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2020 - 2021
ASP Program 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 12/16/20
FOR PRE-K - 5TH GRADE October 5, 2020 - May 31, 2021 MONDAYS - FRIDAYS: School Dismissal - 6 PM MONTHLY FEES: 5 Days/Week • $430 | Members: $360 4 Days/Week • $405 | Members: $340 3 Days/Week • $380 | Members: $320 2 Days/Week • $360 | Members: $200 1 Day/Week • $235 | Members: $195
• You must pay your monthly tuition by EFT or credit card. • After-School Program fees are due regardless of absences. • If your child’s schedule changes, or if your child withdraws before the end of the school year, you must give the MBJCC two weeks written/email notice and a change fee may be applied.
FINANCIAL ASSISTANCE Limited need-based scholarships are available to those who qualify. Financial Assistance forms are available upon request at the MBJCC. Applications must be submitted to the MBJCC prior to the child(ren) starting the program.
The After-School Program at the MBJCC is a home-away-from home for your Pre-K through 5th grade student. The after-school program provides a safe, healthy, exciting and creative environment for children to unwind after a long day in school. You can feel confident knowing your children are in good hands when they arrive at the MBJCC. They begin their afternoon with a healthy snack followed by supervised homework time. Once done with their homework the students choose a daily rotating activity including: • Supervised Homework Help • Playground • Science • Swimming on Fridays • Art Projects • Organized Sports • And More! • Cooking
TRANSPORTATION FROM SCHOOL
FEES: M: $225 | Tu: $250 | W:$265 | Th: $250 | F: $235 North Beach Elementary School & Ruth K Broad: M, Tu, Th & F • 2 pm & 3:05 pm | W • 2 pm
Casa Dei Bambini & St. John Montessori: M - F • 2:45 pm
HOLIDAY CLOSINGS Monday, January 18 • MLK Jr. Day Monday, February 15 • President’s Day Friday, March 26 • Teacher Planning Day Monday, March 29 • Friday, April 2: Passover Break
Thursday, April 15 • Yom Ha’atzmaut Celebration Sunday, May 9 • Mother’s Day Monday, May 17 - Tuesday, May 18 • Shavuot Sunday, May 30 - Monday, May 31 • Memorial Day Weekend
•Advanced Registration required. •Minimum registration is required to provide a transportation route. • Limited spots available, one child per seat (siblings can sit together) •Masks worn at all times by children and staff. • If a transportation route student is exposed to Covid-19 or tests positive, all students on that specific route will need to quarantine for 14 days. Please visit www.mbjcc.org/transportation for a full list of COVID-19 Transportation COVID-19 Protocols and Procedures
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
To register go to www.mbjcc.org or contact register@mbjcc.org • (305) 534-3206 | mbjcc.org | 4221 Pine Tree Drive, Miami Beach FL 33140
ASP Program Registration Form 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 REGISTRATION DATE:________________________________ PARTICIPANTS INFORMATION Full Name ________________________________________________
Birthday (Mo/Day/Yr) ___/___/___
Gender___________
School in Sept. 2020 ___________________________
Grade in Sept. 2020 _____________
Age ______________
School Dismissal Time ___________________________
Teacher _______________________
Room # __________
MEMBER: Yes
No
NEW ASP PARTICIPANT: Yes
No
To receive the member rate, a Family Membership must be maintained for 12 consecutive months. If you cancel or downgrade your membership prior to the completion of the 12 month rule, you will be retroactively charged the non-member rate for After-school.
FAMILY INFORMATION Address__________________________________________________
City, State, Zip ______________________________________
Home Phone ________________________________
Cell ________________________________________________
PARENT/GUARDIAN 1 Full Name ___________________________________
Email _____________________________________________
Work Phone __________________________________
Cell ________________________________________________
PARENT/GUARDIAN 2 Full Name ______________________________________ Work Phone _____________________________________
Email _____________________________________________ 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). EMERGENCY
Full Name _________________________________________
Relation ___________________________
Work Phone __________________________________________
Cell _______________________________
Full Name ____________________________________________
Relation ___________________________
Work Phone __________________________________________
Cell _______________________________
Full Name ____________________________________________
Relation ___________________________
Work Phone __________________________________________
Cell _______________________________
PICKUP
MEDICAL INFORMATION Allergies or Diet Restriction _________________________________________________________________________________ Current Medications ________________________________________________________________________________________
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OVER (Page 1 of 2) STAY SAFE AT OUR PLACE PREVENTION SMALL GROUPS
HAND WASHING STATIONS
HEALTH SCREENINGS
FACE COVERINGS REQUIRED
PHYSICAL DISTANCING
ENHANCED SANITIZATION
For more information contact Director of Camping & Children/Family Programs Jenny Mermelszteyn at jenny@mbjcc.org or x210
AFTER-SCHOOL PROGRAM DAY SELECTION Monday
Tuesday
Wednesday
Thursday
Friday
MONTHLY FEES* (includes transportation) 5 Days/Week • Fee: $430 | Members: $360 MEMBERS ONLY: Includes one choice of Enrichment Class Fall 2020 ______________________________
Winter 2021 ______________________________
Excludes Baseball, Martial Arts, Robotics, FBS-FC Soccer Academy, Swimming, Hip Hop & Gymnastics
4 Days/Week • $405 | Members: $340 3 Days/Week • $380 | Members: $320 2 Days/Week • $360 | Members: $200 1 Day/Week
• $235 | Members: $195
PARENT/GUARDIAN ACKNOWLEDGMENTS 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 _________________
PAYMENT INFORMATION October
November
December
January
PAYMENT OPTION 1 - CREDIT CARD PAYMENT: Credit Card Type:

February
March
April
May
PAYMENT OPTION 2- MONTHLY EFT:
Credit card payments are subject to a 3% convenience fee
Name on Card _________________________________________
Bank Name _______________________________________
Credit Card # __________________________________________
Routing #
________________________________________ CVV # ____________
Exp. Date _________________
Authorized Signature __________________________________
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Account # ________________________________________ Please include a voided check.
long h
ere.® STAY SAFE AT OUR PLACE PREVENTION SMALL GROUPS
HAND WASHING STATIONS
HEALTH SCREENINGS
FACE COVERINGS REQUIRED
PHYSICAL DISTANCING
ENHANCED SANITIZATION
For more information contact Director of Camping & Children/Family Programs Jenny Mermelszteyn at jenny@mbjcc.org or x210