Club Sinai Enrollment 2023-2024 - Form

We're so excited to welcome you to Club Sinai where after school is cool. Please complete the following form to enroll your child for the 2023-2024 school year.

If you are a returning family, please make sure you are logged in to the Temple Sinai website before completing this form. Click the Login button on the top right of this page. If you don't remember your password, go to https://www.tsnd.org/login.php, enter your email address and click on "Forgot password." You will receive an email with a link to create your new password. Once you have created your new password, please save your login information securely.

CHILD INFORMATION

* Family Name

* Child's Name

* Child's Gender

* Birthday

* Child's School

* Grade entering in Fall 2023

PARENT INFORMATION

* Parent 1 First Name

* Parent 1 Last Name

* Parent 1 Email

* Parent 1 Cell Phone

* Parent 1 Address

* Parent 1 City

* Parent 1 Zip

Parent 1 Occupation

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Cell Phone

Parent 2 Address (if different)

Parent 2 City (if different)

Parent 2 Zip (if different)

Parent 2 Occupation

PROGRAM & TUITION

Club Sinai is full-service. That means there aren't separate charges for transportation, homework help, activities, or healthy snacks. Partnership in Temple Sinai is not required but we would love to welcome you. If you do decide to join our temple family you will receive a generous discount on your Club Sinai rates.

2 days/week - $5,200 (Partner Rate $4,420) (Gan Kindergarten Rate $3640)
3 days/week - $5,600 (Partner Rate $4,760) (Gan Kindergarten Rate $3920)
4 days/week - $6,200 (Partner Rate $5,270) (Gan Kindergarten Rate $4340)
5 days/week - $6,600 (Partner Rate $5,610) (Gan Kindergarten Rate $4620)

We are proud to offer a sibling discount of 5% of the oldest child’s annual tuition to families with two or more children. This discount will be applied by our office after enrollment.

There is also a 3% discount if you pay your full tuition in one payment upon enrollment.

Suggested Annual Giving Campaign Donation
Temple Sinai’s Annual Giving Campaign helps fill the gap between income from Partnership Commitment, fees, tuition, donations, and the actual cost of running the synagogue’s programs, including Gan Sinai.

* How many days/week will your child be joining us at Club Sinai?

* Discounted rates

PAYMENT OPTIONS

You can make one payment in full and receive a 3% discount or spread your payments out over the year. Full payment must be received by May 30, 2024. We accept payments by e-check, credit card or cash. Please complete either the e-check or credit card information below for your tuition payments. Please note, credit card payments will incur a convenience fee of 2.5%.

You will pay your deposit on the next page.

* Payment Options

Please Select OneOne payment in full upon registration – SAVE 3% (discount applied after submission)2 automatic withdrawal from checking or savings account or credit card (August and December). Please note Credit card payments will have a convenience fee of 2.5%.Monthly payments – automatic withdrawal from checking or savings account or credit card (monthly from August through May). Please note Credit card payments will have a convenience fee of 2.5%.

E-check routing number

E-check account number

Credit Cardholder Name

Billing Address

Billing City

Billing Zip

Credit Card Number

Credit Card Expiration Date

Credit Card Security Code

Automatic Withdrawl Date

5th of each month (August-May)20th of each month (August-May)If you are opting for 10 payments, please indicate on which day of each month you would like your automatic payments processed.

If your child participates in JCC activities, please let us know what time that activity is as we may be able to take them directly there for you.

Start time of JCC Activity

Please check each box below indicating your agreement.

* Permission to Debit/Charge

Permission to Debit/ChargeI/We agree to pay all tuition and fees charged to our bank account using e-check or our credit card using the information provided on this form.

* No Refund Policy

No Refund PolicyI/We understand and accept that Temple Sinai of North Dade Inc. DOES NOT REFUND REGISTRATION FEES, DEPOSITS, TUITION FEES, OR ANY OTHER PAYMENTS TO THE SCHOOL, if we decide to remove our child(ren) from the program after registration, except in the following circumstances: Where the school has counseled us to withdraw our child; where we had hoped to move to the area but are no longer able to do so; or where we are moving away from the area for a job or to make aliyah. Refunds will be issued if there is insufficient class enrollment.

* Payment Acknowledgement

Payment AcknowledgementIt is agreed that payments of all tuition and fees will be received on time. It is understood that Temple Sinai of North Dade Inc. has the right and responsibility to make every effort to assure the on-time collection of all outstanding balances due and may, in cases of non-compliance, elect to terminate the relationship. I/We agree to pay all costs of collection, including reasonable attorney’s fees, in the event that any payment hereunder is not timely made and it becomes necessary to utilize the services of an attorney, whether the matter be brought to arbitration or not.

* Name, Photograph, Information

Name, Photograph, Information

I/We agree to allow my child’s name, photograph, and information to be used by Temple Sinai in it’s publications, videos, promotional materials and website, without compensation and without prior notice. I release and hold Temple Sinai harmless from any liability stemming from the use of my child’s name, photograph, or information. (IMPORTANT: CHILDREN'S NAMES ARE NEVER POSTED ALONG WITH THEIR IMAGE.)

* Records

Records

I/We hereby consent and hold Temple Sinai harmless for the release of my child’s records and information upon request by an educational institution or law enforcement agency. I also release and hold Temple Sinai harmless from any liability stemming from the use, disclosure or release of my child’s records or information.

* Binding Arbitration and Prevailing Party Status

Binding Arbitration and Prevailing Party StatusBinding Arbitration and Prevailing Party Status: We believe that arbitration is the most appropriate way to resolve any dispute that may arise between Temple Sinai of North Dade, Inc. and you. By submitting this application, you and Temple Sinai agree that any and all disputes arising out of or related to your child's enrollment in Temple Sinai, or to any other aspect of the relationship between you and/or your child, on the one hand, and Temple Sinai or any of its employees, on the other, shall be heard and determined exclusively by final and binding arbitration before a single arbitrator under the Commercial Arbitration Rules of the American Arbitration Association, in Miami-Dade County, Florida and judgment upon the arbitration award may be entered in any court of competent jurisdiction. The substantive laws of Florida shall be applied in resolving any such dispute. Agreeing to final and binding arbitration means forgoing many elements of litigation in court, most notably detailed discovery, trial by jury, and the right to appeal. Temple Sinai believes that the advantages of relative speed and economy, and of confidentiality, outweigh any disadvantages. Should you have any questions regarding this choice of process, we recommend that you consult with counsel prior to submitting this application. The prevailing party in the arbitration proceeding shall be awarded all costs and reasonable attorney's fees in an amount determined by the arbitrator. Such an award shall include the costs and reasonable attorney's fees incurred in the arbitration proceeding as well as the costs and reasonable attorney's fees incurred in preparing for and attending any scheduled mediation.