Register

Camp Fees Registration for 2020
Tues. June 23, 2020 - Thurs. August 13, 2020 *
Ages 18 months - 4 years
includes hot lunches and snack!

Full Day camp Program (9:15-2:30 m-f):$2,495
or $375 per week

Half Day camp Program (9:15-12:30 m-f):$2,100
or $300 per week

Payment in full is due May 1, 2020.
Payments received after May 1 will be charged an additional $100 administrative fee

* closed on July 4-5

ALL FAMILIES ARE WELCOME!


Child's Information
Child's First Name:
Child's Jewish Name:
Child's Last Name:
Gender:
Date of Birth *mm/dd/yyyy
Home Phone Number:
Street Address
City
State
Zip Code
Your Email

I would like to register my child for:
Days & Fees:
Full day - Full Summer (9:15-2:30): $2,495
Full day - Weekly (9:15-2:30): $375 per week
Half day - Full Summer (9:15-12:30): $2,100
Half day - Weekly (9:15-12:30): $300 per week

General Information
Known Food Allergies - Please list all food allergies.
What is your current synagogue affiliation?
Have been there any adoptions or conversions in the family? Please explain.
Does your child have siblings? Please list all siblings, their age and school they attend.
What is your child's previous school, group or camp experience (if any)?
Does your child receive any special services? i.e.: Speech, OT, PT, SEIT, etc. Please be specific.
Are there any special circumstances which we should know?

Parent's Information
Father
First Name:
Last Name:
Email:
Occupation:
Business Phone:
Cell Phone:
Mother
First Name:
Last Name:
Email:
Occupation:
Business Phone:
Cell Phone:
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