Child Information (one child per form)
If the parents are divorced or legally separated and one parent has been granted sole custody, control, care and supervision of the child, that parent must provide appropriate court documents.
Emergency Contact 1
In the event that parent/guardian cannot be reached (Should not be the same as parent/guardian listed above)
Emergency Contact 2
Persons Authorized to pick up your child
In addition to parent/guardian and emergency contacts.
The Simon Family JCC strives to provide an all-inclusive summer camp program. Please provide us with information relating to any special physical, emotional, behavioral or developmental needs that your child may have:
Providing this information will assist us in promoting the safety and enjoyment of your child. An intake meeting may be requested to ensure communication of needs and strengths.
Camp JCC Registration Form
Preschool - 2 years old - rising kindergartenElementary - rising 1 - 6 gradeTeen - rising 7 - 9 gradeCITs - rising 9 - 11 grade
Half Day (T, Th)For 2 year olds only
A CIT application must be submitted; then each applicant will have a personal interview with the Camp Directors. CITs must attend 2 consecutive weeks before attending additional weeks.
Session: Monday - FridayCost per week: $360Cost with JCC Member Discount: $285
Deposits and Payment of Camp Fees
A non-refundable deposit of 25% of the total fees is due at the time of registration, with the remaining balance due by June 1, 2018. Registration after June 1, 2018 requires payment in full. Simon Family JCC membership must be maintained in good standing throughout the camp season in order toreceive member rates.We accept cash, check, VISA, MasterCard and Discover.
Cancellation & Refund Policy
All cancellations must be in writing 14 days prior to the start of the week of camp to be cancelled. All deposits are non-refundable. Parents cancelling after the 14-day deadline may be responsible for any remaining balance of the cancelled week.Unfortunately, we are unable to reduce fees due to absence, illness, family matters, holidays (including July 4), or vacations. All deposits are nonrefundable.The JCC makes every effort to provide campers with a great camping experience and cannot be held responsible for natural disasters that may interfere with the camp experience. Therefore, we do not provide refunds.
Sibling Discount: If 2 or more children from the same family membership are registered for the same week, families receive a discount of $25 per child per week for every child after the first enrollee.Early Bird Discount*Buy 2 weeks, get your 3rd week 25% off Buy 6 weeks, get your 7th week 50% off Buy 8 weeks or more, get $200 off*To receive discounts all fees must be paid in full by May 1st. Discount is on lowest priced camp week, applies to per child registration, discounts cannot be combined with any other discounts, packages or scholarships, cancellation of weeks will void discount. Cannot be applied to weeks added after May 1st.
The JCC strives to ensure no child is denied a camp experience. Scholarships are available. Completed Applications including all requested documentation are due by April 16, 2018. Applications received after April 16 will be held and considered after May 15th and only if funding is still available. Applications are available at www.CampJCCVB.org and at the JCC Customer Service Desk.
Payment Agreement & Credit Card Information
I have read all payment information and understand said policy. I understand what I am responsible for and that my child will NOT be allowed to start camp weeks/sessions if there is an outstanding balance due for that session. If my child is dropped off without payment made, I will be called to pick up my child from the JCC Summer Camp, immediately. (PLEASE SIGN TO ACKNOWLEDGE STATEMENT REGARDLESS OF PAYMENT METHOD.)
Participation Agreement & Photo Release
I give permission for my child (ages 4 and up) to ride a bus to and from off-campus activities. My child has my permission to participate in swimming activities. My camper's photo, slide, video or quotes may be used by the Simon Family JCC and Camp JCC in marketing materials or on their social media sites (names will be withheld). I give permission for my children to be released to authorized people listed in this application.