CBI Preschool Camp 2024 Registration Form

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Thank you for your interest in CBI Preschool Summer Camp! Please note: You are enrolling for the age your child will be by OCTOBER 1. Be sure to complete ALL of the information requested here so we can create your online account.
Your registration is not complete and confirmed for Camp until CBI has received a nonrefundable deposit of $200 per child AND you have completed the online registration in your new account. Please click here for more information about camp.

Adult 1 Full Name *

Adult 1 Gender *

Female

Male

N/A

Other:

Adult 1 Email *

Adult 1 Cell Phone Number *

Adult 1 Date of Birth *

YYYY

Adult 2 Full Name

Adult 2 Gender

Female

Male

N/A

Other:

Clear selection

Adult 2 Email

Adult 2 Cell Phone Number

Adult 2 Date of Birth

YYYY

Landline Phone Number if applicable

Home Address (INCLUDING TOWN/CITY AND ZIP) *

Are you a member of Congregation B'nai Israel? *

Yes

Child 1 Full Name *

Child 1 Gender *

Female

Male

N/A

Other:

Child 1 Date of Birth *

YYYY

Child 2 Full Name

Child 2 Gender

Female

Male

N/A

Other:

Clear selection

Child 2 Date of Birth

YYYY

Child 3 Full Name

Child 3 Gender

Female

Male

N/A

Other:

Clear selection

Child 3 Date of Birth

YYYY

By typing my name below, I acknowledge that my enrollment will not be confirmed until I have submitted a non refundable deposit of $200 per child to CBI Preschool and chosen my camp weeks in the online account created for me. If I need help, I will contact Susan Kashan, Assistant to the Director, bbrsschooloffice@gmail.com. *

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