Summer Registration
Please submit a separate application for each camper
I am registering for:
*
Please Select
Camp Oraysa (Boys finishing grades K-5)
Camp Oraysa CIT Division (Boys finishing grades 6 & 7)
Was your son registered at Camp Oraysa last summer, 2023?
*
No
Yes, he was.
Camper Name
*
First Name
Last Name
Grade finishing this summer, 2024
*
Please Select
Kindergarten
1
2
3
4
5
6
7
8
School
*
Torah Day School of Dallas
Other
Camper Age (as of June 1, 2024)
*
Parent Email
*
example@example.com
Parent Phone Number
*
Format: (000) 000-0000.
Registering for:
*
Week 1: July 1-5
Week 2: July 8-12
Week 3: July 15-19
Week 4: July 22-26
Week 5: July 29 - Aug 2
Week 6: Aug 5-9
Week 7: Aug 12-16
(CIT Division) Registering for:
*
Week 1: July 29 - Aug 2
Week 2: Aug 5-9
Week 3: Aug 12-16
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Medical Information
Does the camper have allergies or medical conditions that are important for the camp to know about?
Please explain on the field provided
Is the camper currently taking any medication?
Please provide the details, the name of the medication and period of intake
Contact Information in Case of Emergency
Name
First Name
Last Name
Contact Number
Format: (000) 000-0000.
Relation to camper
Name
First Name
Last Name
Contact Number
Format: (000) 000-0000.
Relation to camper
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Payment
Signature of parent or guardian representative
Deposit
*
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Camp Oraysa Boys
Boys finishing grades K-5
$225.00
$
225.00
Camp Oraysa CIT
Boys finishing grades 6 and 7
$245.00
$
245.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
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