Camp Chaverim 2023- Day Trippers

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For children entering Kindergarten in 2023

Schedule: 5 days/week (Monday-Thursday) 9:00am-3pm; Fridays 9:00am-1pm

Regular Rate /Week: Members $975, Non-Members $1,050

CHILD INFORMATION:

* First Name

* Last Name

* Gender

* Birthday

* Mailing Address

* State

* Zip Code

New CamperReturning CamperSibling of Camper

Please list sibling(s) with date(s) of birth

Friend Requests: Please note that though every effort will be made to do so, we are not able to guarantee that all requests will be accommodated.

Given the short length of the program, please note camper groups will be created based on registration weeks to maximize consistency.

Friend Request #1

Friend Request #2

PARENT/GUARDIAN INFORMATION

* Adult 1 Name

* Email

* Phone number

Address (if different)

Adult 2 Name

Phone Number

Address (if different)

REGISTRATION AND PAYMENT

* Please register my child for:

*20% discount will be applied to Week 3.

I agree to pay a non-refundable deposit of $500 to Temple Israel Camp Chaverim (hereinafter referred to as “Camp”), upon filing this application. I agree to pay the balance due on or before April 28, 2023. If the Camp cannot accommodate registrant, all fees and deposits will be refunded. In the event this application is filed after April 28,2023 the entire amount is due with the application. All fees are non-refundable after April 28,2023. I acknowledge that the deadline to decrease the number of weeks for enrollment is April 28, 2023, and any changes after that date will not be refunded. I understand that no refund or adjustment will be made for absences, including but not limited to, illness or failure to provide a medical form. If the Camp finds it necessary to withdraw my child from Camp, I will be charged for the number of days and/or weeks attended. I agree to provide the Camp with a properly completed medical form, based on an exam performed less than one year prior to April 28,2023. as required by the City of New York, prior to my child attending Camp. I understand that each group has a minimum enrollment to run and should the minimum not be met, Camp will transfer my deposit to another group or refund it.

I hereby give my permission for my child to participate in all programs, activities and trips as part of the 2023 Camp Chaverim program. I hereby release Camp Chaverim, Temple Israel of the City of New York, or any of its sponsors, benefactors or employees from any liability arising out of any injury to my child. In the event of a medical or surgical emergency, I grant permission to Camp Chaverim to hospitalize secure proper treatment for and order injections, anesthesia or surgery for my child. Furthermore, I understand that payment for medical services is solely the family’s responsibility. I permit Camp Chaverim/Temple Israel of the City of New York to use my child’s photos or quotations for publicity purposes.

Thu, April 25 2024
17 Nisan 5784

After-School Enrichment

Our after-school enrichment programs are a great way to supplement your child’s school day in a safe and age-appropriate environment. There are a wide variety of choices each semester to cater to your child’s individual interests.

Challah Registration

There is no more perfect way to celebrate the end of the school week and the beginning of Shabbat than with a yummy, freshly baked challah. Whether your child is bringing home chocolate chip or whole wheat, you will always be prepared for Friday Night with leftovers for French toast on Saturday morning!

Pizza Registration

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Thu, April 25 2024 17 Nisan 5784