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Camp Registration 2022


Covid-19 Safety: The safety of our campers and their families is our priority. We will be following the CDC guidelines for Covid-19 safety. We will post and update our policies accordingly closer to the actual camp dates. 

Dates: June 13-17
Hours:  9:00am - 4:00pm 
inquire about early/after care if needed

REQUIRED: Covid -19 Safety Agreement:

 I agree to follow all covid-19 safety guidelines and screenings that will be in place for parents and children. These guidelines will be communicated to the Parents before camp starts.


Camper Profile
Family Name
Name of Child
Date Of Birth
Grade Entering Sept 2022
Male Female  
Home Address
Home Phone
Choose Division * 

Second Child:

Name of Child
Date Of Birth
Grade Entering Sept 2022
Male Female

Choose Division *  

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

Cost: $225

Discounts:   * limited scholarships available, contact [email protected] for more information. 
                     * 5% sibling discount 


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 seeing your children again in person!

If your form does not submit please email [email protected]