Yeladim Summer Camp Registration

YELADIM SUMMER CAMP REGISTRATION 2024
Current students, please log in to access existing information from our system.

If you are registering more than one child, please complete a separate submission for each child.

Camp Dates:
Tuesday June 18 - Thursday August 1

Camp Ages:
Toddlers (age 18 months by September 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
We cannot accept your application until we receive your registration fee of $75 (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?

REGISTRATION

Please select which track you are applying for, and confirm your registration fee below:

I am applying my child for session(s):

Full Summer (June 18 - August 1)Session 1 (June 18 - July 12)Session 2 (July 15 - August 1)

For Toddlers & PK2:

Full dayHalf day

Select the following for Full Summer option only:

Morning CareAfternoon CareBoth

EMERGENCY INFORMATION

* Emergency Contact Name

* Cell

* Relationship

* Pediatrician Name

* Phone

Insurance

Policy #

POLICIES & REGISTRATION

TUITION: I understand that for my child to attend camp, I must have paid in full before my child beginsPAYMENTS: 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 campSICK/MISSED DAYS: No refunds will be given for any withdrawals and/or incomplete attendance regardless of the reasonMEDIA: Yeladim Camp is hereby granted permission to use any photo or video showing your child/ren involved in camp activitiesEMERGENCIES: 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 $75 registration fee

* Signature

Enter your full name

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