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Registration Form - Summer 2023
Parent Information
Summer Address
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Camper Information
Fill out one row per camper, up to 5 campers
Camper Name
1
M/F
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(Sept. 2023)
Grade
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Date of Birth
2
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Grade
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3
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Grade
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4
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Grade
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5
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Grade
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Payment Information
A non-refundable/non-transferable deposit of $250 per camper is due with registration
Additional deposit of $1000 per camper due by Dec. 1st
Remaining balance is due by June 1st
After Dec. 1st, a $500 admin. fee per camper will be withheld for any cancellations.
- Pay through Zelle:
harryatawil@gmail.com
- Pay through Venmo:
@CampDavid
- Checks can be sent to: 1010 Ocean Parkway, Brooklyn NY 11230
- Note: there is a non-refundable 3% processing fee for credit cards
Please charge my credit card (3% processing fee):
Please charge my initial deposit of $250 per camper upon receipt
Please charge my additional deposit of $1000 per camper on Dec. 1st
Please charge my balance on:
Credit Card:
Month
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Year
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Basic Fees
Up to 5th Grade: $4000
6th & 7th Grade: $4250
8th & 9th Grade: $4700
CIT Program: $4500
Camp Calendar
Tues, June 27th First Day
Tues, July 4th No Camp
Thurs, July 6th No Camp (17 Tamuz)
Wed, July 26th Early Dismissal (1:30 PM)
Thurs, July 27th No Camp (9 Ab)
Wed, Aug 16th Last Day (1/2 day)
SUBMIT
Camper #1
Camper #2
Camper #3
Camper #4
Camper #5
(Sept. 2023)
Date of Birth
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