Registration Form - Summer 2023

Parent Information

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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)

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Date of Birth

2

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3

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4

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5

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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):
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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)

Camper #1

Camper #2

Camper #3

Camper #4

Camper #5

(Sept. 2023)

Date of Birth