Preschool Camp Application 2020 for New Campers - Form

Beth El Summer Summer Camp 2020
(This form is for NEW CAMPERS.)

Please complete a form for each child to be enrolled in Summer Camp 2020.

* Child First Name

* Child Last Name

* Current Class

* Child Date of Birth

Sibling #1 Name

Sibling #1 Date of Birth

Sibling #2 Name

Sibling #2 Date of Birth

Sibling #3 Name

Sibling #3 Date of Birth

* Are you currently a Member of Congregation Beth El?

* Parent #1 Last Name

* Parent #1 First Name

* Parent #1 Street Address

* Parent #1 City

* Parent #1 State

* Parent #1 Zip Code

* Parent #1 E-mail

* Parent #1 Preferred Phone Number

Parent #1 Occupation

Parent #1 Employer

Parent #1 Work Address

Parent #1 Work Phone

Parent #2 Last Name

Parent #2 First Name

Parent #2 Street Address

Parent #2 City

Parent #2 State

Parent #2 Zip

Parent #2 Email

Parent #2 Preferred Phone

Parent #2 Occupation

Parent #2 Employer

Parent #2 Work Phone

Parent #2 Work Address

Sign Up for Summer Camp 2020 at the Thelma K Reisman Preschool of Congregation Beth El

Select the weeks your child will attend camp (minimum 6 weeks)

Camp Add-ons

Registration must be accompanied by a non-refundable fee of $250. $200 will be applied to camp tuition, $50 is applied as an administrative fee. Camp tuition must be paid in full by Friday, June 26. Payment plan arrangements can be made through the Beth El office and must be made prior to camp beginning on Monday, June 29.

Select for Preschool Camp Deposit Fee

$200

Select for Preschool Camp Administrative Fee

$50

Total