MBJCC 19-20 School Day Out

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School Days Out For more information contact Director of Camping & Children/Family Programs Jenny Mermelszteyn at jenny@mbjcc.org or x210 or After-School Program Coordinator Nicole Goldstein at nicole@mbjcc.org or x204 To register go to www.mbjcc.org or contact Registrar Maia Perez at register@mbjcc.org or x235

School Days Out are offered with Miami-Dade County public school closings. K - 5th grade students will enjoy activities such as art, cooking, science, sports, games, swim and more!

FOR K - 5TH GRADE 8:30 AM - 4 PM SCHEDULE:

Monday, January 18 • Martin Luther King Day Monday, February 15 • Presidents Day Friday, March 26 • Teacher Work Day Subject to change based on MDCPS calendar

DAILY FEES:

Pre-Registeration • $65 | Members: $50 Day-of Registration • $70 | Members: $55

IMPORTANT PARENT INFORMATION: NEW Covid-19 Safety Guidelines for youth classes at the MBJCC. • Bring your own watter bottle - Water fountains are for refill purposes only and closed for general drinking

• Everyone is required to wear a face covering • Please practice physical distancing • Limited spaces available in all programs • Drop off/Pick up your children by carpool only - A staff member will be available at designated program start/end times to walk your child • No parent observation of classes, unless parent participation is required in the class

• Daily health screenings and temperature checks - download the "LiveSafe" app to fill out the MBJCC's Digital Health Questionnaire • Quarantine required for 14 days if traveled outside of the United States or have been exposed to COVID-19 within the last 14 days • If your child/family is in quarantine from school or other facilities, the quarantine period also applies to the MBJCC facility - You will not be allowed to enter or attend programs.

STAY SAFE AT OUR PLACE PREVENTION SMALL GROUPS

HAND WASHING STATIONS

HEALTH SCREENINGS

FACE COVERINGS REQUIRED

PHYSICAL DISTANCING

ENHANCED SANITIZATION

Visit www.mbjcc.org to view our full MBJCC COVID-19 Protocols & Procedures

For more information contact Director of Camping & Children/Family Programs Jenny Mermelszteyn at jenny@mbjcc.org or x210

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School Days Out Registration Form REGISTRATION DATE:________________________________

MEMBER: Yes

No

PARTICIPANTS INFORMATION Full Name ________________________________________________

Birthday (Mo/Day/Yr) ___/___/___

Gender___________

School in Sept. 2020 ___________________________

Grade in Sept. 2020 _____________

Age ______________

Allergies or Diet Restriction _________________________________________________________________________________ Current Medications ________________________________________________________________________________________ FAMILY INFORMATION Address__________________________________________________

City, State, Zip ______________________________________

Home Phone ________________________________

Cell ________________________________________________

PARENT/GUARDIAN 1 Full Name ___________________________________

Email _____________________________________________

Work Phone __________________________________

Cell ________________________________________________

PARENT/GUARDIAN 2 Full Name ______________________________________

Email _____________________________________________

Work Phone _____________________________________

Cell ________________________________________________

EMERGENCY & PICKUP AUTHORIZATION CONTACTS Please provide three additional people who have authority to make all decisions regarding your child(ren) if we are unable to reach a parent/guardian as well as a list of people who are authorized to pick up your child(ren) from the MBJCC. In the event of an emergency, we will attempt to contact a parent/ guardian first. Please notify the MBJCC of any pick-up changes for the day if applicable. Please note proper identification will be required for anyone picking up your child(ren).

Full Name _________________________________________

Relation ___________________________

Work Phone __________________________________________

Cell _______________________________

Full Name ____________________________________________

Relation ___________________________

EMERGENCY

Work Phone __________________________________________ DAYS 1/18

2/15

PICKUP

Cell _______________________________

3/26

PAYMENT OPTIONS Credit Card Payment

Check

EFT

Credit card payments are subject to a 3% convenience fee

Credit Card Type:



Name on Card _________________________________________

Bank Name ________________________________________

Credit Card # __________________________________________

Routing # _________________________________________

CVV # ____________

Account # _________________________________________

Exp. Date _________________

Authorized Signature ___________________________________

Please include a voided check.

PARENT/GUARDIAN ACKNOWLEDGMENTS DISCIPLINE & CHILD BEHAVIOR: The MBJCC should be made aware in writing of any special needs or limitations a child may have. In the event our staff sees your child is having difficulty with the structure that we provide, we will notify you and discuss the implementation of behavior modification programs with staff and your child. After implementing behavioral programs, if your child continues to experience difficulty, we will recommend other appropriate alternatives.

HEALTH AND SAFETY: The Parent or Guardian certifies that the child is healthy and able to participate in all Winter Camp activities at the time of application. Updated school health forms are required prior to the start of the program. Parent/guardian gives permission to secure proper medical treatment in case of an emergency, when parent/guardian can not be reached.

CORONAVIRUS: Coronavirus, COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact. Federal and state authorities recommend social distancing as a means to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in Miami Beach JCC programs or accessing the Miami Beach JCC facilities could increase the risk of contracting COVID-19. The Miami Beach JCC in no way warrants that COVID-19 infection will not occur through participation in Miami Beach JCC programs or through access to the Miami Beach JCC facilities, and on behalf of myself and my family members and minors, assume the risk of such illness, injury, disability and death in connection with COVID-19.

PUBLICITY: The MBJCC reserves the right to use photographs and/or videos of my child for publicity purposes in all media including the MBJCC website and all social media.

Parent/Guardian Signature ______________________________________________________

Date _________________

For more information contact Director of Camping & Children/Family Programs Jenny Mermelszteyn at jenny@mbjcc.org or x210