Camp Achim Jr. Registration 2025
Camp Dates: June 30 - Aug. 8
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Email *
Early Bird Special: Register by May 1 to Qualify
Early Bird Special: $175 per week / 4 Weeks - $660 / 6 Weeks - $990 
$25 Registration Fee per Camper

Rate after May 1: $200 per week / 4 Weeks - $770 / 6 Weeks - $1,100
$25 Registration Fee per Camper
Camper's First Name *
Camper's Last Name *
Address *
City *
State *
Zip Code *
Current Grade *
Parent or Legal Guardian 1 *
Parent #1-cell phone # *
Parent or Legal Guardian 2
Parent #2 - cell phone #
Emergency Contact #1 *
Emergency Contact #1  - Phone # *
Emergency Contact #2 *
Emergency Contact #2- Phone # *
Health Insurance Info *
Medication / Allergy / Health Information:
Please list child's medications, allergies and/or health concerns
 *
Camper's Date of Birth *
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I hereby give permission for my son(s) to participate in all Achim Jr. Day Camp activities.  I understand that Bais Yisroel and Achim Jr. Day Camp will not be liable for any injuries', accidents or misunderstandings.  I understand that Camp has a caring and responsible staff whose goal is to give my son(s) a fun, safe and entertaining summer.
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