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Camp 2022
Monday, June 13, 2022
•
14 Sivan 5782
All Day for 39 Days
Etz Chaim Synagogue
Register
DATES
1st SESSION: JUNE 13 - JULY 1 (3 WEEKS)
2nd SESSION: JULY 5 - JULY 22 (3 WEEKS)
TIMES
9am - 3pm
PRICES
MEMBERS: $499 PER CHILD PER SESSION
NON-MEMBERS: $567 PER CHILD PER SESSION
A $25 REGISTRATION FEE IS REQUIRED FOR ALL CAMPERS
DEADLINE FOR SIGNING UP IS
MAY 13, 2022
PAYMENT MUST BE PAID IN FULL BY THE DEADLINE
CLICK HERE
TO DOWNLOAD THE REGISTRATION FORM
IF YOU WOULD LIKE TO EMAIL IT OR BRING IT TO THE OFFICE.
*
Email address
*
Child's Full Name
*
Current Grade
*
Date of Birth
*
Father's Name
*
Father's Daytime Phone Number
*
Father's Email Address
*
Mother's Name
*
Mother's Daytime Phone Number
*
Mother's Email Address
*
Emergency Contact
For your child's safety, please include name, address, and all phone numbers of someone other than a parent in case of an emergency.
*
Child's Physician In Case Of Emergency (Name And Phone Number)
*
Please List Any Known Allergies
Please include any helpful information for dealing with potential hazards and reactions
*
Child's T-shirt Size
Please Select One
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
MEMBERS ONLY: Number of Sessions
0
1
2
NON-MEMBERS: Number of Sessions
0
1
2
*
REGISTRATION FEE OF $50 PER CHILD
REGISTRATION FEE OF $50 PER CHILD
Total Amount Due
*
Signature:
Submitting parent's/guardian's name below constitutes a binding digital signature.
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Mon, May 16 2022 15 Iyyar 5782
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