Dear Parents,
Thank you for your interest in Shaare Torah Nursery School for the 2014/2015 school year.
We are looking forward to a year of discovery and connection for each child. This letter will
provide you with information regarding our programs and registration process.
We are very pleased to be adding a twelve month full day/three-quarter day option to our
program in addition to providing flexible “add-on” coverage to the core ten month program,
should you need one or more extended days. As you will see, we understand that flexible
scheduling is very important. Please look carefully at our options—we have many for you to
look at to provide you with the schedule that best fits the needs of your family. Our first day
of school will be Monday, August 25th, 2014.
Registration will begin on Thursday, January 2, 2014.
If you enroll your child in our half day option on or before February 15, 2014, you will
receive a $100 early enrollment discount. If you enroll your child in our full or three-quarter
day option on or before February 15, you will receive a $200 early enrollment discount. Any
Nursery School family that refers a family that enrolls for the 2014/2015 school year will
receive a $50 credit on their tuition.
We adhere to the Montgomery County Public School’s policy for admitting children
according to their birthdays to our program. Your child must be:
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


Four years old by September 1, 2014, for admittance to our 4’s program
Three years old by September 1, 2014, for admittance to our 3’s program
Two years old by September 1, 2014, for admittance to our 2’s program
Two years old by January 1, 2015, for admittance to our Transitional Twos program.
Please note that we cannot accept requests for specific teachers, but we will make every
effort to place your child with at least one friend.
Please complete pages 1 – 4 of the attached application and send them along with a check
for $500 payable to Shaare Torah. This check includes a non-refundable application fee of
$50 and a non-refundable tuition deposit of $450.
An additional tuition deposit of $500 will be due within one month of acceptance to the
Nursery School. All tuition deposits are non-refundable. Please send application forms and
checks to:
Shaare Torah Nursery School
c/o Pamela Gorin
1409 Main Street
Gaithersburg, MD 20878
If you have any questions, please call Pamela Gorin, Director of Early Childhood Education
at 301-869-9842 ext 113 or e-mail at pgorin@shaaretorah.org.
Pamela Gorin
SHAARE TORAH NURSERY SCHOOL APPLICATION
2014/2015
Child’s Name:
First: _______________________________ Middle: _______________________ Last: _________________________________________
Nickname (if any): ________________________________________________ Gender: (M) _______________ (F)___________________
Child’s Hebrew Name (Use English Letters) _________________________________ Date of Birth: ______________________________
Street Address: ____________________________________________________________________________________________________
City, State, Zip code: ________________________________________________________________________________________________
Home Phone: _______________________________________________________________________________________________________
Parent 1 Name: ___________________________________ e-mail: __________________________________________________________
Parent 1 cell phone: ____________________________________________Work phone: _________________________________________
Parent 1 address if different from above: ______________________________________________________________________________
Parent 2 Name: ________________________________________e-mail:_______________________________________________________
Parent 2 cell phone: _____________________________________________Work phone: ________________________________________
Parent 2 address if different from above: _______________________________________________________________________________
For children new to Shaare Torah, please answer the following questions so that we can plan properly for your child.
Are there any special circumstances concerning your child of which we should be aware? Has it ever been suggested or has your
child ever received a diagnostic evaluation? If so, please explain: _______________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Please name one friend whom you would like your child to be with in class: _________________________________________________
Are you a Shaare Torah member? Yes_____ No_____ If no, other Synagogue affiliation ______________________________________
Are you interested in receiving information about Shaare Torah?
Yes________________________ No __________________________
A family must be in good financial standing with the synagogue for their child to be accepted to the
Nursery School for the 2014/2015 school year.
I certify that I understand that this document constitutes an application for admission to Shaare Torah Nursery School for the
2014/2015 school year, and that once my child is accepted into the school, I will remain current in my financial obligations to Shaare
Torah Synagogue.
Parent Name (please print:) : _______________________________________________________________ Date: ____________________
Signature____________________________________________________________________________________________________________
The application and a check for $500 payable to Shaare Torah should be brought in or mailed to: Pamela Gorin, Director of Early Childhood
Education; Shaare Torah Nursery School; 1409 Main Street; Gaithersburg, MD 20878.
APPLICATIONS WILL NOT BE ACCEPTED WITHOUT THE PAYMENT INFORMATION REQUESTED ON
PAGE 2 OF THIS FORM. PAGES 3 AND 4 OF THIS FORM ARE PART OF THIS APPLICATION AND MUST BE
COMPLETED AND SUBMITTED WITH THE APPLICATION.
Page 2 – Shaare Torah Nursery School Application
SHAARE TORAH NURSERY SCHOOL PAYMENT FORM
According to Shaare Torah’s Financial Policies, all Nursery School parents must have a valid
credit card on file. Completion of the credit card information section below is required to be
accepted into the Shaare Torah Nursery School. ***American Express is not accepted at this
time*** Shaare Torah will only use the credit card should you fall behind on your payments
or if you authorize us to do so. If you have any questions or concerns with the policy, please
email Pamela Gorin at pgorin@shaaretorah.org.
Please indicate the type of payment (Please check one option):
______ Check: one half of the remaining tuition on or before July 1, 2014 and the remainder of the tuition will be due before
January 1, 2015
______ Credit Card (Information below): one half of the remaining tuition on or before July 1, 2014 and the remainder of the
tuition will be due before January 1, 2015
______ Credit Card (Information below): 12 equal amounts beginning July 1, 2014
______ ACH - direct bank account withdrawal (Information below): 12 equal amounts beginning July 1, 2014
Mandatory Credit Card Information
Credit card information must be supplied by all applicants, even if the credit card is already on file with
Shaare Torah.
Name on Credit Card __________________________________________
Number_______________________________________________________
Expiration Date______________________ Security Code______________
Signature_______________________________________________________
Direct Debit Form
Must be completed, even if information is currently on file with Shaare Torah
Bank Name:___________________________ Routing Number: ___________________________
Account Number: ____________________ (Please attach a VOIDED blank check with this form)
I hereby authorize the withdrawal from my checking account on or before the 5th of each month.
Signature:_____________________________________
Page 3 – Shaare Torah Nursery School Application
SHAARE TORAH NURSERY SCHOOL
2014/2015 PROGRAM OPTIONS AND TUITION SCHEDULE
PLEASE SELECT ONE OF THE OPTIONS BELOW:
FULL DAY – 12
MONTHS
Check One
Program
Days and Times
Non-Refundable
Registration Fee
Member Annual
Tuition
General Public
Annual Tuition
Member
Monthly Tuition
General Public
Monthly Tuition
______________
Twos
M-F: 7:30am-6pm
$50
$16,200
$17,400
$1,350
$1,450
______________
Threes
M-F: 7:30am-6pm
$50
$16,200
$17,400
$1,350
$1,450
______________
Fours
M-F: 7:30am-6pm
$50
$16,200
$17,400
$1,350
$1,450
______________
Twos
M-F: 7:30 am-3:30 pm
$50
$13,800
$15,000
$1,150
$1,250
______________
Twos
M-F: 9:00 am-5:00 pm
$50
$13,800
$15,000
$1,150
$1,250
______________
Threes
M-F: 7:30 am-3:30 pm
$50
$13,800
$15,000
$1,150
$1,250
______________
Threes
M-F: 9:00am-5:00 pm
$50
$13,800
$15,000
$1,150
$1,250
______________
Fours
M-F: 7:30am-3:30pm
$50
$13,800
$15,000
$1,150
$1,250
______________
Fours
M-F: 9:00am-5:00pm
$50
$13,800
$15,000
$1,150
$1,250
______________
3 day Twos
MWF: 9:15am-12:30pm
$50
$4,220
$5,240
$422
$524
______________
3 day Threes
MWF: 9:15am-12:30pm
$50
$4,220
$5,240
$422
$524
______________
5 day Twos
M-F: 9:15am-12:30pm
$50
$5,450
$6,760
$545
$676
______________
5 day Threes
M-F: 9:15am-12:30pm:
$50
$5,450
$6,760
$545
$676
______________
5 day Fours
M-F: 9:15am-12:30pm
$50
$5,450
$6,760
$545
$676
______________
Transitional
Twos
Tue, Th: 9:30am11:00am
$50
$2,420
$2,990
$242
$299
3/4 DAY – 12
MONTHS
CORE PROGRAM
10 MONTHS
**PLEASE SEE REVERSE SIDE OF THIS PAGE FOR OPTIONS THAT MAY BE ADDED TO THE TRADITIONAL HALF-DAY PROGRAM.
Note: At the time of registration, applicants should submit a $500 check which includes the non-refundable $50 registration fee and a tuition deposit of $450. An additional non-refundable tuition deposit of $500
will be due within one month of acceptance to the Nursery School. Both tuition deposits are applied towards the annual tuition.
Page 4 – Shaare Torah Nursery School Application
SHAARE TORAH NURSERY SCHOOL
2014/2015 PROGRAM OPTIONS AND TUITION SCHEDULE
THE FOLLOWING OPTIONS MAY BE ADDED TO THE CORE TEN MONTH PROGRAM.
PLEASE INDICATE YOUR SELECTIONS BELOW:
EARLY-DROP OFF: 7:30AM-9:15AM
MONTHLY FEE PER WEEKDAY: $35 MEMBER/$45 GENERAL PUBLIC
MONDAY:
___________
TUESDAY:
___________
WEDNESDAY:
___________
THURSDAY:
___________
FRIDAY:
___________
EARLY-AFTERCARE – 12:30PM-3:30PM
MONTHLY FEE PER WEEKDAY: $75 MEMBER/$90 GENERAL PUBLIC
MONDAY:
___________
TUESDAY:
___________
WEDNESDAY:
___________
THURSDAY:
___________
FRIDAY:
___________
LATE-AFTERCARE – 12:30PM-6:00PM
MONTHLY FEE PER WEEKDAY: $125 MEMBER/$140 GENERAL PUBLIC
MONDAY:
___________
TUESDAY:
___________
WEDNESDAY:
___________
THURSDAY:
___________
FRIDAY:
___________