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Camp Aleph Registration

Camp Aleph Registration

 
 
Register Online

Please fill out the form below:

Camper 1 Camper 2 Camper 3
Campers Full Name Campers Full Name
Campers Full Name
Date of Birth
Date of Birth
Date of Birth
Gender
Gender
Gender
School Attending School Attending
School Attending
Entering Grade Entering Grade
Entering Grade
           
General Information
Previous Camps Attended
How did you hear about Camp Aleph?
What goals would you like to see your child/ren accomplish during camp?
Briefly describe your child/ren's personality

Child/ren's favorite activities
 
Fees

1st Session: June 19 - 23 
2nd Session: June 26 - 30

1 Session - $250
2 Sessions - $450

Early Bird Discount (before April 15th) - 10%
Sibling Discount - 5%

 
Camp Aleph T-shirts
Camp Aleph T-Shirt
1 T-Shirt is included per child. Additional T-Shirts - $10
Campers are required to wear a Camp T-Shirt on trip days.

Child Small Medium Large
Adult Small Medium Large
Parents' Information
Parents' Status Married Widowed Divorced Separated
Home Phone
Home Address
City
State
Zip
Father's Full Name
Work Phone
Cell Phone
Email
Mother's Full Name
Work Phone
Cell Phone
Email
Comments
         
Emergency Contact Information
Contact 1
Phone
Relationship to child
 
Contact 2
Phone
Relationship to child
 
Family Physician
Phone
   
Are there any medical concerns that your child's counselor should be aware of?
 
Permission
I hereby give permission for my child to participate in all Camp Aleph activities and trips
I also hereby consent to the administration of Camp Aleph to take whatever medical
measures they deem necessary for my child, in the event of a medical emergency
Parent/Guardian Date


Payment Details
Registration is confirmed with minimum of $50 deposit per child.
Please indicate when you would like us to charge the additional amount.
Payment is needed in full before June 19.
Last Name   Total charge amount
First Name   Card Type
Address   Card Number
City   Exp. Date
State   CVV code 3 digits on back of card
Zip   Comments

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Upcoming Events
There are no events posted at this time. Please contact us for more info about our events.
Camp Updates
Save the Dates 4 Summer 2018!
Session #1: June 18-22
Session #2: June 25-29

For more info contact info@campaleph.com
or call 707.559.8585
A Summer of Fun... A Lifetime of Memories!
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