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REGISTRATION FORM FOR B’NAI TORAH PRESCHOOL CAMP 2020
Complete this form and submit your registration fee online or with a check made payable to B’nai Torah Preschool.


PLEASE NOTE: The following age groups/weeks are now full, but we are happy to add you to the wait list. 

3's - Week 6 (July 6-10) and Week 8 (July 20-24) are full. Please contact Ilana Burstein at iburstein@bnaitorah.org to be added to the waitlist for the 3's class for these weeks.

PreK - Week 2 (June 8-12) and Week 3 (June 15-19) are full. Please contact Ilana Burstein at iburstein@bnaitorah.org to be added to the waitlist for the PreK class for these weeks.

If you are registering for any other age groups/weeks, please continue with the form below.


Parent 1

Parent 2

Emergency Contact 1

Emergency Contact 2

Child 1
If yes, Congregation B’nai Torah Preschool requires current judge signed copies of custody agreement on premises.
If yes, please discuss further with the director. Congregation B’nai Torah Preschool requires a full allergy/asthma action plan signed by a parent and a physician on premises.

Child 1 Camp Registration Options
 
3 days per week
- Available for toddlers age 13 months to 2's only.
5 days per week - Available for children age 13 months to rising Kindergarten.

*Please note: Children age 3 and above (by September 1, 2020) are only eligible for the 5 day program.

Registration Fee: $100 before March 1, $125 after March 1

The Core Day of camp goes from 9:00 AM - 1:15 PM. The price is $194 per week per child.
The Core Day of camp goes from 9:00 AM - 1:15 PM. The price is $252 per week per child.

Morning Care - $17 per week per child
Morning Care - $23 per week per child

After Camp Care - $55 per week per child
After Camp Care - $92 per week per child

Late Stay - $55 per week per child
Late Stay - $92 per week per child

T-shirts
Additional t-shirts are $10 each.

Additional Children

Child 2

Child 2 Camp Registration Options
 
3 days per week
- Available for toddlers age 13 months to 2's only.
5 days per week - Available for children age 13 months to rising Kindergarten.

*Please note: Children age 3 and above (by September 1) are only eligible for the 5 day program.

Registration Fee: $100 before March 1, $125 after March 1

The Core Day of camp goes from 9:00 AM - 1:15 PM. The price is $194 per week per child.
The Core Day of camp goes from 9:00 AM - 1:15 PM. The price is $252 per week per child.

Morning Care - $17 per week per child
Morning Care - $23 per week per child

After Camp Care - $55 per week per child
After Camp Care - $92 per week per child

Late Stay - $55 per week per child
Late Stay - $92 per week per child

T-shirts
Additional t-shirts are $10 each.

EMERGENCY PROCEDURES AND AUTHORIZATION FORM

1. The emergency contact name on your application form is a person who has agreed to be designated by you to take full responsibility for taking care of your child(ren) in case of medical need when no parent can be reached by phone. It is important to keep your emergency contacts current, available by phone, and knowledgeable about the responsibility you have given them.

2. Authorization form - We require that this form be placed on file in case of a serious accident in which the school is completely unable to reach either parent or emergency contacts. Because of liability problems, hospitals and doctors will refuse medical care for your child(ren) unless presented with authorization from the parents. As time can be essential in a medical emergency, this form assures your child(ren) of prompt medical attention. We hope never to use this form. We will do everything possible to reach parents in any case of illness or accident.

Congregation B’nai Torah Preschool Emergency Medical Procedure:
  1. Call emergency medical team, if necessary.
  2. Call parent/guardian.
  3. Call alternate emergency contact, if necessary.
  4. Emergency medical team transports child(ren) to hospital, if necessary.
  5. Congregation B’nai Torah Preschool representative will accompany child(ren) to hospital.
In case of emergency, B’nai Torah Preschool will take child(ren) to:
Children’s Healthcare of Atlanta
1001 Johnson Ferry Rd NE, Atlanta, GA 30342
(404) 785-5252


MEDICAL RELEASE

I give permission for Congregation B’nai Torah Preschool to seek medical attention and/or transport my child(ren) in the event of an emergency if I cannot be reached. I agree that any emergency contacts listed on this page are permitted to access medical information about my child(ren). I further agree to hold harmless and release Congregation B’nai Torah Preschool from all liability. I further agree to keep the facility informed of any changes in the information stated above.

In case of an emergency, I hereby consent to any X-ray, examination, anesthetic, medical or surgical diagnosis or treatment and hospital care to be rendered to the minor at the recognized medical facility under the general or special supervision of a licensed physician or surgeon during school hours.
 

IMMUNIZATION REQUIREMENT

Each child must be current on all immunizations and must provide a current 3231 form before the start of camp. 
 

AUTHORIZATION TO DISPENSE EXTERNAL PREPARATIONS

Parental Authorization: Except for first aid, personnel shall not dispense prescription or non-prescription medications to a child without specific written authorization from the child's physician or parent. Such authorization will include (when applicable): date, full name of the child, name of the medication, prescription number (if any), dosage, the dates to be given, the time of day to be dispensed and signature of parent.
 

TRANSPORTATION RELEASE

The safety and well-being of your children is our highest priority. Please complete the following information. This form must be filled out whether you are participating in a carpool with another family or not.

If you have not finalized your carpool plans for the summer, you may leave this section blank, but we must have this information completed by April 15, 2020.

MEDIA RELEASE

Congregation B’nai Torah Preschool Camp has my permission to use my child(ren)'s photograph publicly to promote the preschool and/or summer camp. I understand that the images may be used in print publications, online publications, presentations, websites and social media. I also understand that no royalty fee or other compensation shall become payable to me by reason of such use.
 

SPECIAL EVENT RELEASE

I hereby give permission for my child(ren) to participate in school special events as scheduled at Congregation B’nai Torah Preschool Camp.
 

PAYMENT/CANCELLATION/REFUND POLICY

Congregation B’nai Torah Preschool Summer Camp has limited enrollment and can only accept a certain number of campers in each age group. In accepting your registration, Congregation B’nai Torah Preschool Summer Camp reserves a place for your child. Staffing, materials, food, supplies and events are formulated based on enrollment numbers in order to provide the best quality program. Therefore, no refunds or credits will be given after May 15. There is a three-week minimum required to participate, however the weeks you choose do not have to be consecutive. Incoming registrations will be filled on a first-come, first-served basis. All enrollments are subject to space availability. A wait list for each week will be established, and you will be notified should your selected week be at capacity.

Payments
  • Every application must be accompanied by a registration fee ($100 by or before March 1, $125 after March 1).
  • Full payment must be submitted by May 1.
  • Any other payment arrangements must be collaborated with our Financial Administrator.
  • Payments can be made by check or credit card. Credit card payments are charged a 3% fee.
  • We do not prorate days missed due to absences.

Cancellations
  • All cancellations must be submitted in writing. Please send an email to iburstein@bnaitorah.org.
  • Before May 15, you can cancel for any reason and receive a 100% tuition refund minus the registration fee.
  • Registration fees are non-refundable and non-transferable.
  • Cancellation policies also apply towards early drop-off and extended day programs.
  • If you cancel any time after May 15, there are no refunds or credits. Tuition paid for the weeks canceled is forfeit.

Changing Sessions
  • All changes must be submitted in writing. Please send an email to iburstein@bnaitorah.org.
  • Changing sessions is based on availability as space in each group is limited.
  • Consistent with the cancellation policy, if session changes are made before May 15, there will be no extra fees charged.
  • Changes made after May 15 will be charged an administrative fee of $25. (No fee will be charged for registering for additional weeks and additional weeks are based on space availability).
 

Registration Fee ($125 one time fee)
+ Core Day cost per week
+ Morning Care cost per week (if applicable)
+ Afternoon Camp Care cost per week (if applicable)
+ Late Stay cost per week (if applicable)
+ Additional T-shirt ($10 each if applicable)
= TOTAL

 

Mon, March 30 2020 5 Nisan 5780