• Camp Kitanim Registration 2021

    June 29-Aug 19
  • Child information

    Please fill out a separate form for each child

  • Parent/Guardian Information

  • Camp Options

    A. 8 weeks, 5 full days $1950
    B. 8 weeks, 5 half days $1600
    C. 4 weeks, 5 full days $975
    D. 4 weeks, 5 half days $800

    Hours are 8:30-3:30 M-F Half day is 8:30-12

  • TERMS OF ENROLLMENT

    • We reserve the right to add or cancel classes due to enrollment
    • All camp applications are due April 1
    • All accompanying forms must be submitted by the first day of camp (including medical records). 

    TERMS OF PAYMENT AGREEMENT

    1. $150 non-refundable deposit is required for each child and must be submitted at time of application in order to reserve a spot. The fee will be applied to the child's tuition. 

    2. The balance of tuition is due by the first day of camp.

    3.Payment plans are available. All arrangements must be confirmed in writing with the office and be completed prior to the first day of camp.

    4. A late fee of $50 will be charged for all payments received after the first day of camp, unless previous arrangements have been made. 

    5. I have read and agree to the above terms. 

    You may pay the shul office by credit card or check payable to Congregation Israel of Springfield, NJ. 

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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  • PICK UP FORM

    The following people have my permission to pick up my child(ren):
  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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  • Emergency Treatment Information

    Authorization: I hereby give permission to the medical personnel selected by Congregation Israel to secure and administer treatment, including but not limited to X-rays, routine tests and hospitalization for the child named below. 

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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  • CONSENT 

    1. At times we enjoy exploring our grounds. Please sign allowing your child permission to walk around the grounds of Congregation Israel. 

    2. Student Directory: I give my permission for my name, address, and email address to be put into the Camp Kitanim Directory.

     

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

  • Clear
  • Should be Empty:
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