Culinary Camp 2024

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Camp Registration 2024
Dates: Session 1: June 24-28 Session 2: July 1-3

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

Divisions: I ages 6-8; II age 9-12 (campers will be divided in groups by age within each division)

NEW LOCATION: The new Chabad Center for Jewish Life - 11033 Hillside Lane, Minnetonka
CAMPER INFORMATION
Number of children enrolling:*
Child 1:
Name of Child

First Name Last Name
Name child prefers to be called
Date of Birth

Month Day Year
Age
Grade entering Sept 2024
MaleFemale

Primary Home Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Choose Division: Campers will be divided in groups by age within each division
Enrollment*

Session l: June 24-28Session II: July 1-3Full Session: Both weeks, June 24-July 3
Child's T-shirt size (at time of camp)
ALLERGY INFORMATION: Please list any allergies that your child has or other health issues we should be aware of. List NONE of no allergies*
Child 2:
Name of Child 2

First Name Last Name
Name child 2 prefers to be called
Date of Birth child 2

Month Day Year
Age child 2
Grade entering Sept 2024 child 2
Choose Division - child 2: Campers will be divided in groups by age within each division
Enrollment- Child 2*

Session l: June 24-28Session II: July 1-3Full Session: Both weeks, June 24-July 3
Child 2 T-shirt size (at time of camp)
ALLERGY INFORMATION Child 2: Please list any allergies that your child has or other health issues we should be aware of. List NONE of no allergies*
Child 3:
Name of Child 3

First Name Last Name
Name child 3 prefers to be called
Date of Birth child 3

Month Day Year
Age child 3
Grade entering Sept 2024 child 3
Choose Division child 3: Campers will be divided in groups by age within each division
Enrollment child 3*

Session l: June 24-28Session II: July 1-3Full Session: Both weeks, June 24-July 3
Child 3 T-shirt size (at time of camp)
ALLERGY INFORMATION 3: Please list any allergies that your child has or other health issues we should be aware of. List NONE of no allergies
EMERGENCY INFORMATION
In case of an emergency, we will make every attempt possible to reach the parents first. If we are unable to reach the parents we will contact the emergency contact listed below.
Emergency Contact 1:*

First Name Last Name
Emergency contact phone :*

Area Code Phone Number
Emergency Contact 2: optional

First Name Last Name
Emergency contact 2 phone : optional

Area Code Phone Number
Child's Doctor*

First Name Last Name
Doctor's Phone Number*

Area Code Phone Number
PARENT INFORMATION
Father's Name* write NA if not applicable

First Name Last Name
Father's Cell* write NA if not applicable

Area Code Phone Number
Father's Email* write NA if not applicable
Mother's Name* write NA if not applicable

First Name Last Name
Mother's Cell* write NA if not applicable

Area Code Phone Number
Mother's E-mail* write NA if not applicable
FEES , DISCOUNTS & PAYMENT
Regular Session ~ June 24-28: $300

Bonus Days ~ July 1-3: $200

Full session ~ June 24 - July 3: $480 ($20 discount)

Discounts: 5% sibling discount

* Scholarships available. click here to fill out scholarship form - no one will be turned away due to inability to pay
$50 deposit per child is due at the time of registration and will be deducted from the tuition amount. Your child's registration is pending until deposit payment is received.
$50 deposit per child due now* will be deducted from tuition amount

1 child: $502 Children: $1003 Children: $150

Payment

Credit Card Check or other

Postal / Zip Code

Country

Payment Arrangement:*

Pay in full nowOnly $50 deposit now and the remainder one month from registration dateOther: You will be contacted to arrange a payment plan
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 or Initials as Signature*
E-mail for confirmation*
*

Month Day Year
at Hour Minutes
We look forward to having your child / children!

If your form does not submit or you have any further questions or concerns please email [email protected]
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Camp Registration 2024

CAMPER INFORMATION

Child 1:

Child 2:

Child 3:

EMERGENCY INFORMATION

PARENT INFORMATION

FEES , DISCOUNTS & PAYMENT