2021 Camp Rothschild Application
This application is for children entering 1st grade through 7th grade in September 2021.  Although this does not guarantee a spot for your child, a notification and link to a registration form will be sent to the email address provided if your application has been accepted.  

This is NOT the Registration Form.  An additional form will be sent to you at the email address that you provided if your child is accepted into the program.


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Email *
Child's Last Name *
Child's First Name *
Mailing Address (Street, City, State, Zip) *
Child's Date of Birth *
MM
/
DD
/
YYYY
Grade Child Will Enter in September 2021 *
Required
School your child will attend in September 2021 *
Please include the School District and School Name
Parent/Guardian 1 First Name *
Parent/Guardian 1 Last Name *
Parent/Guardian 1 Email Address *
Parent/Guardian 1 Phone Number *
Please provide us the best phone number to reach you between 9am and 3pm.
Parent/Guardian 2 First Name
Parent/Guardian 2 Last Name
Parent/Guardian 2 Email Address
Parent/Guardian 2 Phone Number
Please provide us the best phone number to reach you between 9am and 3pm.
Which hours would you like your child to attend? *
Regular Day from 8:30am - 3:30pm will cost $280 per week. Extended Day from 7:30am - 5:30pm will cost $299 per week.
Required
I understand that Camp Rothschild is a 5-day program and that a part-time option is not available *
Required
Please choose which of the following weeks you would like your child to attend.
Week 1 *
June 28 - July 2
Required
Week 2 *
July 6 - July 9 (CLOSED Monday, July 5)
Required
Week 3 *
July 12 - July 16
Required
Week 4 *
July 19 - July 23
Required
Week 5 *
July 26 - July 30
Required
Week 6 *
August 2 - August 6
Required
Week 7 *
August 9 - August 13
Required
Week 8 *
August 16 - August 20
Required
Week 9 *
August 23 - August 27
Required
Application Fee *
Non-refundable. $15 per child for summer (July & August).  Applications will not be processed until the application fee has been received.  (To pay online, please visit https://rothschild.securepayments.cardpointe.com/pay)
Required
How did you hear about us?
A copy of your responses will be emailed to the address you provided.
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