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2019 Camp Shelanu Registration Form

 2019 Camp Shelanu Registration Form
 Contact Info 
 Parent 1 

 Parent 2 

Please Read:

 Membership Status: 

 Camper Information: 

Camper 1 Information:

 Medical and Allergy Information 

 Additional Information About Camper 1 

Camper 2 Information:

 Medical and Allergy Information 

 Additional Information About Camper 2 

Camper 3 Information:

 Medical and Allergy Information 

 Additional Information About Camper 3 

Camp Shelanu Pricing
Kindergarten - 5th grade

Camp tuition for K-5 campers is $220 for members and $250 for non-members per session. All campers registered for 3 or more sessions, will receive a $20 discount off the 3rd, 4th and 5th sessions.

Due to the timing of the 4th of July this year, we are offering a half-week option for Session 1. If you would like to only register your child for Monday - Wednesday, the adjusted tuition is $160 for members, and $190 for non-members.

6th-8th grade (Tayarim)

Camp tuition for the Tayarim adventure week is $275 for members and $300 for non-members.

9th-10th grade (CIT's)

The CIT program costs $75 for members and $110 for non-members for the first session. Each additional session is $50 for members and non-members.

Camp tuition must be paid in full prior to the first day of the first session your camper(s) attend.
Camper 1:
Camper 2:
Camper 3:

 Emergency Contacts 

Emergency Contacts: The following people have permission to pick up my camper from camp on a regular basis or in case of an emergency when one or both parent/guardians are unreachable.


 Additional Camp Shirts 

   Child Small
   Child Medium
   Child Large
   Adult Small
   Adult Medium
   Adult Large
   Adult X-Large

 Before/After - Care 

Camp Shelanu offers childcare in the mornings and evenings surrounding normal camp hours. Before-Care is available from 7:30 - 9:00 am, and After-Care is available from 4:00 - 6:00 pm. The weekly pricing is only offered if you sign up for childcare before July 1st. After that, all childcare will be considered drop-in.

Before-Care is available for $35 per week, or $10 per drop-in day
After-Care is available for $50 per week, or $15 per drop-in day 
      (After-Care for Session 1 will be $40 as we will not offer After-Care on July 4)


   Session 1 - July 1-5
   Session 2 - July 8-12
   Session 3 - July 15-29
   Session 4 - July 22-26
   Session 5 - July 29-Aug 2
   Session 1 - July 1-5
   Session 2 - July 8-12
   Session 3 - July 15-29
   Session 4 - July 22-26
   Session 5 - July 29-Aug 2

The Fine Print!

I approve of the above registration for my camper. I understand that the Director of Camp Shelanu will contact me (or another emergency contact if I cannot be reached) in case of emergency. I hereby grant permission for my camper to be treated by qualified medical authorities as necessary and I give permission to the Director to hospitalize, secure proper treatment, order injections, anesthesia or surgery for my camper. I agree that we, our heirs, next of kin, guardians, successors and assigns or any other representative of ours will not sue, claim against, attach the property of or prosecute Camp Shelanu, Congregation B’nai Israel or any of its directors, officers, agents, and employees, and all affiliated entities for loss of property, injury, harm, accident, illness, loss of limb or life, or other personal injury, incapacity, medical cost, expense, damage, claim, liability, howsoever, caused, and regardless of whether caused directly or indirectly, by their acts or any other acts, arising out of or in connections with the camper’s participation in Camp Shelanu activities associated with CBI. The undersigned parent/guardian fully understands that s/he is responsible to pay all costs incurred as a result of the foregoing.

I hereby grant permission for my camper to attend Camp Shelanu field trips, with the full understanding thatthe transportation will be provided by van, bus and/or private car and, further Camp Shelanu staff and parents will supervise those field trips. I also understand that I have an option of attending the Field Trip and the right to transport my own camper. With this understanding, I freely grant permission for my camper to attend and in consideration for these camp services provided by Camp Shelanu and CBI hereby waive any and all claims, demands, damages for property damage, personal injury, or otherwise that might result from this activity and any and all actions that might otherwise exist against Camp Shelanu and CBI or any of its agents whether due to the active or passive negligence of the Camp or CBI and its staff or arising out of any other wrongful conduct other than intentional acts. This waiver and release is given freely and binding with my full knowledge thereof.

For other payment options, contact our Director of Education, Denise Crevin at or 916-446-4861
For general camp questions, contact Keren Schatz, Camp Director:

Refund Policy:
- Refund requests must be made in writing and submitted to the Camp Director by June 24
- New enrollments or sessions added after July 1 are non-refundable
- Tuition will not be refunded for missed days of camp

Mon, August 3 2020 13 Av 5780