Camp Rothschild Registration 2022
It's time to register for Camp Rothschild 2022!

This form is for children who have completed Kindergarten up through those that will turn 13 years old before September 1st.

The Summer 2022 session will run from Monday, June 27th through Friday, August 26th, however we cannot accept any children for the last week of camp who have not been registered for at least two additional weeks during the summer. RECC will be closed on Monday, July 4 in observance of Independence Day.

Our summer hours will be 6:30am to 5:30pm. This is a 5 day program.
Your may choose:
Regular Day (8:30 to 3:30) $295.00
Extended Day (6:30 - 5:30) $315.00

Tuition for each week is due before Monday of each week. No refunds will be given. Any changes or cancellations must be made in writing (email) to the RECC Office BY JUNE 1, 2022 so as not to incur charges.

We will be providing a morning and an afternoon snack. Each child must bring a lunch everyday.

We strongly encourage that your child be fully vaccinated against Covid-19.

                                       *Please complete a separate form for each child*


Sign in to Google to save your progress. Learn more
Email *
Child's Last Name *
Child's First Name *
Available Weeks
Please choose which weeks you would like your child to attend
Week 1:  June 27 - July 1    Celebrating you
Week 2:  July 4 - 8               Game Show Mania (closed Monday, July 4th)
Week 3:  July 11 - 15           Junior Engineer
Week 4   July 18 - 22           Adventure Week
Week 5:  July 25  -29           Musicales
Week 6:  August 1 - 5          Back in Time
Week 7:  August 8 - 12        Artful Antics
Week 8:  August 15 - 19      Around the World in 5 Days
Week 9:  August 22 - 26      Imaginarium
Week 1
Clear selection
Week 2
Clear selection
Week 3
Clear selection
Week 4
Clear selection
Week 5
Clear selection
Week 6
Clear selection
Week 7
Clear selection
Week 8
Clear selection
Week 9
Clear selection
Child's Birthdate *
MM
/
DD
/
YYYY
Grade entering in September *
Youth Tee Shirt Size *
Pool Permission *
Required
Media Consent
The following form will grant Rothschild Early Childhood Center and Temple Adath Yeshurun permission to use your child's image and name as specified below:
Newspapers/Online News Outlet *
First & Last Name, as well as photo to appear.
Required
Photograph in Online Media *
Name will NOT be included
Required
Photograph in Print Media *
Name will NOT be included
Required
Appearance in Video Media *
Name will NOT be included
Required
Mailing Address (Street, City, State, Zip *
Parent/Guardian 1 Last Name *
Parent/Guardian 1 First Name *
Parent/Guardian 1 Email Address *
Parent/Guardian 1 Phone Number *
Please give the phone number where you can be reached while your child is at camp
Parent/Guardian 2 Last Name
Parent/Guardian 2 First Name
Parent/Guardian 2 Email Address
Parent/Guardian 2 Phone Number
Please give the phone number where you can be reached while your child is at camp
I understand that Camp Rothschild is a 5 day program and a part time option is not available *
Required
Application Fee *
Non-Refundable. $15 per child for Summer Camp. Applications will not be processed until the application fee has been received.  (To pay online, please visit https://rothschild.securepayments.cardpointe.com/pay)
Name of person who completed this form *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Adath.org. Report Abuse
Google Forms