2020 Camp Shelanu Babayit Registration Form-non-member

2020 Camp Shelanu Babayit Registration Form

Contact Info

* Number of parents/guardians on account

Please Select OneOneTwo

Parent 1

* First Name

* Last Name

* Email

* Cell Phone

Home Phone

* Address

* City

* Zip Code

* What device(s) will your camper(s) be using to access our Zoom activities?

Android smartphone or tabletApple smartphone or tabletWindows (pc) computerMac (Apple) computer

Parent 2

First Name

Last Name

Cell Phone

Home Phone

Does parent 2 live at the same address as parent 1?

Please Select OneYesNo

Parent 2 Address

Parent 2 City

Parent 2 Zip Code

Please Read:

* I declare under penalty of perjury under the laws of the state of California that to the best of my knowledge, information and belief my camper is in good physical health and is capable of participating in camp activities, including swimming, field trips and other vigorous physical activity.

I declare under penalty of perjury under the laws of the state of California that to the best of my knowledge, information and belief my camper is in good physical health and is capable of participating in camp activities, including swimming, field trips and other vigorous physical activity.

Membership Status:

* Are you a current member of Congregation B'nai Israel?

Oops! It looks like you're trying to fill out the wrong form! If you're a member at CBI (Congregation B'nai Israel), please fill out the members form, found here: www.cbisacramento.org/form/camp-2020-member

Camper Information:

* How many children are registering for Camp Shelanu?

Camper 1 Information:

* First Name

* Last Name

Birthdate

* Grade Entering in Fall 2020

* Shirt Size

* Will this be Camper 1's first time at Camp Shelanu?

Please Select OneYesNo

Medical and Allergy Information

* Does Camper 1 take any medication?

Please Select OneYesNo

Please list each medication and what it's treating

* Does your child have any allergies or food restrictions?

Please Select OneYesNo

Please describe all allergies and food restrictions:

Additional Information About Camper 1

My child loves:

My child does not like:

What makes your child angry?

How does your child cope? What methods work best?

* What is Camper 1's experience with Zoom?

Please Select OneNo Zoom experienceThey have participated in Zoom calls with assistanceThey have participated in Zoom calls aloneThey could run a Zoom meeting by themselves

Is there anything else we should know about your camper that would enhance their Camp Shelanu experience?

Please Select OneYesNo

Please explain:

Camper 2 Information:

* First Name

* Last Name

Birthdate

* Grade Entering in Fall 2020

* Shirt Size

* Will this be Camper 2's first time at Camp Shelanu?

Please Select OneYesNo

Medical and Allergy Information

* Does Camper 2 take any medication?

Please Select OneYesNo

* Please list each medication and what it's treating

* Does Camper 2 have any allergies or food restrictions?

Please Select OneYesNo

Please describe all allergies and food restrictions:

Additional Information About Camper 2

My child loves:

My child does not like:

What makes your child angry?

How does your child cope? What methods work best?

* What is Camper 2's experience with Zoom?

Please Select OneNo Zoom experienceThey have participated in Zoom calls with assistanceThey have participated in Zoom calls aloneThey could run a Zoom meeting by themselves

Is there anything else we should know about your camper that would enhance his/her Camp Shelanu experience?

Please Select OneYesNo

Please explain:

Camper 3 Information:

* First Name

* Last Name

Birthdate

* Grade Entering in Fall 2020

* Shirt Size

* Will this be Camper 3's first time at Camp Shelanu?

Please Select OneYesNo

Medical and Allergy Information

* Does Camper 3 take any medication?

Please Select OneYesNo

* Please list each medication and what it's treating

* Does Camper 3 have any allergies or food restrictions?

Please Select OneYesNo

Please describe all allergies and food restrictions:

Additional Information About Camper 3

My child loves:

My child does not like:

What makes your child angry?

How does your child cope? What methods work best?

* What is Camper 3's experience with Zoom?

Please Select OneNo Zoom experienceThey have participated in Zoom calls with assistanceThey have participated in Zoom calls aloneThey could run a Zoom meeting by themselves

Is there anything else we should know about your camper that would enhance his/her Camp Shelanu experience?

Please Select OneYesNo

Please explain:

Camp Shelanu Babayit Pricing

Kindergarten - 5th grade: $125 per week

6th-8th grade (Tayarim): $150 per week

9th-12th grade (CIT's): $75 for the first week, $50 per additional week

*All of the groups (Jerusalem, Haifa, Tel-Aviv, and Tayarim) will run every session, as long as there are at least 5 campers registered in that group. If fewer than 5 campers register for a given week, alternate options will be provided.

Camp tuition must be paid in full prior to the first day of the first session your camper(s) attend.

Camper 1:

* How many weeks is Camper 1 registering for?

* How many weeks of Tayarim is Camper 1 registering for?

* How many weeks is Camper 1 registering to be a CIT?

* Please select which session camper 1 will be attending