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

CAMP DATES:
Full Summer Session: Tuesday, June 17 - Friday, August 1
Session 1: Tuesday, June 17 - Friday, July 11
Session 2: Monday, July 14 - Friday, August 1

CAMP AGES:
Toddlers (age 15 months by May 1st, 2025) - PK4/Entering Kindergarten (age 5 by September 1st, 2025)

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 13: $40 full summer session. Weekly rate, $25.
• 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.

EARLY-BIRD TUITION DISCOUNT:
Tuition discounts are available only when your balance has been paid in full by May 1st. Otherwise, you will be charged the full tuition.

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

FAMILY INFORMATION

* 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:

SELECT WHICH CLASS:

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

SELECT WHICH EXTENDED DAY OPTIONS:

Registration total

EARLY-BIRD TUITION DISCOUNT:

To receive the tuition discount, please click box below

I agree for my card to be charged my full invoice balance on May 1st to receive the tuition discount.

POLICIES & REGISTRATION

* Signature

Enter your full name

A registration fee will be charged when you submit this form. This fee is non refundable and will not be deducted from your summer camp tuition total.

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