New Student Camp Application Parent Name 1 * First Name Last Name Parent Name 2 * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Your Child's Name * First Name Last Name Your Child's Birthday * MM DD YYYY Age * Child's Gender * How did you hear about us? * Is the childs mother Jewish by birth or by choice By Birth By Choice Is the childs father Jewish by birth or by choice By Birth By Choice Which camp sessions are you interested in? * * Mini Camp is for 12 month school enrolled only Full Summer June 5-Aug 9 Session 1 June 3-28 Session 2 July 1-26 Mini Camp July 29-Aug 9 Which days per week? * Monday Tuesday Wednesday Thursday Friday Which hours? * Early care 8:00-9:00 Core Day 9:00-1:00 Enrichment 1:00-3:00 Extended Day 3:00-6:00 Full Day 8:00-6:00 Additional notes: Thank you for submitting your New Student camp application. We will reach back out to you within 24-48 hours (or after the weekend/holiday) to confirm space and availability.