Keshetbdc.com Boys' Day Camp

Keshet Boys Day Camp Application Summer 2012

Registration

Schedule for the DAY Camp

2 sessions, 4 weeks each.

Session 1: June 19th- July 13th
WELCOME BBQ DINNER June 18th for ALL Campers!

Session 2: July 16th- Aug. 10th
Session 2: July 18th- Aug. 12th

1 session of Day camp $1025
Both sessions $190
Save $150 when registering for all 8 weeks!
Additional sibling discount $30\session from second child on

BEST AVAILABLE PRICE BY
MAY 1ST 2012: 2 SESSIONS $1800

Pay Your $200 Deposit Online

Camper’s Name
Birthday
Son’s Grade as of Sept. 2012
Parents’ Names
Address
City, Zip
E-mail
Home Phone
Cell (mom)
Cell (dad)
Does your child have allergies, please list?
Any medications or medical conditions we should be aware of?
Anything you would like us to know about your child to make this the best camp ever?
Address, telephone and email are the same as last summer?
Will you be able to volunteer?
• Please understand that Keshet Boys Day Camp has a friendly, creative, Torah atmosphere where campers can enjoy themselves while developing their Middos. There is a level of middos and behavior that is expected from all campers. Any camper that exhibits behavior that is detrimental to the running of Keshet Boys Day Camp and the safety or enjoyment of other campers will be asked to leave. If this should occur, no refund will be given. • Keshet Boys Day Camp is not responsible for lost or damaged items. • Keshet Boys Day Camp welcomes parent participation, suggestions and support. Please let us know if there are any activities you would like to see happen at camp or ways in which you would like to participate.
Please list any ideas or activities you may want to do here
My son will attend: Session 1: June 19th- July 13th Session 2: July 16th- Aug. 10th Deposit for:
• To Guarantee your space, apply early. Complete the application, liability and medical releases and mail them with the deposit by May 1st. • Cancellation Policy After June 10 – no refund for session 1 After July 10 – no refund for session 2 Prior to the above dates, Keshet Boys Day Camp will retain a $100.00 registration fee per camper, per session and refund the balance. Upon receipt of your application, you will receive a confirmation packet that will include: Camp Schedule – subject to change Hot Lunch Order Form Contract detailing payment due dates and commitment to meet them. If you have any questions, please call Rabbi Moshe Tropper, Keshet Boys Day camp Director at (818) 760-3556

Please sign that you have read the previous page and agree to the terms outlined:
Father’s signature Please enter your complete name. This will be accepted as a valid electronic signature
Date
Mother’s Signature Please enter your complete name. This will be accepted as a valid electronic signature
Date