Camp Keshet 2025 Registration - Form

Weekly sessions available June 23–August 8 (No camp June 30- July 4)
Camp goes from 9-1 daily. Please pack a dairy, nut-free lunch.
Note: Camp prices will increase after first day of camp, June 23.

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

Authorized Pickup 1

* Name

First & Last

* Phone

* Relation to Child

Authorized Pickup 2

* Name

First & Last

* Phone

* 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 23, 2025 through August 8, 2025

Individual Week(s)

June 23-27: Party in the USAJuly 7-11: Messy ArtJuly 14-18: Summer STEAMJuly 21-25: We're Going to the Beach!July 28- August 1: Hanukkah in JulyAugust 4-8: It's a Circus Around Here!June 23, 2025 through August 8, 2025

Entire Summer

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

Individual 3 Day Week(s)

June 24-26: Party in the USAJuly 8-10: Messy ArtJuly 15-17: Summer STEAMJuly 22-24: We're Going to the Beach!July 29- July 31: Hanukkah in JulyAugust 5-7: It's a Circus Around Here!For campers age 2 only, 3 day camp week.

Individual 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

Voluntary Contribution for Security

Security is provided at all times children are on the property. This is not covered by tuition, so please consider helping us offset that cost.

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

You must set up a payment plan and have made an installment or have paid in full prior to first week of camp.

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: