Registration Form

Dear Parents 'שיחי

As we prepare for the upcoming school year תשפ"ו – 5786, we kindly ask that you register your daughter(s) by June 15th to secure their place at MBCM.

Registration Fee:

$400 per student
A $150 early registration discount will apply if registration is completed by May 28th
An additional $50 discount will be applied for each additional student from the same family

Streamlined Registration Process:

To simplify the process for both parents and the administration, we have combined information for registration, payment method and CEP/Title forms into a single form.

Once this form is completed, the only additional documents required will be:

A signed tuition contract (for all students)
An immunization form (for new MBCM students only)

Payment Method Information:

^{Credit card:}
Please note that if you choose the credit card option as your preferred method for tuition payment, we will use the credit card information provided here. Kindly ensure that the details you submit are accurate and up to date to avoid any payment issues.

ACH and Zelle:
If you choose to use these methods for tuition payment, please ensure you provide the school with a scheduled payment copy for reference.

For ACH payments, please contact the office directly to request the necessary ACH form.

We strongly encourage you to complete registration early to take advantage of the available discounts and to help us plan effectively for the coming year.

After May 28th, registration cost will be $400 per student.

Family name *

E-mail*

Select the amount of student you will be registering today. if you are registering more than one student, please fill in their info in the comments box below.*

1 Daughter2 Daughter3 Daughter4 Daughter

Please write Student/s full name and Entering grade*

Phone Number to contact in case of any issue*

Area Code Phone Number

Total amount for registration

$0.00

CEP/Income/Lunch/Title

Survey form

For chart to check eligibility, please click Here

Father full Name*

First Name Last Name

Mother full Name*

First Name Last Name

Number of individuals in family*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Base on the chart attached, are you eligible for Free and/or reduced meals program ?*

Not applicableYes

Family Income: $*

Click One*

YearlyMonthlyBy-weekly

Is Family gross income less than the amount on the July 1, 2022-June 30, 2023 chart for your family?*

YesNo

Is your family eligible for SNAP benefits (Supplemental Nutrition Assistance Program)?*

YesNo

If yes, SNAP case number. if not applicable - please fill in with "abc". Thanks*

Is your family receiving assistance under the TANF program (Temporary Assistance for Needy Families)?*

YesNo

If yes, TANF case number. if not applicable - please fill in with "abc". Thanks*

Is the student eligible to receive medical program assistance under the Medicaid program?*

YesNo

I certify that the above information is true.*

*

Month Day Year

at Hour Minutes

Important Payment Information – Action Required from All MBCM Parents for the Upcoming School Year

To ensure a smooth tuition payment process for the upcoming school year, MBCM requires all parents to provide a valid credit card as a backup payment method.

Tuition Payment Options

Tuition payments will be accepted through the following methods:

Credit Card
Please note by Selecting this option, MBCM will used the credit card information you provide above, for processing tuition payments.
ACH
Zelle

Important: If you choose to pay via ACH or Zelle, you must submit a scheduled payment timeline to the school office.

Selecting Your Payment Method

Please choose your preferred payment method:
Credit Card, ACH, or Zelle.

Even if you do not plan to use a credit card for regular tuition payments, credit card information must still be provided as a backup.

Unable to Use Any Listed Payment Methods?

If you are unable to use any of the listed options (Credit Card, ACH, or Zelle), you are still required to submit your credit card details and contact the administration office immediately:

📧 [email protected]

Payment Schedule

Tuition payments are scheduled from August 15 through May 15.
Please ensure the first payment is made within these dates.

For any questions or concerns, please contact:
📧 [email protected]
📞 845-4308342

Thank you for your cooperation and prompt attention to this matter.

Please select tuition method payment*

Credit cardZelle

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

CVV (please RE-enter the security number of the card)*

Comments

Registration for 5786 is currently Close

Registration Fee:

Streamlined Registration Process:

Payment Method Information:

Tuition Payment Options

Selecting Your Payment Method

Unable to Use Any Listed Payment Methods?

Payment Schedule