Summer Discovery 2019 Registration
A summary of the 2019 program, registration information, and 2019 fees information are available at http://ohrkodesh.org/early-childhood-center/forms-and-calendars, bottom of the page
Name of parent/guardian completing this form: *
Your answer
Email address *
Your answer
Name of child enrolling in Summer Discovery *
Your answer
Child's date of birth *
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Which of the following best describes your child's connection to the Ohr Kodesh ECC? (This question tells us which forms we already have on file.) *
To qualify for member program rates,* families must be OKC members in good standing during each session their child is attending. Families with membership status for the 2018-2019 period are eligible for the member program rate during session 1. Families with membership status for the 2019-2020 period are eligible for the member program rate during session 2 and session 3.

*Membership status will be verified with OKC administration. Any changes in status that differ from the choices indicated below may result in an adjustment in the fees owed.

Are you currently a member of Ohr Kodesh Congregation for the July 1, 2018 - June 30, 2019 membership period? *
Will you be a member of Ohr Kodesh Congregation for the July 1, 2019 - June 30, 2020 membership period? (If unsure, choose "no." Fees can be adjusted as needed in the future.) *
Core Program 9:15 am - 1:00 pm
Families may enroll their child for any one, any two or all three sessions. Individual weeks may not be prorated. Children at least age 2 years and up to age 3 years 6 months by June 1, 2018, may be enrolled to attend three days each week on Mondays, Wednesdays, and Fridays. Children at least age 2 years and 6 months and up to age 3 years 6 months by June 1, 2018, may also be enrolled to attend five days each week. All children at least age 3 years 6 months through age 5 years by June 1, 2018, must be enrolled to attend five days each week.
Summer Discovery core program fees are available on our website at http://ohrkodesh.org/sites/default/files/2018_summer_discovery_registration_fees.pdf
Please select your enrollment choices from the list below. *
Required
Early Drop-off, 7:30 am - 9:15 am
All children may be enrolled for weekly Early Drop-off, one to five mornings per week, per session or for the duration of the summer program in order to guarantee their child a space. Early Drop-off is between 7:30am and 9:00am. After 9:00am, families are expected to wait until class starts at 9:15am.

Note: Early Drop-off is available on a drop-in basis with 24-hour advance sign-up and depending on if space allows.
Click here for Early Drop-off program fees.

Please select the days you would like your child to enroll in early drop-off.
Monday
Tuesday
Wednesday
Thursday
Friday
Session 1, June 11– June 28
Session 2, July 1 – July 19
Session 3, July 22 – August 9
Enrichment Activities, 1:00 pm - 2:30 pm
Children ages 4 or 5 years may be enrolled for a weekly Enrichment Activity, one to five afternoons per week, per session or for the duration of the summer program. Enrichment extends the day to a 2:30pm pick-up. Enrichment Activities options may also be signed up for on a drop-in basis with 24-hour advance sign-up and depending on if space allows. Space is limited, but the maximum group size depends on the enrichment.

Specifics about the Enrichment Activities available this summer and registration instructions will be announced in late spring. Click here for Enrichment Activities program fees.

Please select each statement and affix your electronic signature at the bottom of this document to acknowledge you have read and consent as indicated.
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I authorize school officials, in case of emergency, to request that the Rescue Squad transport my child to the nearest medical facility for treatment. *
I give permission for my child to accompany the class on walking field trips near the school. *
I give permission for staff to re-apply a non-prescription over-the-counter sunscreen after the initial outside playtime. I will administer the first application of the day before school. I will provide non-expired commercial sunscreen in its original container, labeled with my child’s name. This authorization is effective for one year after the signature date on the bottom of this form. *
Please enter the name of the product you will supply for us to use.
Your answer
I authorize the use of the image of my child as marked by my selection below. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the OKECC website. I understand that my child’s last name will not be used in conjunction with any video or digital images. *
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Electronic signature *
Your answer
Signature date *
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