WJC Summer Camp Registration 2021

Child's Name*

Gender (Identity)*

Child's Date of Birth*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent Name (1)*

Parent (1) Home Phone

Parent (1) Mobile Phone*

Parent (1) Email*

Parent Name (2)

Parent (2) Home Phone

Parent (2) Mobile Phone

Parent (2) Email

Nanny or Housekeeper's Name

Nanny or Housekeeper's Mobile Phone

Are you members of Westchester Jewish Center?*

Yes
No

Would you like more information regarding membership at Westchester Jewish Center?

Yes
No

Are you members of any other congregation?

Yes
No

If yes, which congregation?

Are you registering more than one child for our programs?

Yes
No

If yes, how many children will you be registering?

Person to contact in case of an emergency (other than parents).

Name*

Relationship*

Mobile Phone*

Child's Doctor*

Child's Doctor Phone Number*

Child's Doctor Address*

Allergies

Summer Camp 2021

By checking here, I agree to the following:

PAYMENT POLICY Summer Camp: $400 (non-refundable) check upon registration plus a check postdated April 3, 2020 for the balance.
REFUND POLICY Parents will be responsible for the total tuition of absences or voluntary withdrawal of the child from the camp. If, after due consideration, it is the opinion of the camp that the child is not benefitting for the Early Childhood camp experience, it is the camp’s privilege to request that the child be withdrawn. In such event, the tuition will be adjusted to the date of such withdrawal.
PHOTOGRAPHY POLICY I/We grant permission for the WJC to take photographs of my child(ren) and my family for use in original or modified form in traditional and social media now or hereafter, for the promotion, public education, and/or fundraising activities at WJC. I/We will receive no compensation for use of photos.
EMERGENCY POLICY I understand that I will be contacted in case of emergency. I/We hereby grant permission to the WJC to authorize any emergency action necessary to ensure the safety of my child.

Please indicate your weeks below.*

Minimum Registration: 2 Weeks. All children staying later than 12:00 pm should bring a Kosher dairy lunch. A healthy mid-morning snack will be provided.

Week 1: TBD
Week 2: TBD
Week 3: TBD
Week 4: TBD
Week 5: TBD
Week 6: TBD
Week 7: TBD
Week 8: TBD

Little Ones (One to Two Year Olds) (MEMBER)

Fridays: 9:15-10:30am Please enter the number of weeks in the field below. Minimum Registration: 2 Weeks.

Price: $20.00 Quantity:

Little Ones (One to Two Year Olds) (NON-MEMBER)

Fridays: 9:15-10:30am Please enter the number of weeks in the field below. Minimum Registration: 2 Weeks.

Price: $28.00 Quantity:

3 Day Two Year Olds (MEMBER)

T/W/TH: 9:00-11:30am Please enter the number of weeks in the field below. Minimum Registration: 2 Weeks.

Price: $209.00 Quantity:

3 Day Two Year Olds (NON-MEMBER)

T/W/TH: 9:00-11:30am Please enter the number of weeks in the field below. Minimum Registration: 2 Weeks.

Price: $209.00 Quantity:

5 Day Two Year Olds (MEMBER)

M-F: 9:00-11:30am Please enter the number of weeks in the field below. Minimum Registration: 2 Weeks.

Price: $348.00 Quantity:

5 Day Two Year Olds (NON-MEMBER)

M-F: 9:00-11:30am Please enter the number of weeks in the field below. Minimum Registration: 2 Weeks.

Price: $447.00 Quantity:

5 Day Three Year Olds (MEMBER)

M-TH: 9:00am-12:45pm/F: 9:00am-12:00pm Please enter the number of weeks in the field below. Minimum Registration: 2 Weeks.

Price: $357.00 Quantity:

5 Day Three Year Olds (NON-MEMBER)

M-TH: 9:00am-12:45pm/F: 9:00am-12:00pm Please enter the number of weeks in the field below. Minimum Registration: 2 Weeks.

Price: $455.00 Quantity:

NON MEMBERS: Security Fee

Summer Camp

Price: $50.00 Quantity:

Product Name

Little Ones & Friends

Price: $25.00 Quantity:

Please select your payment method:*

Please note: After hitting the submit button below, you will be directed to PayPal. If you would like to continue with credit card payment, please proceed with PayPal. If you have selected check below, please just close out of the PayPal window and send your check to the office:
Westchester Jewish Center ECC
175 Rockland Ave
Mamaroneck, NY 10543

Credit (Please note there is an additional 3.5% charge to pay by credit card)
Check

Total

$0.00

WJC Summer Camp Registration 2021

WJC Summer Camp Application 2021

Person to contact in case of an emergency (other than parents).

Summer Camp 2021

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