Yeladim Summer Camp Registration

Please submit all the info below to register your child.
If you are registering more than one child, please complete a separate submission for each child.

Current students: please log in to access existing information from our system.

CAMP DATES:
Full Summer Session: Tuesday June 18 - Thursday August 1
Session 1: Tuesday June 18 - Friday July 12
Session 2: Monday July 15 - Thursday August 1

CAMP AGES:
Toddlers (age 15 months by May 1st, 2024) - PK4/Entering Kindergarten (age 5 by September 1st, 2024)

CAMP HOURS:
Monday-Thursday 9:00am - 3:30pm
Friday 9:00am - 2:15pm
Toddler & PK2 classes half-day option: Monday-Friday 9:00am - 12:30pm

REGISTRATION:
$75 per camper, non-refundable. If you are registering per week, $50 non refundable
Early registration discount until March 8: $30 full summer session. Weekly rate, $20.
We cannot accept your application until we receive your registration fee (submitted below).
If we are unable to accept your child, we will return your payment.

FOOD:
Breakfast and snacks provided. Lunch available for purchase.

PARENT INFORMATION

* Marital Status

PARENT 1:

* First name

* Last name

* Cell

* Email

PARENT 2:

* First name

* Last name

* Cell

* Email

HOME ADDRESS:

* Address

Apt

* City

* State

* ZIP

CHILD INFORMATION

* First name

Middle name

* Last name

Jewish name

* Age

* DOB

* Gender

* School Currently Attending

Allergies or Medical Concerns

* Are both parents Jewish?

If answer is no, please explain

* Any conversions in the family?

If answer is yes, please explain

* Does child live with both parents?

If answer is no, please explain

* Was child adopted?

If answer is yes, please explain

* Are you members of a Synagogue?

If answer is yes, which one?

* Does your child require any special services?

Any additional comments?

EMERGENCY INFORMATION

* Emergency Contact Name

* Relationship

* Cell

* Pediatrician Name

* Phone

Insurance

Policy #

REGISTRATION

SELECT WHICH TRACK:

Registration total

SELECT WHICH CLASS CHILD IS ENTERING:

Full Day (9:00am-3:30pm)Half Day (9:00am-12:30pm)

SELECT WHICH EXTENDED DAY OPTIONS:

POLICIES & REGISTRATION

TUITION: I understand that in order for my child to attend camp that I must be paid in full before their first day.PAYMENTS: I understand there is a 3% fee for credit card payments, and a $35 fee will be charged for all returned checks.CARPOOL & CAMPER RELEASE: Morning carpool runs from 8:55-9:15am and afternoon carpool from 3:15-3:30pm. If you arrive at any other time, you must park and escort your child to/from the office or classroom.PERSONAL PROPERTY: Yeladim Camp is not responsible for any stolen or lost items brought to camp.SICK/MISSED DAYS: No refunds will be given for any withdrawals and/or incomplete attendance regardless of the reason.MEDIA: Yeladim Camp is hereby granted permission to use any photo or video showing your child/ren involved in camp activities.EMERGENCIES: If an emergency arises (G-d forbid) and none of the above numbers can be contacted, I hereby give Yeladim Camp permission to take whatever measure it feels proper and necessary considering circumstances.REGISTRATION: I understand all the abovementioned information, and agree to pay now the registration fee.

* Signature

Enter your full name

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