)
        Wizards II (Ages 8-12)
        Mitzvah Wizards (Ages 12-13)
        Teen Wizards (Ages 13-18)
        Wizards Teen Time (Ages 14-18)
        Big Wizards (Adults)

First Name  
Last Name  
Date of birth  
Which school does this child attend?  
What grade is your child in at school?  

Child 2
Class (mark with an X)       Little-Wizards (Ages 2-3)
        Mini-Wizards (Ages 4-5)
        Wizards I (Ages 6-7)
        Wizards II (Ages 8-12)
        Mitzvah Wizards (Ages 12-13)
        Teen Wizards (Ages 13-18)
        Wizards Teen Time (Ages 14-18)
        Big Wizards (Adults)

First Name  
Last Name  
Date of birth  
Which school does this child attend?  

Child 3
Class (mark with an X)       Little-Wizards (Ages 2-3)
        Mini-Wizards (Ages 4-5)
        Wizards I (Ages 6-7)
        Wizards II (Ages 8-12)
        Mitzvah Wizards (Ages 12-13)
        Teen Wizards (Ages 13-18)
        Wizards Teen Time (Ages 14-18)
        Big Wizards (Adults)

First Name  
Last Name  
Date of birth  
Which school does this child attend?  

Child 4
Class (mark with an X)       Little-Wizards (Ages 2-3)
        Mini-Wizards (Ages 4-5)
        Wizards I (Ages 6-7)
        Wizards II (Ages 8-12)
        Mitzvah Wizards (Ages 12-13)
        Teen Wizards (Ages 13-18)
        Wizards Teen Time (Ages 14-18)
        Big Wizards (Adults)

First Name  
Last Name  
Date of birth  
Which school does this child attend?  


Sponsorship
I would like to sponsor the Wizards Board in the amount of     $250   $500   $750   $1000
Or enter amount here   $

Comments / Special Instructions / Feedback
 
I am a new family and I have been referred by:  

Signed: Date:

Enrollment fees
You must be a Wizards Member to enroll in the Hebrew Wizards school.
FAMILY MEMBERSHIP FEE
Wizards Family Membership Annual Fee
  $1,200

TUITION PER WIZARD
Class Ages Annual Fee
Little Wizards 2-3 $1,300
Mini-Wizards 4-5 $1,700
Wizards I 6-7 $1,700
Wizards II 8-12 $2,100
Master Wizards III (must qualify) 11-12 $2,100
Mitzvah Wizards 2012* 12-13 $5,500
Teen Wizards 13-18 N/A
Wizards Teen Time 14-18 $500
B Mitzvah Adults Free

* Mitzvah Wizards 2012 includes 10 hours of private tutoring at your home, all B Mitzvah materials, sound system and complete service with qualified professionals.
* Wizards Teen Time meets the first Monday evening of every month through May 2012.