Camp Keshet 2024 Registration - Form

Weekly sessions available June 24–August 9 (No camp July 1-5)
Camp goes from 9-1 daily. Please pack a dairy, nut-free lunch

Primary Parent/Guardian Information

* First Name

* Last Name

* Email

* Cell Phone

Address

City

State

Zip

* Emergency Contact Name

First & Last

* Emergency Contact Phone

* Emergency Contact Relation to Child

Child's Information

* Child's First Name

* Child's Last Name

* Date of Birth

* Child's age group

* Is your child currently enrolled in Keshet preschool?

Please Select OneYesNo

Food Restrictions/Allergies

Medications

My child will attend:
Please select EITHER the entire summer OR individual week(s). To avoid overpayment, please do not make selections that overlap.

Entire Summer

Entire SummerJune 24, 2024 through August 9, 2024

Individual Week(s)

June 24-28: Party in the USAJuly 8-12: Mindfulness, Music, and MovementJuly 15-19: Messy ArtJuly 22-26: Up, Up, and Away!July 29- August 2: A Bug's LifeAugust 5-9: Crazy for CarnivalsJune 24, 2024 through August 9, 2024

Entire Summer

3 Day Week5 Day WeekFor campers age 2 only, 3 or 5 day camp week.

Individual 3 Day Week(s)

June 25-27: Party in the USAJuly 9-11: Mindfulness, Music, and MovementJuly 16-18: Messy ArtJuly 23-25: Up, Up, and AwayJuly 30- August 1: A Bug's LifeAugust 6-8: Crazy for CarnivalsFor campers age 2 only, 3 day camp week.

Individual 5 Day Week(s)

Early drop-off is available for $15 a day. If you would like to sign up for early drop-off, please check below and we will be in contact for your specific dates.

Yes, I would like to be contacted about early drop-off

Additional Information About My Child

I understand that sunscreen must be applied before school. Would you like sunscreen reapplied to your child? If so, please explain frequency and location. Please provide a bottle of non-aerosol, labeled sunscreen.

Please describe any challenges and or needs for your child, and how they are addressed:

Provide us any additional information that will help us best meet your child's needs at camp.

My child can be photographed

YesNo

Early bird rates require the following qualifications:

Be in good financial standing with Temple Beth El, Keshet Preschool, and any other official TBE run organization.
Be registered for all Camp Keshet dates before April 1, 2024.
Be paid in full for each week of Camp Keshet before the Sunday of that week regardless of payment plan.

All cancelations must be submitted in writing at least three weeks before your child is scheduled to attend. If there is no written submission of cancelation, you will be charged the full price. Absences due to illness or vacations will not be refunded.

We have read and understand this enrollment contract and agree that by signing it we accept responsibility for all financial obligations contained herein.

* Electronic Signature:

Enter first & last name

* Date of Signature: