Camp Registration 2023

 

Dates: June 12-16
Hours:  9:00am - 4:00pm 
inquire about early/after care if needed
Divisions: I ages 6-7; II age 8 -9; III age 10-12

 

CAMPER INFORMATION
 
Family Name
Name of Child
Date Of Birth
Age
Grade Entering Sept 2023
Male Female  
Home Address
Home Phone
 
Choose Division * 


Second Child:

Name of Child
Date Of Birth
Age
Grade Entering Sept 2023
Male Female

Choose Division *  

 
PARENT INFORMATION
 
Father's Name*
Father's Cell*
Father's Email*
   
Mother's Name*
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*
Phone*
Emergency Contact 2
Phone
Doctor's Name
Doctor's Phone Number
   
TUITION & DISCOUNTS

Cost: $300    

Discounts:  * 5% sibling discount 
                    * scholarships available. click here to fill out scholarship form - no one will be turned away due to inability to pay

 
PAYMENT
 

Method of payment:

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

I will pay full amount now     $50 deposit now and the remainder one month from registration date (if you need another date please contact us) 

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: 

email for confirmation:   

We look forward to spending time with your child/children!

If your form does not submit or you have any further questions or concerns please email [email protected]