Culinary Camp Registration 2019

$50 deposit fee due at registration will be deducted from total tuition.

Camper Profile
Family Name
Name of Child
Date Of Birth
Grade Entering Sept 2019
Male Female  
Home Address
Home Phone
Choose Session * 

Second Child:


Name of Child
Date Of Birth
Grade Entering Sept 2019
Male Female

Choose Session *  

Parent Information
Father's Name
Father's Phone
Father's Cell
Father's Email
Mother's Name
Mother's Phone
Mother's Cell
Mother's Email
ALLERGY INFORMATION:  please list any allergies that your child has or other health issues we should be aware of. List NONE if no allergies

Emergency Information
Emergency Contact 1
Emergency Contact 2
Doctor's Name
Doctor's Phone Number
Tuition Agreement and Discounts

Registration Fee: $50 (deducted from total tuition)

Cost: $199

Discounts:   * limited scholarships available contact for more information. 
                        * 5% sibling discount 

Sign up by March 4 for 10% discount
Extended Care
Morning; from what time 
Afternoon; until what time 

Method of payment:

Your child's registration is pending until deposit is received. 

Check - Please mail checks to Chabad Minneapolis: 2845 Hedberg Dr., Minnetonka, MN 55305
Credit Card
CC Type      
Billing Address   City, State, Zip
Card Number   Exp  Date
security code


As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad Minneapolis/ Kosher Culinary Camp to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad Minneapolis personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all camp activities, join in outings if applicable on and beyond camp properties and allow my child to be photographed while participating in camp activities and that these pictures may be used for marketing purposes.

I Accept 

Name:  Initials: Date: 

We look forward to a wonderful summer!

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