2025-26 Gesher at TKAE - Form - Temple Kol Ami Emanu-El

We're so excited to welcome you to TKAE’s Gesher! Please complete the following form to enroll your child for the 2025-2026 school year.

If you are a returning family, please make sure you are logged in to the Temple Kol Ami Emanu-El 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://templekolamiemanuel.shulcloud.com/member, 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.

How many children are being registered?

CHILD 1 INFORMATION

* Child's First Name

* Child's Last Name

Child's Gender

Please Select OneMaleFemale

* Child's Birthdate

* Child's School

* 3 Days or 5 Days a Week

Please Select One3 Days5 Days

* Will your child need Bus Transportation

Please Select OneYesNo

CHILD 2 INFORMATION

* Child 2 First Name

* Child 2 Last Name

Child 2 Gender

Please Select OneMaleFemale

* Child 2 Birthdate

* Child 2 School

* 3 Days or 5 Days a Week

Please Select One3 Days5 Days

* Will Your Child Need Bus Transportation

Please Select OneYesNo

CHILD 3 INFORMATION

* Child 3 First Name

* Child 3 Last Name

Child 3 Gender

Please Select OneMaleFemale

* Child 3 Birthdate

* Child 3 School

* 3 Days or 5 Days a Week

Please Select One3 Days5 Days

* Will Your Child Need Bus Transportation

Please Select OneYesNo

PARENT 1 INFORMATION

* Parent 1 - First Name

* Parent 1 - Last Name

* Parent 1 - Birthdate

* Parent 1 - Email Address

* Parent 1 - Mobile Phone

* Parent 1 - Address

* Parent 1 - City

* Parent 1 - Zip Code

* Parent 1 - Occupation

* Is there a second parent?

PARENT 2 INFORMATION

* Parent 2 - First Name

* Parent 2 - Last Name

Parent 2 - Birthdate

* Parent 2 - Email Address

* Parent 2 - Mobile Phone

Parent 2 - Address (if different)

Parent 2 - City (if different)

Parent 2 - Zip Code (if different)

* Parent 2 - Occupation

PROGRAM & TUITION

TKAE’s Gesher is a 3 and 5 day a week after school program. The program runs Monday through Thursday 2:30pm to 4pm and Friday 2:30pm to 3:30pm.

We are proud to offer a sibling discount of 5% off one 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 2% discount if you pay your full tuition in one payment upon enrollment.

MEMBERSHIP STATUS

I/We are:

Please Select OneMember(s) of Temple Kol Ami Emanu-ElBecoming a member of Temple Kol Ami Emanu-El

PAYMENT OPTIONS

You can make one payment in full and receive a 2% discount or spread your payments out over the year. Full payment must be received by May 30, 2026. 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.

You will pay your deposit on the next page.

Please select ONE payment option:

Please Select OneONE (1) payment now for all Temple obligations, including tuition, dues, building fund, security fee, etc. If payment is made in full there is a 2% discount and no administrative fee.Ten (10) equal monthly payments for all my fees, for all Temple obligations, including tuition, dues, building fund, security fee, etc. If paying by credit card this will automatically be charged on the 1st of the month. (August 2024 – May 2025)Twelve (12) equal monthly payments for all my fees, for all Temple obligations, including tuition, dues, building fund, security fee, etc. If paying by credit card this will automatically be charged on the 1st of the month. (Jun 2024 – May 2025)

In the event that my cash/check is not received by the 10th of the month in which it is due, a charge will be processed on my credit card in the amount of the payment due.
I hereby apply for admission for my child(ren) to the Gesher Program of Kol Ami Emanu-El in accordance with the established non-refundable tuition schedule, and in accordance with the procedure set forth by the Education Committee & Temple Board for the administration of Religious School. I acknowledge that in order for my child to attend TKAE’s Gesher Program, I must be a member in good standing of the Temple.

PERMISSIONS & POLICIES

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 Kol Ami Emanu-El 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. 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 Kol Ami Emanu-El 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.

Permission and Waiver

Permission and WaiverI grant permission for my child to participate in any and all field trips arranged or conducted by Temple Kol Ami Emanu-El, a not-for-profit Florida corporation (“Temple Kol Ami Emanu-El”) and/or arranged or conducted by any of the groups associated with or affiliated with Temple Kol Ami Emanu-El. I further authorize Temple Kol Ami Emanu-El to act as my agent to, and I hereby grant permission for Temple Kol Ami Emanu-El to obtain emergency treatment for my Child in any event where it may not be possible for Temple Kol Ami Emanu-El to contact me in sufficient time to receive permission for such emergency treatment. All of which may be incurred by reason of such emergency treatment performed for my Child shall be my responsibility. I further agree to release Temple Kol Ami Emanu-El (and all groups and entities associated or affiliated with Temple Kol Ami Emanu-El) from any and all liabilities, actions, damages, causes of action, fees, costs or expenses which may be incurred or suffered by my child during any field trip activities arranged or sponsored by Temple Kol Ami Emanu-El and/or by any groups and/or entities affiliated with Temple Kol Ami Emanu-El.

Name, Photograph, Information

Name, Photograph, InformationI/We agree to allow my child’s name, photograph, and information to be used by Temple Kol Ami Emanu-El in its publications, videos, promotional materials and website, without compensation and without prior notice. I release and hold Temple Kol Ami Emanu-El 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.)

Late Pick-Up

Late Pick-UpI/We understand that Gesher ends at 4PM. If my/our child is not picked up by 4:15PM, I/we will be charged $25.00 for a Late Pick-Up fee.

Records

RecordsI/We hereby consent and hold Temple Kol Ami Emanu-El 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 Kol Ami Emanu-El 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 Kol Ami Emanu-El and you. By submitting this application, you and Temple Kol Ami Emanu-El agree that any and all disputes arising out of or related to your child's enrollment in Temple Kol Ami Emanu-El, or to any other aspect of the relationship between you and/or your child, on the one hand, and Temple Kol Ami Emanu-El 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 Kol Ami Emanu-El 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.

Total Registration Fee Due Now

Please click the Submit button below to make your payment arrangements.