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A Historic Progressive Conservative Congregation in Valley Village, CA
A Dynamic Jewish Early Childhood Center Serving Children Ages 6 Weeks to Entering Pre-K
A Jewish Day School serving students in Grades TK-6
A Historic Progressive Conservative Congregation in Valley Village, CA

Adat+ Aftercare Registration 2023-24

Thank you so much for choosing Adat+ Afterschool Program!  

The program will begin on August 21, 2023.

PRICING FOR AFTER SCHOOL CARE (no enrichment)
These prices are per month (August - May) and include Wednesdays starting at 12:30pm.

The payment at the end of this form is for the tuition for the first month. For partial and reduced price please reach out to your school to get a letter of approval. 
  • $425 monthly rate
We do not offer refunds or price-reductions for days missed.

**LATE PICK UP POLICY**
Adat+ closes at 6:00 pm, Monday through Friday. Failure to pick up your child by 6:00 pm will result in a charge of $15 for any pick up from 6:01 pm to 6:15 pm and $5 per minute thereafter. You must call the Adat+ phone at 818-766-9426x200 if you are unable to pick your child up on time. Late charges will automatically be deducted from your credit card on file. 

For a comprehensive list of our Frequently Asked Questions, please click here

If you have any questions at all about the Adat+ Aftercare, please don't hesitate to reach out.

We are looking forward to another awesome year together!

REGISTRATION INFORMATION / INFORMACIÓN DE REGISTRO
Please provide the following information about your student. 
Proporcione la siguiente información sobre su estudiante.

Please provide the following parent/guardian information for your student.
Proporcione la siguiente información del padre/tutor de su estudiante.


Please note that pursuant to SB 277, all Adat+ students are required to have received age-appropriate immunizations to attend our programs.
Please provide us with information regarding your student's medical information (if none, please write none).

Tenga en cuenta que, de conformidad con la SB 277, todos los estudiantes de Adat+ deben haber recibido las vacunas correspondientes a su edad para asistir a nuestros programas.
Por favor, proporciónenos información sobre la información médica de su estudiante (si no tiene, escriba ninguna).
If your child needs to have medications in our office, such as an Epi-Pen, you will need to bring it to us with the full prescription information and the name and contact number of the prescribing physician.

Si su hijo necesita medicamentos en nuestro consultorio, como un Epi-Pen, deberá traérnoslos con la información completa de la receta y el nombre y número de contacto del médico que lo recetó.

Please provide us with information regarding your student's individual learning needs.

Por favor, proporciónenos información sobre las necesidades individuales de aprendizaje de su estudiante.
Please bring or send in additional documentation or information or the name and contact information of any specialist with whom your student/family may work. 

Traiga o envíe documentación o información adicional o el nombre y la información de contacto de cualquier especialista con quien su estudiante/familia pueda trabajar.

PAYMENT & SIGNATURE 

By signing below, you are enrolling your child in Adat+ starting on August 21, 2023 and you acknowledge that...
  • We do not offer refunds on days missed of after care or classes missed of enrichment. 
  • Tuition will be paid monthly (August - May) using a credit card kept on file. 
  • You have read and agree to the Late Pick Up Policy.
  • Enrollment for the 2023-24 school year is not complete without the submission of this form and the 1st month's payment received. This payment is non-refundable. 
PAGO Y FIRMA

Al firmar a continuación, inscribe a su hijo en Adat+ del 21 del agosto de 2023 y reconoce que...
  • No ofrecemos reembolsos por días perdidos de cuidado posterior o clases perdidas de enriquecimiento.
  • La matrícula se pagará mensualmente (agosto a mayo) utilizando una tarjeta de crédito registrada.
  • Ha leído y está de acuerdo con la Política de recogida tardía.
  • La inscripción para el año escolar 2023-24 no está completa sin la presentación de este formulario y el pago del primer mes recibido. Este pago no es reembolsable.

*In order to qualify for reduced or partial rate, you must submit a letter from your school stating that you qualify for these rates. If you qualify for reduced lunch you may qualify for the reduced rate. If you qualify for free lunch you may qualify for partial rate.  Please contact your school office if you have any questions.

*Para calificar para tarifas reducidas o parciales, debe enviar una carta de su escuela que indique que califica para estas tarifas. Comuníquese con la oficina de su escuela si tiene alguna pregunta al respecto.
Enrollment is not complete without submitting this form.  Please save your credit card on file.

La inscripción no está completa sin enviar este formulario. Por favor guarde su tarjeta de credito en el archivo.
Thu, May 2 2024 24 Nisan 5784