Camper Application - ChabadSI.com
« Back to Chabad Lubavitch of Staten Island
 
ב"ה

Camper Application

  • If you would like to enroll a child in Kiddy Camp (ages 4 and younger),  please contact the office at [email protected] to ensure that there is still availability.

    If you have any questions or comments, please feel free to reach out to the office at [email protected] 

    Sibling discount applies to additional child/ren registering for the entire summer and cannot be combined with the early bird discount.

    Kiddy Kamp is for children born 2019-2020.

    Gan Izzy is for children entering Pre-1A until age 10.

    Pioneer Program is for girls aged 11-12. 

  • 1. Child/ren’s Information

  • If you have additional children please contact us.

  • 2. Parent information

  • 3. Emergency Information

  • 4. Payment Information

  • A $150 registration fee is taken as a nonrefundable deposit

  • $0.00

  •   
    Credit Card
    Paypal has been selected. Payment will take place on the next page.
  • Please contact the Camp office for scholarship opportunities or special requests.

    • I UNDERSTAND THAT MY CHILD'S ENROLLMENT IN CAMP IS CONTINGENT ON COVID-19 PROTOCOLS AND PROCEDURES 
    • I grant permission for my child to participate in all camp activities, including swimming and trips away from camp grounds (dates and destinations to be provided at a later date).
    • I understand that if my application is not filled out completely or the required payments are not enclosed, my application will not be processed and will be returned.
    • I agree to disclose any behavioral help my child receives during the school year, to ensure that Camp has the ability to accomodate my child's needs.
    • I agree that my child may be photographed, and their pictures may be used in future camp promotional materials, including, but not limited to the brochure and the CGI website.
    • No camper will be permitted into camp without all forms completed (including medical and application) and all financial obligations satisfied.
    • CGI is not responsible for personal property brought to camp.
    • If the Camper’s conduct is harmful to the best interests of CGI Day Camp, the Camper may be dismissed at the sole discretion of the Director with no refund nor reduction of fee.
    • I will pay half of my child’s tuition no later than June 30 and the remainder by July 30.
  • Should be Empty:
Secure This page uses TLS encryption to keep your data secure.