Registration

We are currently accepting application forms for the 2022-23 school year. Enrollment is confirmed with receipt of an acceptance letter via first class mail.

For Tracks & Tuition, click here.

Admission Application

Step 1 of 3

33%

Child’s Information

Child's Name(Required)

First Last

* (Names must be exactly as stated on birth certificate.)

First Last

Date of Birth(Required)

MM slash DD slash YYYY

Grade Entering(Required)

Gender(Required)

Male

Female

Address(Required)

Street Address City ZIP / Postal Code

Home Phone

Allergies(Required)

Yes

List names and ages of siblings, if any

Please specify:

Legal Document - Please provide one of the following:(Required)

Birth Certificate

Adoption Order

Passport

Select One(Required)

My child is a returning student at the Florence Brownstein Preschool

My child is a new student at the Florence Brownstein Preschool

Birth Certificate

Max. file size: 256 MB.

Adoption Order

Max. file size: 256 MB.

Passport

Max. file size: 256 MB.

Mother's Information

(Guardian 1)

Name(Required)

First Last

Hebrew Name

Nationality(Required)

Jewish by Birth

Converted

Other

Address(Required)

Same Address

Other

Address(Required)

Street Address City ZIP / Postal Code

Cell Phone(Required)

Work Phone

Email(Required)

Father's Information

(Guardian 2)

Name(Required)

First Last

Hebrew Name

Nationality

Jewish by Birth

Converted

Other

Address(Required)

Same Address

Other

Address

Street Address City ZIP / Postal Code

Cell Phone(Required)

Work Phone

Email(Required)

Emergency Contacts:

(These contacts will be called in emergencies if a parent/guardian cannot be reached)

Contact 1(Required)

First Last

Home Phone

Cell Phone(Required)

Relationship to child(Required)

Contact 2(Required)

First Last

Home Phone

Cell Phone(Required)

Relationship to child(Required)

Consent

In case of an emergency, if a parent or guardian cannot be reached, the school has the discretion to transport my child to the closest hospital in an emergency care facility by emergency vehicle for immediate care.

Napping Agreement: I give my consent for my child to nap in the classroom on a cot under the teacher’s supervision.

Signature of Parent/Guardian

Date

MM slash DD slash YYYY

New Student Information

If referred, by whom:

(maximum 2)

Please submit two Getting-to-Know-Your-Child videos.
Any video clip that gives us a sense of their personality and verbal skills is perfect.

Video 1(Required)

Max. file size: 256 MB.

Video 2(Required)

Max. file size: 256 MB.

Please tell us a little bit about your child.

Please note any challenges, difficulties, or disabilities (physical, speech, communication, emotional, academic, or other) which your child had or is presently experiencing, as well as any necessary medication or treatment.

What is the language(s) spoken at home, and by whom?

Please specify the language your child most frequently uses.

Please upload a picture of your family.

Max. file size: 256 MB.

Enrollment Preferences

Toddler Tuition

Member?

Yes

MEMBERS

9:00-12:00 Tuesday & Thursday - $3,900

9:00-12:00 3 Days: Mon, Wed, Fri - $5,400

9:00-12:00 Monday-Friday - $7,900

9:00-2:30 Monday-Thursday, Friday - 9:00-12:00 - $8,900

NON-MEMBERS

9:00-12:00 Tuesday & Thursday - $4,200

9:00-12:00 3 Days: Mon, Wed, Fri - $5,900

9:00-12:00 Monday-Friday - $8,500

9:00-2:30 Monday-Thursday, Friday - 9:00-12:00 - $9,500

Nursery Tuition

MEMBERS

9:00-12:00 Monday-Friday - $6,800

9:00-2:30 Monday-Thursday, Friday – 9:00-12:00 - $8,500

NON-MEMBERS

9:00-12:00 Monday-Friday - $7,300.00

9:00-2:30 Monday-Thursday, Friday – 9:00-12:00 - $9,100.00

Pre-K Tuition

MEMBERS

9:00-2:30 Monday-Thursday, Friday – 9:00-12:00 - $8,500

9:00-2:30 Monday-Friday (Includes Friday Enrichment Program) - $10,400

NON-MEMBERS

9:00-2:30 Monday-Thursday, Friday – 9:00-12:00 - $9,400

9:00-2:30 Monday-Friday (Includes Friday Enrichment Program) - $11,400

Sibling Discount:

A discount of 10% of tuition will be applied to the lower tuition amount.

Membership Information

Additional Options

Bus Transportation

Subject to availability. M-TH 9AM and 2:30PM only, Friday 9AM and Noon only.

$3,000 – round trip

$1,600 – AM Only

$1,600 – PM Only

Hot Lunch

$720 – Full week Program

$450 – 3 Day Program (Toddler)

$300 – 2 Day Program (Toddler)

Additional Care

Early Care

After Care

Second Sibling 50% bus discount

Early and After Care
Early Care and After Care is available, beginning as early as 8:30 a.m. and continuing up to 5:00 p.m. Hours and Days customized to your needs. (A minimum of 3 children are required to offer early care or after care.)

Please specify the days and hours you are interested in.

Terms of Agreement

PARENTS understand that the obligation to pay all amounts in full is a joint obligation of the parents and/or guardians of the student who sign this contract. The obligation is unconditional and no portion of any such amounts designated in this contract will be refunded or canceled because of absences, holidays, vacations, withdrawal or expulsion except as set forth in this contract.

PARENTS understand that if, after assessment and evaluation, it is determined, in the sole and absolute discretion of the administration of FBP that the scholastic and/or behavioral needs of any student cannot be met by the school, the administration has the right to require that such student be withdrawn from the school. PARENTS understand that the FBP reserves the right in its sole and absolute discretion to dismiss or expel any student as a result of any acts of willful or disruptive behavior. Notwithstanding the foregoing, the removal of a child for any reason shall not excuse the PARENTS of a student from the financial obligations delineated herein.

A child is permitted to attend the FBP as long as they can function within the structure and ratio of our classes. If on a regular basis, a child requires the individual attention of a staff member to function in his or her class, the teacher, FBP Director and parent will meet to determine if there is a way to allow the child to remain at the FBP. If it is determined that the child requires additional supervision to be able to remain at the FBP, any expense for additional supervision will be paid by the child’s parents.

PARENTS agree to accept and abide by all the rules, regulations, and decisions of the FBP including without limitation its statements of policy as it now exists or may from time to time be amended. PARENTS further acknowledge that PARENTS have received, read and understand all rules, regulations and statements of policy.

PARENTS hereby give full consent and permission for the student enrolled pursuant to this contract to participate in all activities offered by the FBP to its students. PARENTS agree that the FBP shall in no way be liable for any accident or injury which said student may sustain in conjunction with any such activity or by the bus transportation service to and from field trips or child’s destination.

The Florence Brownstein Preschool has permission to provide that which in FBP’s judgment considers necessary medical attention at our (my) expense. We (I) will provide emergency phone numbers to the FBP.

Our (my) child has permission to be photographed at the FBP and for the photos to be used in FBP yearbook, the synagogue’s website and synagogue bulletins and general media sources.

PARENTS shall pay any and all costs and expenses including actual attorney and costs incurred in the collection of any of the amounts herein or the enforcement of any of the provisions hereof.

PARENTS understand that FBP Reserves all rights and remedies under the law regarding payments and amounts due under this contract, including the right of offset against moneys and amounts due to parents. FBP’s right of offset includes all sums due on any prior or current contracts signed by any of the undersigned and supersedes the rescission and refund rights set forth herein.

Agreement(Required)

Parents have read this contract and agree to be bound by all of the terms, conditions and provisions set forth herein. Both parents need not sign for this contract to be binding.

Parent 1 - Print Full Name(Required)

First Last

Signature(Required)

Date(Required)

MM slash DD slash YYYY

Parent 2 - Print Full Name

First Last

Signature

Date

MM slash DD slash YYYY

Tuition Payment Options

FBP offers three schedules for payment of TUITION and the optional BUS and LUNCH. Please select your preference:(Required)

ONE PAYMENT IN FULL — One payment in full on July 1, 2022

THREE EQUAL PAYMENTS – Three payments on July 1, 2022, November 1, 2022, and February 1, 2023

TEN EQUAL PAYMENTS — Ten payments on the first of each month, beginning July 1, 2022, through April 1, 2023

Payments can be made by check, ACH bank transfer, or credit card. Credit card payments are subject to a 3% processing fee. Please select your preference:(Required)

CHECKS

ACH – Electronic Bank Transfer

CREDIT CARD

Please mail or drop off postdated checks for your complete payment schedule, prior to the first payment date.
Our address is 80 Shore Road, Port Washington, NY 11050.

Credit card payments are subject to a 3% processing fee.

CC(Required)

Please charge my tuition payments to the credit card I am providing below for the deposit.

Please contact me for credit card information, as I would like my tuition payments to be charged to a different credit card than the one I am providing below for the deposit.

Name on the Account(Required)

Name of Business or Organization

(if applicable)

Bank Account Number(Required)

Bank Account Routing Number(Required)

Signature of Account Holder(Required)

I, the undersigned, authorize Chabad of Port Washington to charge my bank account as per the payment schedule selected above.

Date(Required)

MM slash DD slash YYYY

Deposit

A $500 non-refundable deposit, which goes toward my tuition, accompanies this application.(Required)

I confirm the amount of $500 charge as a deposit.

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Billing Address(Required)

Street Address City ZIP / Postal Code

Total

Hidden

Other

Hidden

Mailing Label

Hidden

2.30 PM

Yes

Not Sure

Hidden

5 Days

Yes

Not Sure

Hidden

3 Days

Yes

Not Sure

Hidden

2 Days

Yes

Not Sure

Hidden

Deposit

Yes

Check

Hidden

PK Extended Day

Yes

Hidden

Referred by

Hidden

Misc

Registration

Registration

Admission Application

Child’s Information

Mother's Information

Father's Information

Emergency Contacts:

Consent

New Student Information

Enrollment Preferences

Additional Options

Terms of Agreement

Tuition Payment Options

Deposit

Other

Director

Address

Phone

Email:

Get in Touch.