Summer Camp Detailed Registration Form

Camp Ahava Registration-2026

(One form can be used to register up to 3 students)

Tuition: $80 per student for 4 sessions

2nd child $75, 3rd child $65

Camp Schedule:
Camp Ahava meets on Sundays from 10:00 AM to 12:00 PM on the following dates:

June 7
June 14
June 21
June 28

Camp Ahava offers children ages 3–13 a joyful Jewish summer experience, focused on friendship and fun Hebrew learning. Through games, art, and group activities, campers strengthen their Hebrew decoding and vocabulary in an engaging and interactive environment.
- 1st Student Name
  
  First NameLast Name
- Birth Date
  
  MonthDayYear
- Grade
- 2nd Student Name
  
  First NameLast Name
- Birth Date
  
  MonthDayYear
- Grade
- 3rd Student Name
  
  First NameLast Name
- Birth Date
  
  MonthDayYear
- Grade
- Parent/Guardian Information
- Name
  
  First NameLast Name
- Home Number
  Format: (000) 000-0000.
- Cell Number
  Format: (000) 000-0000.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- E-mail
  example@example.com
- Emergency Contact's Name
  
  First NameLast Name
- Relationship
- Phone Number
  Format: (000) 000-0000.
- Alt. Phone Number
  Format: (000) 000-0000.
- Does the student/s have any allergies, chronic illness, or medical conditions? If yes, please describe.
- Permission & Consent
- Photo Release:
  
  Do you allow the use of pictures of your child(ren) to appear in the following (names and other identifying information will not be used):* Learning and Engagement Center Facebook page or other publicity materials, for educational and advertising purposes* Weekly LEC newsletter, distributed to school families and select synagogue members only* Various CAS synagogue publications (monthly bulletin, weekly email, or CAS website)
- Photo Release (above)
- Date
  
  MonthDayYear
  Date
- Signature
- Should be Empty:

Photo Release: