"Camp Kibbutz on Zoom" Registration 2020

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We are excited to have you join us!

Primary 'Parent Contact' Name *

Primary 'Parent Contact' Email address (Where Zoom will be sent) *

Primary 'Parent Contact' Phone Number

Second 'Parent Contact' Name (Optional)

Second 'Parent Contact' Email Address (Optional)

Second 'Parent Contact' Phone Number (Optional)

Emergency Contacts and Phone Number(s) *

Primary Camper Address (Where are you zooming in from?) *

Secondary Address (Second parent household etc - Optional. Please provide and explain.)

Camper Name *

Grade Entering in 2020/21 School Year *

Camper Date Of Birth *

YYYY

Camp SWAG Fee (T-Shirt, etc) *

One time fee - $25

T Shirt Size

Youth S

Youth M

Youth L

Youth XL

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Full Access Package (Access to all classes, davening, group activities & Outdoor In Person excursion) - Week Enrollment - select all weeks - ($150/week)

Week 6: August 10 - 14

Davening Package (Morning Davening & Judaic Study only, 9:30a-10:15a) - Weekly Enrollment - select all weeks ($50/week)

Week 6: August 10 - 14

Drop-in Classes ($20/class) (We will email you to set up specifics)

VIRTUAL ZOOM classes (Available daily, as scheduled)

IN-Person, drop-in activities ONLY (Tuesday OR Thursday every week, as scheduled and available)

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I understand that my camper needs access to a strong and consistent WiFi source. I also understand that while smartphones do have Zoom capability, they cannot be the primary access device. *

I agree

I have technical limitations yet still wish to comply. Please contact me.

My student will attend camp on a: *

Laptop Computer with Camera and Microphone

Desktop Computer with Camera and Microphone

Tablet Device with Camera and Microphone

I don't have access for my camper to any of these devices

Required

By submitting this form, you agree that Camp Kibbutz and Ohev Sholom The National Synagogue are not actively supervising campers. The parent/guardian is responsible for providing adult supervision, safety help and anything else necessary for your camper. Camp Kibbutz is not liable for any injury that may occur while participating in Zoom Camp activities. *

I agree to the above statement.

Do you have any questions or concerns at this time? If you want to contact us at any point, please don't hesitate to reach out to Tyler Herman, Camp Director, at campkibbutz@ostns.org

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