Preschool Camp Application 2022 WAITLIST - Form

Beth El Summer Camp WAIT-LIST 2022
(This form is for new families.)

Welcome and thank you for your interest in the Thelma K Reisman Preschool. We are currently near capacity for the 2022 summer session with very limited class space available. We still invite you to use this form to join our waitlist. Please let us know your specific educational needs for your child and we will be in touch with you as soon as we receive your waitlist to let you know if there is room or when we will be able to alert you about space

Please complete a form for each child to be enrolled in Summer Camp 2022.

* 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

* 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 Address

Parent #2 Work Phone

* What is your child's t-shirt size?

* Are you currently a Member of Congregation Beth El?

Sign Up for Summer Camp WAIT-LIST 2022 at the Thelma K Reisman Preschool of Congregation Beth El

Select the weeks your child will attend camp (minimum 6 consecutive weeks * When planning vacations, please keep in mind possible travel guidelines related to COVID-19)

Week 1 - Beginning June 27Week 2 - Beginning Tuesday, July 5 (No Camp Monday, July 4th)Week 3 - Beginning July 11Week 4 - Beginning July 18Week 5 - Beginning July 25Week 6 - Beginning August 1Week 7 - Beginning August 8Week 8 - Beginning August 15

Choose your child's schedule for summer camp.

8:00am to 5:30pm (9.5 hours per day) 5 day option only9:00am to 2:00pm (5 hours per day) 4 or 5 day option9:00am to 12:00pm (3 hours per day) 4 or 5 day option

If you are selecting the 9am-12pm or 9am-2pm four day option, please indicate the days your child will attend. If you are selecting the 5 day option, no need to select days.

Wait-list registration requires a deposit of $250.
(deposit is fully refundable only if a spot does not open by June 20)
$200 will be applied to camp tuition. $50 of that is an administrative registration fee. Camp tuition must be paid in full before camp begins on June 27. Alternatively, you can make payment plan arrangements in the Beth El office.
*Please note: Any schedule changes made after May 1, 2022 will incure an additional $50 administrative fee.

Select for Preschool Camp Deposit Fee

$200

Select for Preschool Camp Registration Fee

$50

Total

Please note: Congregation Beth El incurs a fee for processing every credit card transaction from the bank and/or credit card company. Therefore your bill will reflect a convenience fee for credit card transactions. This fee will be used exclusively to pay the banks and/or credit card company fees . Beth El does not profit from the fees. There is no fee for using the e-check option.

How would you like to pay the remaining tuition?