2021 B'nai Mitzvah Bootcamp at Beth Israel

2021 B'nai Mitzvah Bootcamp

Please submit a unique form for each child.
Date

MonthDayYear
B'nai Mitzvah Camp

”My B’nai Mitzvah is next year and I am so nervous!!” Don’t be. We’ll take care of you. This camp will give students a jump start on the B’nai Mitzvah training and a chance to bond with their classmates. This will be a fun meaningful week that will help to replace B’nai Mitzvah jitters with confidence and accomplishment.
Are you a member?*

NoYes
Sessions will be capped at 15 boot campers per week. Campers will be assigned to their session on a first-come, first-served basis.

All health guidelines required by Beth Israel will be expected of every camper.

HALF DAY:

Monday through Thursday from 9:00am-12:00pm

Friday 9:00am-1:30pm

FULL DAY:

Monday through Thursday from 9:00am-4:00pm

Friday 9:00am- 1:30pm

Half Day campers will stay onsite Monday through Thursday until noon for Boot Camp programming, then will have the opportunity to do DIY-service and advocacy assignments on their own time from home.

Full Day campers will stay onsite for (bring your own) lunch and then go off-campus Monday through Thursday on a private bus to do community service projects with local non-profit organizations.

CURRENT AVAILABILITY:

Session 1: FULL (please contact Jessica at jkretzer@cbisd.org)

Session 2: 3 spaces available

Session 3: 9 spaces available
Please select your session preference below:
SELECT ONE*

Session 2: Full Day - Monday, August 2 - Friday, August 6, 2021 (Rate $250)Session 2: Half Day - Monday, August 2 - Friday, August 6, 2021 (Rate $180)Session 3: Full Day - Monday, August 9 - Friday, August 13, 2021 (Rate $250)Session 3: Half Day - Monday, August 9 - Friday, August 13, 2021 (Rate $180)
Parent/Guardian 1
Parent/Guardian 1*

First NameLast Name
Parent/Guardian 1 Phone*

Area CodePhone Number
Parent/Guardian 1 E-mail*
Parent/Guardian 2
Parent/Guardian 2

First NameLast Name
Parent/Guardian 2 Phone

Area CodePhone Number
Parent/Guardian 2 E-mail
Boot Camper
Boot Camper Name*

First NameLast Name
Boot Camper's DOB*

MonthDayYear
Boot Camper's Age*
Boot Camper's Grade 2021-2022 school year*
Boot Camper's Bar/Bat/B'nai Mitzvah Date

MonthDayYear
Date
Boot Camper's T-shirt Size (all shirts adult sizes)*
Emergency Contact Information
Emergency Contact 1*

First NameLast Name
Emergency Phone 1*

Area CodePhone Number
Emergency Contact 2*

First NameLast Name
Emergency Phone 2*

Area CodePhone Number
Medical Information
Child's Doctor*
Doctor's Phone*

Area CodePhone Number
Preferred Emergency Hospital*
Health Insurance Company*
Health Ins. Co. Phone*

Area CodePhone Number
ID or Group #*
Date of camper's last Tetanus booster*

MonthDayYear
Does your camper have any allergies?*

NoYes
Allergy information:
Payment
Payment Method*

Note of Intention: We are not asking that anyone pay for Boot Camp in advance at this time. Because of evolving health and safety recommendations, we would like to provide everyone with the option of registering for Boot Camp now, without any financial restrictions. Your e-signature on this form represents an agreement of intention for your child/ren to attend the session you select and that you agree to pay the registration fee by the first day of your Boot Camper's session.
Legal Responsibility
Parent/Guardian Signature*

Clear
Date

MonthDayYear
Should be Empty:

2021 B'nai Mitzvah Bootcamp

B'nai Mitzvah Camp

Parent/Guardian 1

Parent/Guardian 2

Boot Camper

Emergency Contact Information

Medical Information

Payment

Legal Responsibility