2022 - 2023 DAY CAMP REGISTRATION
Monday-Friday 8:30am - 3:00pm

Active member $50/Day      
Non-active member $60/Day

*Field-Trip fees are not included in the price.
 Occasionally, a field trip fee may occur. ( $10-$15 )

*Please pay in full before start camp.  
*10% discount for siblings only for camp  
* All payments are non-refundable.
 

STUDENT MUST BRING :  √ 

□ A copy of a Physical and Immunization Record ( within 2years )  

□ Please pack enough Water, Snack and Lunch 

□ Field-Trip Fee ( by cash, check or credit card in office )


more information : https://drive.google.com/file/d/1WVLUCBw9AX00JrlYF4OtMzKC85yFc6CO/view?usp=sharing

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Email *
Camp Date *
Required
Before & After Care 

*No discount for siblings Before or After camp program 

 □ Before care 7:30am-8:30am  $15/day  $60/week     □ After care 3:00pm-6:00pm  $20/day  $80/week  □ Before + After care : $30/day $120/week

Before care
After care
August 29 before back to school
September 2nd Labor day break
September 26 Rosh Hashanah
October 5 Yom Kippur
October 10 Columbus Day
November 8 Election Day
January 16 Martin Luther King Jr. Day
February 20 President's Day
February 21 February Break
March 17 Prof.Dev. Day
April 7 Good Friday
April 10 Spring Break : Monday
April 11 Spring Break : Tuesday
April 12 Spring Break : Wednesday
April 13 Spring Break : Thursday
April 14 Spring Break : Friday
December 23rd Friday Christmas Break
Student Name *
Age *
Grade in school (2022-2023)
Parents name *
Cell Phone # *
Please list any medical conditions we should be aware of *
Emergency contact other than Parents *
Name & Cell Phone #
Please list anyone other than parent that is allowed to pick up child from camp
Name & Cell Phone #
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