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Applicant Information

I accept my slot at Nachlas Bais Yaakov for the coming year
I will not be attending Nachlas Bais Yaakov.

Daughter First Name: *

Daughter Last Name: *

Billing Information

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip Code: *

Country: *

Phone Number: *

Email Address: *

Payment Details

Tuition for Nachlas Bais Yaakov for the Academic year of תשפ"ה is $29,500 excluding airfare and insurance.

Tuition schedule:
Non-refundable deposit of $5,500 to be charged immediately.
Monthly fee of $ from April 20th through March 20th. View Tuition Charging Schedule

Financial Aid:
We hope that you find the information provided helpful. Our tuition office is available to answer calls and assist you with information to the best of their ability. Please read over the entire Financial Aid and Scholarship Information to see what programs you may benefit from.

Pay by: Credit Card ACH

You will be charged a $ deposit.
You will be charged a monthly fee of $2000 from April 20th through March 20th.

Account Name

Account Type *

Routing Number *

Account Number *

I authorize Nachlas Bais Yaakov to regularly charge scheduled charges to my checking/savings account or credit card. I will be charged the amount indicated above each billing period. A receipt for each payment will be emailed to me and I agree that no prior-notification will be provided unless the date or amount changes, in which case I will receive notice from Nachlas Bais Yaakov at least 10 days prior to the payment being collected.

Consent and Release

I read and understand the Nachlas Bais Yaakov policies and application information listed in the acceptance packet.

I, , the parent or legal guardian of of (the “Student”) do hereby declare and undertake as follows:

1. With my consent and approval, the Student has applied to study at Nachlas Bais Yaakov – Jerusalem (the “Seminary”) in the  upcoming academic year. 
2. I am aware that the Student shall be entitled to withdraw her registration with the Seminary by delivering written notice to the  Seminary no later than April 1st, 2024 and, in the event of such withdrawal, any registration fee shall be refunded after deduction of the non-refundable deposit of $5,500. After such date, no amounts shall be refunded and any deferred payments shall be  collected on their due dates.  
3. I HEREBY ACKNOWLEDGE AND DECLARE THAT THE STUDENT, IF ACCEPTED, SHALL BE RESPONSIBLE TO COMPLY WITH ALL REGULATIONS AND STANDARDS  OF CONDUCT ESTABLISHED BY YOU FROM TIME TO TIME. I am aware that any failure to comply with said regulations and standards  (including timely payment of tuition) may lead to the Student being required to leave the Seminary or continue her studies  subject to restrictions. In the event of termination of the Student’s participation in the Seminary program, I shall be solely  responsible for arranging for the Student’s return home and neither I nor the Student shall be entitled to any compensation  and/or refund of fees or other payments made in relation to her participation in the Seminary program. 
4.I hereby confirm that the Student has been examined by a suitably qualified physician who has been presented with all relevant  information concerning the Student’s medical history and proposed participation in the Seminary program. Said physician has  confirmed that the Student is in good health and that there is no reason to believe that the Student should not participate in  the program and/or travel overseas. The Student does not suffer from any physical, emotional or mental condition. Withholding 
any information from the seminary regarding physical, emotional or mental conditions of the Student could be grounds for  dismissal. 
5. I hereby authorize and direct the Seminary and its’ authorized representatives to procure for the Student any medical or other  assistance that may be required. 
In case of what the SEMINARY deems medical necessity, i.e. hospital care, and or serious medical care beyond the normal care  the seminary can offer, the seminary has a right to require parental assistance, that is, parents coming in from abroad to take  care of the student, in case there is no family assistance available in Eretz Yisroel. 
6. I hereby agree to hold the Seminary, its’ directors, agents, employees and assigns harmless from any liability or other obligation  for any loss or other damage to any personal property of the Student or from other liability arising from the Seminary’s acting in  accordance with the above provisions. 
7. I acknowledge that I have had the opportunity to receive advice regarding the contents of this document and fully understand  its’ provisions and implications. I am aware that the Seminary is only prepared to consider the Student’s application in reliance  upon my declarations and undertakings in this Consent and Release. 
8. In order to make this document Halachically binding, we add the following: 
והנני מודה שעשיתי קנין בזה מעכשיו לפני בית דין חשוב שלא כאסמכתא ככל המפורש לעיל.

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