CBI Preschool Summer Camp Registration Form
Thank you for your interest in Summer Camp! Your registration is not complete and confirmed until CBI has received a nonrefundable $200 deposit per child. You may send a check to CBI Preschool, 160 Millburn Avenue, Millburn, NJ 07041 or call Jane Lemberg, Bookkeeper, at 973-379-3811 x 112 to put it on a credit card.
Sign in to Google to save your progress. Learn more
Name of person completing form *
Email *
Phone Number *
Are you a member of Congregation B'nai Israel? *
Child 1 Full Name *
Child 1 Date of Birth *
MM
/
DD
/
YYYY
Which weeks of camp are you registering this child for? *
Required
What time? *
Child 2 Full Name
Child 2 Date of Birth
MM
/
DD
/
YYYY
Which weeks of camp are you registering this child for?
What time?
Clear selection
Child 3 Full Name
Child 3 Date of Birth
MM
/
DD
/
YYYY
Which weeks of camp are you registering this child for?
What time?
Clear selection
By typing my name below, I acknowledge that my spot will not be confirmed until I have submitted a deposit of $200 per child to CBI Preschool.  If I need help, I will contact Susan, bbrsschooloffice@gmail.com. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms