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Registration 2017

Registration 2017

 

KINDERCAMP REGISTRATION IS NOW OPEN!

 

KinderCamp CAMPER Registration Form

KinderCamp COUNCELOR Registration Form

 

To register online - fill out the form below! Easy as 1,2,3

Child Information

First Name

 

Hebrew Name:

Middle:   Gender: F M

Last Name

 

Birthdate:
(MM/DD/YYYY)

Address   City, State, Zip
      Home Phone:

Are there any allergies or medical conditions we should be aware of? If yes, please explain:

Mother's Information

First Name

 

Hebrew Name

Last Name

 

Email

Address   City, State, Zip
Home Phone (if different from above)   Cell Phone
Father's Information
First Name
  Hebrew Name
Last Name:   Email
Address   City, State, Zip
Home Phone (if different from above)   Cell Phone
 
In case of emergency

Name of local relative or friend (not living at same address)

 

Relationship to child

Home Phone

 

Cell Phone

 


Please include anything else we should know to give your child a happy, healthy camp experience. Attach a separate sheet of paper, if necessary. If an emergency arises and none of the above numbers can be contacted, I give KinderCamp permission to take whatever measure it feels proper and necessary considering the circumstances. I give KinderCamp permission to take my child on supervised outings and trips.

Parent/Guardian signature (Please type name):

Date:

Please send in a copy of your child's updated immunization records-Torah Tots children included. Forms will not be processed without immunization forms.

Tuition Information

Please check appropriate boxes

SESSION 1: Tues. July 4 – Fri. July 28 
SESSION 2: Mon. July 31 – Wed. Aug 23

There will be no camp on Monday, August 7, 2016 – Civic Holiday

Tiny Tots (Age 18 mos. - 3 yrs ) 9:00 am – 1:00 pm

July 4 – July 28     $800.00            $750.00*

July 31– Aug. 23    $800.00            $750.00*

Entire Summer      $1450.00          $1300.00*

Extended Program from 1:00 pm - 3:30 pm.          $200.00 per session

Tots & Big Tots (Age 3 ½ - 6 yrs) 9:00 am – 3:30 pm

July 4 – July 28     $1000.00         $950.00*

July 31 – Aug. 23    $1000.00         $950.00*

Entire Summer      $1850.00         $1700.00*

MY CHILD IS 3 ½ + AND I AM INTERESTED IN SIGNING HIM/HER UP FOR SWIM LESSONS.

* Early Bird Special Pricing - Must Book By March 1st 

 
Payment Information
CC Type   Card Number
Name on the Card      
Total Amount   Exp Date
   

 

We are looking forward to a great summer!

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