JCC Day Camps Early Bird Registration 2016
JCC Day Camps Early Bird Registration 2016 Early Bird Special!
Sign up now and pay in full** by 2/12/16 to get last year’s prices! ** Payment Plans Available
E FREhir t and
_Pre-Schoolers (Ages 4-5)
T-S kpack BEaARcLY BTIRIODN
For more information about this exciting new program, contact Debra Kirschner, Camp Director at (203) 387-2522 x253.
with GISTRA RE
_ Camp Shalom (Entering K - Grade 5)
Choose any weeks below (your first 2 weeks must be consecutive – additional weeks do not need to be)
June 27-July 1 July 5-8 July 11-15 July 18-22 July 25-29 August 1-5 August 8-12
Early Bird Rates After February 12, 2016
2 weeks $580m/$680nm 3 weeks $865m/$1,015nm 4 weeks $1,095m/$1,295nm 5 weeks $1,370m/$1,620nm 6 weeks $1,595m/$1,895nm 7 weeks $1,860m/$2,210nm
2 weeks 3 weeks 4 weeks 5 weeks 6 weeks 7 weeks
$600m/$700nm $895m/$1,045nm $1,130m/$1,330nm $1,410m/$1,660nm $1,645m/$1,945nm $1,915m/$2,265nm
Subtotal $___________________
Camp Chalutzim (Entering Grades 6-9) Chalutzim Campers must register for a minimum of 4 weeks. Choose any 4 weeks.
June 27-July 1 July 5-8 July 11-15 July 18-22 July 25-29 August 1-5 August 8-12
4 weeks @ $1,380m/$1,580nm $___________ _____ Addt’l weeks @ $345m/$395nm per week
$___________
Subtotal $_______________
After February 12, 2016
Weekly: $355m/$405nm 4 weeks: $1,420m/$1,620nm
Don’t know your summer plans? Sign up - Save - Select your dates later!
No. of weeks_______________ $__________
Bus transportation is included at no additional cost.
Visit jccnh.org for a list of predetermined, centralized locations to choose from.
JCC of Greater New Haven, 360 Amity Road, Woodbridge, CT 06525 • (203) 387-2522 • FAX (203) 387-1818
Camper’s Name_______________________________________________M F Birthdate____________Grade as of 9/16_____________ Address__________________________________________City________________________St.___________ Zip__________ Tel. (
)________________________________________ Camper’s E-mail (if applicable):____________________________
Camper lives with: Camp:
Shalom
Both Parents Mother Father Other _____________________ Chalutzim
T-shirt size: Child’s Sm Child’s Md Child’s Lg Adult Sm Adult Md Adult Lg Parent’s Name_____________________________________ E-mail:_____________________________________________ Workplace_________________________________________ Cell Tel. (
)_______________________________________
Parent’s Name_____________________________________ E-mail:_____________________________________________ Workplace_________________________________________ Cell Tel. (
)_______________________________________
Emergency Contact ___________________________________________ Emergency Tel. (
)_______________________
Buddy Request ____________________________________________________________________________________________________ (One name only / must be reciprocal & same grade.)
(The JCC attempts to accommodate requests, but cannot guarantee placement of campers with friends. Placement is made at camp director’s discretion.)
Important Notes: 1. Each registration must be for a minimum of 2 weeks grades K-5; 4 weeks grades 6-9.
I would like to donate to the Send A Kid to Camp Scholarship Fund: $18 $36 Other SAK Total $___________
2. Additional children from same family each receive $25 discount for 4 weeks, $50 when registering for the full season.
3. Cancellation policy - $50 per camper per week is non-refundable/non-transferable. The remaining tuition balance will be refunded up until June 26, 2016. After June 26, only JCC program or membership credit will be given. 4. Exceptions may be considered (Call Deb at x 253). 5. 14 or 15 year olds interested in our Counselor-in-Training Program please call (203) 387-2522 x253 to request an application and to make an appointment for an interview.
Camp Total $_____________ Sibling Discount –$___________ Total Due $_____________ Amount Enclosed $_____________
Check Enclosed Visa Mastercard Discover Amex Account No.____________________________Exp. Date:_________ Application Date:__________Signature:________________________
Terms of Agreement: I will comply with all transportation policies. I give my permission for photos of my child that are taken during the camp day to be used by the JCC for publicity and web advertising, social networking sites (Facebook, Flicker, YouTube) and/or publications. I will comply with all camp policies and have read and agree to all fees & terms of enrollment included above. I give permission for my child’s address & telephone number to be distributed to camp bunkmates and for my child to participate in trips outside the camp premises of the JCC (there may be unscheduled, last minute trips.) I understand that there will be no fee reduction or reimbursment for absences or for children sent home due to disciplinary or adjustment problems. I hereby release and hold harmless the JCC, its officers, directors and employess from any claims, loss and liability relating to injury, illness or death to my child(ren) which may arise from participating in any JCC camp program.
Parent/Guardian:_______________________________ Date:_________ Signature:___________________________ For more information call Debra Kirschner, Camp Director at x253 or Nancy Olins, Camp Secretary at x251
Become a JCC Member!
Enjoy the benefits of the JCC all year long! Get member rates on classes, vacation camps, and full use of the JCC facility including the pool, playscape, courts,Camp fitness center and spinning For more information call Debra Kirschner, Campgym, Director at x253racquetball or Nancy Olins, Secretary at x251 Please have a membership representative contact me:
Name___________________________________________ Phone____________________________ Email_________________________________________
Interested in some camp swag from the SHALOM SHACK? Visit jccnh.org/camp/shalom-shack for item details and order form.
Sign up now and pay in full** by 2/12/16 to get last year’s prices! ** Payment Plans Available
E FREhir t and
_Pre-Schoolers (Ages 4-5)
T-S kpack BEaARcLY BTIRIODN
For more information about this exciting new program, contact Debra Kirschner, Camp Director at (203) 387-2522 x253.
with GISTRA RE
_ Camp Shalom (Entering K - Grade 5)
Choose any weeks below (your first 2 weeks must be consecutive – additional weeks do not need to be)
June 27-July 1 July 5-8 July 11-15 July 18-22 July 25-29 August 1-5 August 8-12
Early Bird Rates After February 12, 2016
2 weeks $580m/$680nm 3 weeks $865m/$1,015nm 4 weeks $1,095m/$1,295nm 5 weeks $1,370m/$1,620nm 6 weeks $1,595m/$1,895nm 7 weeks $1,860m/$2,210nm
2 weeks 3 weeks 4 weeks 5 weeks 6 weeks 7 weeks
$600m/$700nm $895m/$1,045nm $1,130m/$1,330nm $1,410m/$1,660nm $1,645m/$1,945nm $1,915m/$2,265nm
Subtotal $___________________
Camp Chalutzim (Entering Grades 6-9) Chalutzim Campers must register for a minimum of 4 weeks. Choose any 4 weeks.
June 27-July 1 July 5-8 July 11-15 July 18-22 July 25-29 August 1-5 August 8-12
4 weeks @ $1,380m/$1,580nm $___________ _____ Addt’l weeks @ $345m/$395nm per week
$___________
Subtotal $_______________
After February 12, 2016
Weekly: $355m/$405nm 4 weeks: $1,420m/$1,620nm
Don’t know your summer plans? Sign up - Save - Select your dates later!
No. of weeks_______________ $__________
Bus transportation is included at no additional cost.
Visit jccnh.org for a list of predetermined, centralized locations to choose from.
JCC of Greater New Haven, 360 Amity Road, Woodbridge, CT 06525 • (203) 387-2522 • FAX (203) 387-1818
Camper’s Name_______________________________________________M F Birthdate____________Grade as of 9/16_____________ Address__________________________________________City________________________St.___________ Zip__________ Tel. (
)________________________________________ Camper’s E-mail (if applicable):____________________________
Camper lives with: Camp:
Shalom
Both Parents Mother Father Other _____________________ Chalutzim
T-shirt size: Child’s Sm Child’s Md Child’s Lg Adult Sm Adult Md Adult Lg Parent’s Name_____________________________________ E-mail:_____________________________________________ Workplace_________________________________________ Cell Tel. (
)_______________________________________
Parent’s Name_____________________________________ E-mail:_____________________________________________ Workplace_________________________________________ Cell Tel. (
)_______________________________________
Emergency Contact ___________________________________________ Emergency Tel. (
)_______________________
Buddy Request ____________________________________________________________________________________________________ (One name only / must be reciprocal & same grade.)
(The JCC attempts to accommodate requests, but cannot guarantee placement of campers with friends. Placement is made at camp director’s discretion.)
Important Notes: 1. Each registration must be for a minimum of 2 weeks grades K-5; 4 weeks grades 6-9.
I would like to donate to the Send A Kid to Camp Scholarship Fund: $18 $36 Other SAK Total $___________
2. Additional children from same family each receive $25 discount for 4 weeks, $50 when registering for the full season.
3. Cancellation policy - $50 per camper per week is non-refundable/non-transferable. The remaining tuition balance will be refunded up until June 26, 2016. After June 26, only JCC program or membership credit will be given. 4. Exceptions may be considered (Call Deb at x 253). 5. 14 or 15 year olds interested in our Counselor-in-Training Program please call (203) 387-2522 x253 to request an application and to make an appointment for an interview.
Camp Total $_____________ Sibling Discount –$___________ Total Due $_____________ Amount Enclosed $_____________
Check Enclosed Visa Mastercard Discover Amex Account No.____________________________Exp. Date:_________ Application Date:__________Signature:________________________
Terms of Agreement: I will comply with all transportation policies. I give my permission for photos of my child that are taken during the camp day to be used by the JCC for publicity and web advertising, social networking sites (Facebook, Flicker, YouTube) and/or publications. I will comply with all camp policies and have read and agree to all fees & terms of enrollment included above. I give permission for my child’s address & telephone number to be distributed to camp bunkmates and for my child to participate in trips outside the camp premises of the JCC (there may be unscheduled, last minute trips.) I understand that there will be no fee reduction or reimbursment for absences or for children sent home due to disciplinary or adjustment problems. I hereby release and hold harmless the JCC, its officers, directors and employess from any claims, loss and liability relating to injury, illness or death to my child(ren) which may arise from participating in any JCC camp program.
Parent/Guardian:_______________________________ Date:_________ Signature:___________________________ For more information call Debra Kirschner, Camp Director at x253 or Nancy Olins, Camp Secretary at x251
Become a JCC Member!
Enjoy the benefits of the JCC all year long! Get member rates on classes, vacation camps, and full use of the JCC facility including the pool, playscape, courts,Camp fitness center and spinning For more information call Debra Kirschner, Campgym, Director at x253racquetball or Nancy Olins, Secretary at x251 Please have a membership representative contact me:
Name___________________________________________ Phone____________________________ Email_________________________________________
Interested in some camp swag from the SHALOM SHACK? Visit jccnh.org/camp/shalom-shack for item details and order form.
