Enrollment Form

March 1, 2023

Dear Parents,

Believe it or not, it is already time to begin preparing for the upcoming school year! Although I’m sure that you’ve heard all about Derech HaTorah, if you haven’t visited us yet, the best way to experience Derech HaTorah is in person. Unless you see our classes in action, it’s hard to adequately convey the high standards, truly caring faculty and happy atmosphere that are clearly evident when you visit DHR. If you already have a child at DHR, you know what I’m talking about. If not, we would be delighted to give you a VIP tour!

Why do we start this process in the spring? We have found that it is incredibly difficult to hire teachers, order textbooks, finalize the number of classrooms needed and buy supplies without knowing how many students will be in each class.  Please assist DHR (and ultimately, your child) in ensuring a smooth planning process.  In order for us to plan accurately for the 2023-2024 school year, please return the attached form and registration fee by March 24, 2023.

As you've probably heard, our new $7,000 New Family Maximum Tuition Promotion is live! We understand the difficulties that many families face in paying tuition. This burden can be even more difficult for large families and/or families adjusting to a new city. To help ease the transition of new families to Rochester, we have a fantastic offer! Families that move to Rochester and enroll their children in Derech HaTorah will pay a maximum of only $7,000 per year in tuition for all of their children attending DHR for as long as they attend the school!

What about current, local families that moved here in previous years and whose children already attend DHR? We are thrilled that you are here in Rochester and this offer is for you: Current DHR families will be required to pay only $10,000 per year for all of their children! This offer will be available for all local families and we hope that it will be successful and that we can continue to offer it in future years! For more details about tuition, please visit DHR’s website or www.torahrochester.com.

Please note:  Parents’ inability to pay full tuition is not a factor in the admissions process. Scholarships will be awarded based on financial need.  Upon receipt of the admissions form and registration fee, we will contact those applying for scholarships and begin the process. Derech HaTorah of Rochester admits Jewish students whose parents desire a superior, balanced Judaic and general studies education for their children.  We do not discriminate on the basis of race, gender, color and national or ethnic origin in administration of our educational policies, admission policies, scholarships or other school-sponsored programs.

We are eager to make the admissions process as easy and as painless as possible.  If you have any questions, please do not hesitate to call or e-mail me at (585) 266-2920 or principal@derechhatorah.org.

Sincerely,

Lea E. Goldstein

Principal

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Due Date: In order for your $300 registration fee to be applied to your child’s tuition, we must receive the attached form and registration fee by  March 24, 2023.
Admission Application 2023-2024
FATHER'S INFORMATION
Father's Name (Last Name, First Name)
Father's Address (Street Address, City, State, Zip)
Father's Mobile Phone
Father's Business Phone
Father's Email Address
Father's Work (Occupation, Employer, Employer Address)
MOTHER'S INFORMATION
Mother's Name (Last Name, First Name)
Mother's Address (Street Address, City, State, Zip)
Mother's Mobile Phone
Mother's Business Phone
Mother's Email Address
Mother's Work (Occupation, Employer, Employer Address)
MATERNAL GRANDPARENTS INFORMATION
Maternal Grandparents Names (Mr./ Dr./ Rabbi and Mrs./ Ms. /Dr.)
Maternal Grandparents Address (Street Address, City, State, Zip)
Maternal Grandparents Phone Number
Maternal Grandparents Email Addresses
PATERNAL GRANDPARENTS INFORMATION
Paternal Grandparents Names (Mr./ Dr./ Rabbi and Mrs./ Ms. /Dr.)
Paternal Grandparents Address (Street Address, City, State, Zip)
Paternal Grandparents Phone Number
Paternal Grandparents Email Addresses
MEDICAL INFORMATION & EMERGENCY CONTACT (if parents cannot be reached)
Emergency Contact- Name
Emergency Contact- Phone Number
Emergency Contact- Relationship to child/ren
Children’s Primary Care Physician (Name, Address)
Children’s Primary Care Physician's Phone Number
TUITION INFORMATION
Do you qualify for the New Family $7,000 Maximum Tuition?  
Clear selection
Do you qualify for the $10,000 Current DHR Family Tuition Rate?
Clear selection
STUDENTS' INFORMATION
1st Student's Name (Last Name, First Name)
1st Student's Hebrew Name
Grade they will be entering at the start of the school year
Gender
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Allergies
If entering kindergarten, where did your child attend nursery school?
Does your child have an IEP?  
Clear selection
If so, what services is your child currently receiving?
2nd Student's Name (Last Name, First Name)
2nd Student's Hebrew Name
Grade they will be entering at the start of the school year
Gender
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Allergies
If entering kindergarten, where did your child attend nursery school?
Does your child have an IEP?  
Clear selection
If so, what services is your child currently receiving?
3rd Student's Name (Last Name, First Name)
3rd Student's Hebrew Name
Grade they will be entering at the start of the school year
Gender
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Allergies
If entering kindergarten, where did your child attend nursery school?
Does your child have an IEP?  
Clear selection
If so, what services is your child currently receiving?
4th Student's Name (Last Name, First Name)
4th Student's Hebrew Name
Grade they will be entering at the start of the school year
Gender
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Allergies
If entering kindergarten, where did your child attend nursery school?
Does your child have an IEP?  
Clear selection
If so, what services is your child currently receiving?
5th Student's Name (Last Name, First Name)
5th Student's Hebrew Name
Grade they will be entering at the start of the school year
Gender
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Allergies
If entering kindergarten, where did your child attend nursery school?
Does your child have an IEP?  
Clear selection
If so, what services is your child currently receiving?
How will you be paying the non-refundable registration fee of $300 per child?
Clear selection
Please click submit at the bottom of this form to turn in your enrollment form. If you will be paying via credit card or PayPal, please follow the instructions after clicking submit. If you would like to pay via check, please mail them to Derech HaTorah of Rochester, 71 Maiden Lane, Rochester, NY 14616. Questions? Please call the DHR office at 585-266-2920. Thank you for registering! We look forward to seeing you at DHR.
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