Alefbet Camp Registration Forms

We are so happy you are planning on registering your child(ren) in the Alefbet Camp Program.

Here are the steps to register for Alefbet Camp:

Fill out the 2017 Camp Registration Form (printable PDF OR online form below)

For new families, we will then need the following mandatory forms to complete your child(ren’s) file:

Enrollment Form (printable PDF or fill out the online form here)

Once we receive your completed Registration forms (and fees), and have confirmed this information with you, your child is enrolled.  Welcome!

Camp Registration Form

Child's Name

First and Last

Child's Birthdate *

Gender *

Male

Female

Mother's Name *

Mother's Email Address *

Father's Name *

Father's Email Address *

Address *

City *

State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

Zip Code *

Home Phone Number *

Mother's Cell Phone Number *

Father's Cell Phone Number *

Does your child have any allergies? *

Yes

No

If yes, please explain:

I am registering for the following: *

Core Day ~ 9:30am-1:30pm

Full Day ~ 7:30am-6:00pm

Check all days attending: *

Monday

Tuesday

Wednesday

Thursday

Friday

Please check the weeks of camp attending in the boxes below: *

Week 1: June 5-9

Week 2: June 12-16

Week 3: June 19-23

Week 4: June 26-30

Week 5 (W-F): July 5-7

Week 6: July 10-14

Week 7: July 17-21

Week 8: July 24-28

Week 9 (M-Th): July 31- August 3

Payment options: *

Check

Debit

Current Alefbet Preschool Family? *

Yes

No

Current Congregation Beth Shalom Family? *

Yes

No

How did you hear about our program?

I have read and agree to the terms stated in the attached Enrollment Information Pages: *

I agree

I do not agree

Please type your name as signature: *

Today's Date *