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Camp Kayitz B'bayit (Camp KB)
Please verify reCaptcha before submitting the form.
Parent/Guardian Information
Parent/Guardian #1
*
First Name:
*
Last Name:
*
Cell Phone:
*
Email:
Parent/Guardian #2
First Name:
Last Name:
Cell Phone:
Email:
If you are not an Or Ami congregant, please tell us how you heard about Camp KB:
Camper Information
*
Number of campers you would like to register:
Please Select
1
2
3
CAMPER #1
*
Child's First Name:
*
Child's Last Name:
Preferred Pronouns:
*
Grade:
Please Select
K
1st
2nd
3rd
4th
5th
6th
Child's Cell Phone:
Child's Email:
*
T-Shirt Size:
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Is there anything we should know about your child to best support them? (Learning accommodations, sensory issues with online learning, etc.)
Select Camp Days:
Check the box next to the camp days you would like to sign up for. Cost is $25 per day, per week OR sign up for all five days in the same week for $100 per week ($25 discount). Each additional sibling registered will receive 10% off their total cost (applied via a refund issued within 24 hours of registration).
PLEASE NOTE:
If you want to sign up for a full 5-day week and receive the discount,
ONLY
select the first box for each full week you choose to sign up for.
Week 1 (June 22 - 26)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
Week 2 (June 29 - July 3)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
Week 3 (July 6 - July 10)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
Week 4 (July 13 - 17)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
Newly Added!
Week 5 (July 20 - 24)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
CAMPER #2
Child's First Name:
Child's Last Name:
Preferred Pronouns:
Grade:
Please Select
K
1st
2nd
3rd
4th
5th
6th
Child's Cell Phone:
Child's Email:
T-Shirt Size:
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Is there anything we should know about your child to best support them? (Learning accommodations, sensory issues with online learning, etc.)
Select Camp Days:
Check the box next to the camp days you would like to sign up for. Cost is $25 per day, per week OR sign up for all five days in the same week for $100 per week ($25 discount). Each additional sibling registered will receive 10% off their total cost (applied via a refund issued within 24 hours of registration).
PLEASE NOTE:
If you want to sign up for a full 5-day week and receive the discount,
ONLY
select the first box for each full week you choose to sign up for.
Week 1 (June 22 - 26)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
Week 2 (June 29 - July 3)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
Week 3 (July 6 - July 10)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
Week 4 (July 13 - 17)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
Newly Added!
Week 5 (July 20 - 24)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
CAMPER #3
Child's First Name:
Child's Last Name:
Preferred Pronouns:
Grade:
Please Select
K
1st
2nd
3rd
4th
5th
6th
Child's Cell Phone:
Child's Email:
T-Shirt Size:
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Is there anything we should know about your child to best support them? (Learning accommodations, sensory issues with online learning, etc.)
Select Camp Days:
Check the box next to the camp days you would like to sign up for. Cost is $25 per day, per week OR sign up for all five days in the same week for $100 per week ($25 discount). Each additional sibling registered will receive 10% off their total cost (applied via a refund issued within 24 hours of registration).
PLEASE NOTE:
If you want to sign up for a full 5-day week and receive the discount,
ONLY
select the first box for each full week you choose to sign up for.
Week 1 (June 22 - 26)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
Week 2 (June 29 - July 3)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
Week 3 (July 6 - July 10)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
Week 4 (July 13 - 17)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
Newly Added!
Week 5 (July 20 - 24)
All 5 Days (M-F)
Monday
Tuesday
Wednesday
Thursday
Friday
*
I/we hereby give permission for my registered child(ren) to participate in Congregation Or Ami's Camp Kayitz B’bayit and all related events, and do release Congregation Or Ami, its rabbis, cantor, educators, board members, leaders, staff, and its representatives from all liability arising out of my/our registered child(ren)’s participation in these activities. I have read and fully agree to these terms (write full name in this box to agree):
*
I/we understand that registration cancellations for a given week of camp made less than 10 days before the start of that week (Monday) will not receive a refund (due to the time frame of ordering materials). Please write your full name in the box to acknowledge:
Total Registration Cost:
Sibling discount (10% off) will be refunded to your credit card within 24 hours of camp registration.
Fri, March 29 2024 19 Adar II 5784