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Camper’s Name
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Birthday
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Son’s Grade as of Sept. 2010
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Parents’ Names
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Address
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City, Zip
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E-mail
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Home Phone
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Cell (mom)
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Cell (dad)
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Does your child have allergies, please
list?
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Any medications or medical conditions we
should be aware of?
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Anything you would like us to know about
your child to make this the best camp
ever? |
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Address, telephone and email are the
same as last summer?
My son will attend: session 1
(June
27th- July 15th) session 2 (July
25th- Aug. 12th)
both
sessions (8 weeks)
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YES! My father can volunteer to
help supervise on trips (1-4 day period)
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• Please understand that Keshet Boys Day
Camp has a friendly, creative, Torah
atmosphere wherecampers 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 Travel 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 Travel 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. |
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Please list any ideas or activities you
may want to do here |
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• To Guarantee your space, apply early.
Complete the application, liability and
medical releases and submit them with
the deposit by April 1st.
• Cancellation Policy
After May 1 – no refund for session 1
After June 1 – no refund for session 2
Prior to the above dates, Keshet Boys
Travel 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.
If you have any questions, please call
Rabbi Moshe Tropper, Keshet Boys Day
camp Director
at (818) 760-3556 |
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Please sign that you have read the
above and agree to the terms
outlined: |
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Father’s signature
Please enter your
complete name. This will be
accepted as a valid electronic signature |
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Date
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Mother’s Signature
Please enter your
complete name. This will be
accepted as a valid electronic signature |
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Date
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