JFX Summer Camp - Form - Jewish Family Experience

* Number of children registering

Camper 1 General Information

* Child's full name

* Date of birth

* Age

* Allergies

ATTENDANCE. What weeks would you like this child to attend

Week 1- August 4-8Week 2-August 11-15

LUNCH CHOICE. Choose the week(s) you would like your child to receive lunches

Week 1-August 4-8Week 2-August 11-15

Camper 2 General Information

Child's full name

Date of birth

Age

Allergies

ATTENDANCE. What weeks would you like this child to attend

Week 1-August 4-8Week 3-August 11-15

LUNCH CHOICE. Choose the week(s) you would like this child to receive lunches

Week 1-August 4-8Week 2-August 11-15

Camper 3 General Information

Child's full name

Date of birth

Age

Allergies

ATTENDANCE. What weeks would you like this child to attend

Week 1-August4-8Week 2-August11-15

LUNCH CHOICE. Choose the week(s) you would like this child to receive lunches

Week 1-August4-8Week 2-August 11-15

Family Information

* Home address

* City

* State

* ZIP code

* Best primary contact email address

* Best primary contact phone number

PARENTS' NAMES AND CONTACT INFORMATION

* First name

* Last name

Phone number

Email address

First name

Last name

Phone number

Email address

Emergency Contact

* First name

* Last name

* Phone number

* Relationship to child(ren)

What would you want your child to experience with us this summer?

Terms and Conditions

1. Tuition fees & refund policy: Registration is for the week, and there is to be no prorating per day. The tuition fees are due by the first day of camp 08/04/2023. No refunds.

2. Emergency care: In the event of an emergency, serious illness, or accident, Jewish Family Experience (JFX) has my permission to arrange for any necessary first-aid or care by a licensed physician for my child/ren while he/she is attending camp.

3. Images: JFX is hereby granted permission to use any individual or group camp photos and/or videos showing our children involved in camp activities.

4. Damages: As parents or guardians, we agree to be responsible for any loss, damage or destruction by our child to any property of JFX or to any property for which the camp is liable or chargeable.

* I have read and accept all of the terms and conditions set forth in this registration form.

I have read and accept all of the terms and conditions set forth in this registration form.

* Electronic signature

* Today's date

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