2020 Camp Sababa Registration
Please submit a unique form for each child.
Date
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Month
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Day
Year
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Camp Selection
Attend any or all weeks, Monday-Friday 9am-4pm (Morning Care: 8-9am, Extended Care: 4-5pm *fee apply) Please email Becca Myers for details at bmyers@cbisd.org
Are you a member?
*
No
Yes
Week Selection (Non-Members)
Astonishing Art Week - June 22-26 (Weekly Rate $420; Multi-Week $390)
Taste of Sleep-away Camp - June 24-28 (3rd-6th Grade ($600*)
Sneak Peek Week - June 29-July 2 ($340* - No discounts apply)
Steam Week - July 6-10 (Weekly Rate $420; Multi-Week $390)
Animal Week - July 13-17 (Weekly Rate $420; Multi-Week $390)
Culinary - July 20-24 (Weekly Rate $420; Multi-Week $390)
LEGO Pokemon - July 27-31 ($440 - No discounts apply)
Olympics Week - August 3-7 (Weekly Rate $420; Multi-Week $390)
Mystery Bus Adventure - August 10-14 (Weekly Rate $420; Multi-Week $390)
Week Selection (Members)
Astonishing Art Week - June 22-26 (Weekly Rate $380, Multi-Week $350)
Taste of Sleep-away Camp - June 24-28 (3rd-6th Grade ($600 - No discounts apply)
Sneak Peek Week - June 29-July 2 ($310 - No discounts apply)
Steam Week - July 6-10 (Weekly Rate $380, Multi-Week $350)
Animal Week - July 13-17 (Weekly Rate $380, Multi-Week $350)
Culinary - July 20-24 (Weekly Rate $380, Multi-Week $350)
LEGO Pokemon - July 27-31 ($390* - No discounts apply)
Olympics Week - August 3-7 (Weekly Rate $380, Multi-Week $350)
Mystery Bus Adventure - August 10-14 (Weekly Rate $380, Multi-Week $350)
Total
($30 discount for each additional child registered for same session, can not be applied to multi-week rate)
Parent/Guardian 1
Parent/Guardian 1
*
First Name
Last Name
Parent 1 Phone
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Area Code
Phone Number
Parent 1 E-mail
*
Parent/Guardian 2
Parent/Guardian 2
First Name
Last Name
Parent 2 Phone
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Area Code
Phone Number
Parent 2 E-mail
Child Lives With
*
Both Parents
Other arrangements (described below)
Please describe:
Camper
Camper Name
*
First Name
Last Name
Camper's DOB
*
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Month
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Day
Year
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Camper's Age
*
Camper Grade for '20-21 School Year
*
Emergency Contact Information
Emergency Contact 1
*
First Name
Last Name
Emergency Phone 1
*
-
Area Code
Phone Number
Emergency Relationship 1
*
Emergency Contact 2
*
First Name
Last Name
Emergency Phone 2
*
-
Area Code
Phone Number
Emergency Relationship 2
*
Medical Information
Child's Doctor
*
Doctor's Phone
*
-
Area Code
Phone Number
Preferred Emergency Hospital
*
Health Insurance Company
*
Health Ins. Co. Phone
*
-
Area Code
Phone Number
ID or Group #
*
Date of camper's last Tetanus booster
*
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Month
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Day
Year
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Does your camper have any allergies?
*
No
Yes
Allergy information:
Payment
Payment Method
*
Check
Credit Card on File
New Credit Card
New Credit Card
Please call Becca Myers in the Religious School office at 858 900-2556 if you wish to pay for Summer Camp with a new credit card.
Payment by Check
Please mail your payment to the Beth Israel, 9001 Towne Centre Drive, San Diego, CA 92122 (in the memo - Camp Sababa).
Legal Responsibility
Parent/Guardian 1 Signature
*
Date
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Month
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Day
Year
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Parent/Guardian 2 Signature
Date
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Month
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Day
Year
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Submit
Should be Empty: