Application for Enrollment 2023

Application for Enrollment 2023
NEW ZEALAND- AUSTRALIA-HAWAII SOUTH PACIFIC SKI ADVENTURE

Dates: July 11 - August 14. Program Cost: $10,250 (Includes Airfare)
CAMPER INFORMATION
Name (as it appears on passport)

First Name Last Name
Age
DOB

MonthDay Year
Date
Present Grade
Passport #
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Cellphone
Please enter a valid phone number.
Home Phone
Please enter a valid phone number.
Email
example@example.com
Shirt Size

SMLXL
PARENT INFORMATION
Mother's Name
Mother's Cell Phone
Mother's Email
example@example.com
Father's Name
Father's Cell Phone
Father's Email
example@example.com
REFERENCE INFORMATION
School you presently attend
High School previously attended
(If applicable)
Principal/Teacher Name
All applications must be accompanied by a photo and by a letter of recommendation from aneducator.
Phone Number
Please enter a valid phone number.
Camp you most recently attended
Director/Counselor Name
Phone
How did you spend last summer?
How did you hear about Camp Kanfei Nesharim?
Comments/Requests/Special Needs
Thereby enroll my child as a camper in Camp Kanfei Nesharim Enclosed is a non refundable $350 deposit. l agree to pay the program fees as follows. Additional payment of $2250 due by Feb. 15. Balance due by April 1. All checks should be made out to Camp Kanfei Nesharim, Inc. Parent/Guardian Signature Date

Clear
as a camper in Camp Kanfei Nesharim Enclosed is a non-refundable $350 Thereby enroll my child deposit. lagree to pay the program fees as follows. Additional payment of $2250 due by Feb. 15. Balance due by April 1. All checks should be made out to Camp Kanfei Nesharim, Inc. Parent/Guardian SignatureDate

Cancellation Policy: Cancellations made by Feb 1, will receive a full refund, minus the $350 deposit. Cancellations after Feb 1, but before March 1 will result in a loss of $1,000. Can after March 1, until June 1. will result in a loss of $3,500. Cancellations after June 1 will not be refunded

Please mail application and $350 deposit payment to:Camp Kanfel Nesharlm, 1308 Taft Road, Teaneck, NJ 07666

or Email Application to: Campkanfel@gmail.com Pay by: Zelle:skitorah@yahoo.com, fenmo:Benzion.scheinfel
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Application for Enrollment 2023

NEW ZEALAND- AUSTRALIA-HAWAII SOUTH PACIFIC SKI ADVENTURE

CAMPER INFORMATION

PARENT INFORMATION

REFERENCE INFORMATION