Gesher Enrollment Packet 2025

Student Information

* Child's Name:

Format: First Last

Child's Nickname, if applicable:

Format: First Last

* Child's Birth date:

* Child's School

* Child's Grade (2025-2026)

Parent/Guardian Information

* Is your family a current member of Temple Beth Tikvah?

Please Select OneYes, we are current membersNo, we are NOT current members

* Select One or Two Parents/Guardians for your Child:

Please Select OneOne Parent/GuardianTwo Parents/Guardians

* Do you have more than one addresses for listed Parents/Guardians?

Please Select OneNo, same addressYes, two separate addresses

* First Name (1):

* Last Name (1):

* Mobile (1):

This is a confirmation email address.

* Street Address (1):

* State (1):

* Zipcode (1):

First Name (2):

Last Name (2):

Mobile (2):

This is a confirmation email address.

Street Address (2):

State (2):

Zipcode (2):

* Do you have additional children enrolled in ECLC or Gesher Afterschool Programs?

Please Select OneYesNo

Name(s) of additional children enrolled:

* Were you referred to Gesher by a current ECLC/Gesher/TBT Family?

Please Select OneYesNo

Name of family that referred you to our program:

Student Schedule Information

* Desired Start Date:

Select you desired schedule option:

Enrollment Agreement

Please Initial at each section.

* The Gesher Afterschool Enrichment Program has provided a calendar showing dates of closures and early dismissals. Gesher programs will observe closures in accordance with the attached school year calendar. There is NO reduction of fees for vacation and no make up days for illness or vacation. No refunds, credits, or make up days are allowed for absences or vacations.

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* In order for children to participate in the afterschool program, they must meet all health standards according to the State of California and the Gesher Program. If your child has a communicable disease or is not able to fully participate in the school day due to illness, your child will not be allowed to attend school for the duration of the illness and until 24 hours symptom free have passed.

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* To mitigate the spread of COVID 19, we ask that all families to notify Gesher immediately if any family member is required to quarantine, or has become ill with COVID-19 or with symptoms similar to COVID-19, or has been exposed to someone diagnosed with COVID-19.

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* Children’s temperatures may be checked each day. Any child with a fever of 100.4 or higher, coughing, or otherwise exhibiting symptoms of illness will be sent home and cannot return until they are 24 hours without a fever or symptoms of illness (unaided by medication).

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* The decision to send a child home or not permit a child to attend school will be made by the administration at the Gesher program.

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* State law requires a signature to release children at the beginning and at the end of each day of attendance. You will be assessed a charge of $15 per incident for neglecting to sign in or out. This fee will be added to your tuition statement.

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* If you need to change your child's schedule, you must submit a Schedule Change Request form 30 days in advance. Payment arrangements for an increase in your child's schedule must be made at the time the change is approved. Schedule changes are granted if space is available.

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* In order to fully enroll in the Gesher Afterschool Enrichment program, payment must accompany this form. Enrollment is not complete and your child may not attend until initial payment fees have been received.

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* After application materials have been submitted, withdrawal from the preschool requires 30 days advance written notice by submitted a Student Withdrawal form. The month in which the child leaves the school must be fully paid.

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* We make every effort to work with all children and families enrolled in our program. Circumstances may occur that bring the school to the conclusion that it cannot meet or provide for the needs of the child and/or family. In this case the school reserves the right to ask you to seek a more appropriate alternative if it is determined by the school, in its sole discretion, that it is in the best interest of the child and the school.

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* All disputes that may arise out of this relationship, including but not limited to whether based on tort, contract, statute, equitable law or otherwise, shall be submitted to binding arbitration.

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* Other charges: $350 fee for security, registration and emergency kit fee is paid for each school year.

Other charges: $350 fee for security, registration and emergency kit fee is paid for each school year.By checking this box you confirm agreement to payment.

* Other charges: $150 Emergency kit and Registration fee is paid for each school year.

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* By signing below, I agree to abide by the policies of the Gesher Afterschool Enrichment Program and keep my account current and in good standing. I also agree to the terms and conditions as indicated above.

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Tuition Agreement

Please initial in each section.

* Monthly charges, such as tuition are billed in advance for the coming month, with payment due on the 1st of the month.

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* Additional charges may be incurred at any time. Examples include but are not limited to late pickup fees, extra day fees, and late payment fees.

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* All such additional charges are payable on the 1st of the next month, unless they occur so late that the next month’s statement has already been sent. Statements are typically sent on the 25th of each month. (For example, a late pickup fee for September 22 will be due on October 1; the same fee for September 28, after the October statement was sent, will be due on November 1.)

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* A late fee of $25.00 will be charged in each month that the current balance is not paid in full by the 10th of the month. For families with multiple children in the program, a late fee will be added for each child with overdue charges.

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* Temple Beth Tikvah reserves the right to refuse admission to any student in the event that overdue charges are not paid in full by the 15th of the month, or if payments are repeatedly late. Every effort will be made to contact the parents and try to resolve the situation before such action is taken.

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* I acknowledge receipt of this policy and agree to abide by the updated policy as a condition of my child’s continued enrollment in the Temple Beth Tikvah Gesher Afterschool Enrichment Program.

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Payment Process

Your total deposit for the Gesher Afterschool Program is below. Click "Submit" to processed to the payment page and process your deposit and as well as save your preferred payment method for your future automatic monthly payments. You will have the option to set-up an ACH or credit card.

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