Yeladim Summer Camp Registration

YELADIM SUMMER CAMP REGISTRATION 2023

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

Camp Dates:
Monday June 19 - Thursday August 3

Camp Ages:
Toddlers (age 18 months by September 1st, 2023) - PK4 (age 4 by September 1st, 2023)

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:
$150 per camper, non-refundable
We cannot process your application until we receive your registration fee of $150 (submitted below). If we are unable to accept your child, we will return your payment.

Tuition:
Full day:
Full Summer $2,200
Session 1 (June 19 - July 11) $1200
Session 2 (July 12 - August 3) $1200

Half day (Option for Toddler/PK2 only):
Full Summer $1900
Session 1 (June 19 - July 11) $1050
Session 2 (July 12 - August 3) $1050

Morning Care:
8:30-9:00am
$35/weekly or $200/Full Summer

After Care:
3:30-5:00pm
$60/week or $300/Full Summer

Food:
Breakfast, Lunch and Snacks provided

Payment Methods:
Check: Made out to BDHLS Yeladim
CC: A 3% processing fee will be charged

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:

Full Summer (June 19 - August 3)Session 1 (June 19 - July 11)Session 2 (July 12 - August 3)

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 I must be paid in full by May 19 to ensure my child's place in campPAYMENTS: 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 $150 registration fee

* Signature

Enter your full name

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