MBJCC Winter Camp

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MIAMI BEACH JCC

WINTER CAMP

During Winter Camp, children in Pre-K – 5th grade can choose to join our general camp or elect a specialty camp. All campers will enjoy on-campus activities, sports, games, crafts, entertainment and field trips. Pre-K campers will stay on campus.

Campers will be swimming daily.

-2020

WHAT TO BRING:

Send your child with a swimsuit, towel, flip-flops and sunscreen.

FOOD PROVIDED:

Kosher lunch and snacks will be provided daily.

Fun Programing from 9 am- 4 pm.

Pre-care is available at 8 am and Post-care is available until 5 pm for an additional fee.

Week 1:

Monday, December 23 - Friday, December 27 (No camp 12/25, No postcare 12/24)

Week 2:

Monday, December 30 - Friday, January 3 (No camp 1/1, No postcare 12/31)

Specialty Camps:

SPORTS CAMP Sports Camp is an in-depth sports program committed to developing fundamental skills. In addition, all campers participate in many age appropriate games designed to enhance their skills and knowledge of each sport.

Field trip included.

ALL STAR GYMNASTICS (By Invitation Only) Gymnastics camp excites, motivates and encourages experience, while building strength and power through instructional gymnastics in fun and safe environments. Students learn new skills appropriate to their level through rotations on bars, vault, beam and floor.

No Field Trip.

FOR MORE INFORMATION: JENNY MERMELSZTEYN Director of Camping & Children/Family Programs jenny@mbjcc.org | x210

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NICOLE GOLDSTEIN After-School Program Coordinator nicole@mbjcc.org | x204

4221 Pine Tree Drive, Miami Beach FL 33140 | (305) 534-3206 | mbjcc.org Updated 11/119/19

GENERAL CAMP FEES: Weekly: $300 | Members: $240 Daily: $80 | Members: $65 SPECIALTY CAMP FEES: Weekly: $340 | Members: $280 Daily: $90 | Members: $75 PRE-CARE: $10 | Members: $5 POST-CARE: $10 | Members: $5 No refunds or credits for missed days.

Cancellations required 24 hours in advance for a refund.

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WINTER CAMP 2019- 2020 Registration Form

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TO REGISTER GO TO MBJCC.ORG OR CONTACT REGISTER@MBJCC.ORG MEMBER*: Yes

REGISTRATION DATE:_____________

No

PARTICIPANT INFORMATION Last Name _________________________

First Name ___________________

School _____________________________

Gender_____

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

Grade ________________________

Allergies or Diet Restriction ___________________________________________

Medications ______________________________________

FAMILY INFORMATION Address__________________________________________________

City, State, Zip __________________________________________

Cell _______________________________________

Home/Work Phone ___________________________________

Parent/Guardian Information 1 Full Name __________________________________________________

Email ________________________________________________

Cell ________________________________________________________

Home/Work Phone ___________________________________

Parent/Guardian Information 2 Full Name __________________________________________________

Email ___________________________________________

Cell ________________________________________________________

Home/Work Phone ___________________________________

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 __________________________________

Cell _________________________________________________

Other Phone ____________________________

Full Name ___________________________________________

Relation __________________________________

Cell _________________________________________________

Other Phone ____________________________

EMERGENCY PICKUP

DAYS December 23

December 24

General | Sports | Gymnastics Pre-care

General | Sports | Gymnastics Pre-care | Post-care

December 30

December 31

January 2

General | Sports | Gymnastics Pre-care | Post-care General | Sports | Gymnastics Pre-care | Post-care

General | Sports | Gymnastics Pre-care

December 26

General | Sports | Gymnastics Pre-care | Post-care

December 27

General | Sports | Gymnastics Pre-care | Post-care

January 3

General | Sports | Gymnastics Pre-care | Post-care

PAYMENT Winter Camp Total: ________ Pre- Care Fee Total: _______ Post- Care Fee Total: ______ Total: _________

GENERAL CAMP FEES: Weekly: $300 | Members: $240 • Daily: $80 | Members: $65

SPECIALTY CAMP FEES: Weekly: $340 | Members: $280 • Daily: $90 | Members: $75

PRE-CARE: $10 | Members: $5

POST-CARE: $10 | Members: $5

Payment Type:

Name on Card __________________________________________ Authorized Signature __________________________________

(Payable to MBJCC)

Credit Card Type: 

Card on File

Credit Card # ______________________________________________ CVV # _____________

Exp. Date ____________

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.

FIELD TRIPS AND ACTIVITIES: Permission is hereby granted for the child to participate in all field trips and activities. The MBJCC has the right to change the dates and locations of field trips as necessary.

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 _________________