Camper Application

Apply now for an experience of a lifetime!

(All fields are required)

Please consider my child for admission for the Jewish Camp of the Arts
Dates and Rates:

New Campers $89 per week
Early sign up $129 before February 8,
JCA Summer camp grant $129 per week (until funds runs out) Learn more

 

Ages  3-12 years
9:00am - 3:30pm

Pre Camp:
$129 per week
Lunch and Snacks $30 per week

Week of June 10, - 14,
Week of June 17, - 21,

 

Camp:
$210 per week
Lunch and Snacks $30 per week

Week of June 24, - 28, (June 25 no swim lessons)
Week of July 1, - 5, (Closed July 4,)
Week of July 8, - 12,
Week of July 15 - 19 (No aftercare July 15, & 16, No swim lessons July 16,)
Week of July 22, - 26,
Week of July 29, - Aug 2,
Week of July Aug 5, - 9,

 

Post Camp
$129 per week
Lunch and Snacks $30 per week
Aug 12, - 16,
Aug 19, - 23,

Does not include full day trips, swimming lessons, before & aftercare.


Before care 7:45am - 8:30am
$10 per day - 2 children $15 per day.
After care 3:30pm - 5:30pm
$15 per day - 2 children $20 per day.

Before care & after care
$90 per week

Special program under 3 years
School rates apply
 

Check the applicable option

My family will qualify for a scholarship with form 220

Pre Camp:
9:00am - 3:30pm

Week of June 10, - 14,
Week of June 17, - 21,

Camp:
9:00am - 3:30pm

Week of June 24, - 28, (June 25 no swim lessons)
Week of July 1, - 5, (Closed July 4)
Week of July 8, - 12,
Week of July 15 - 19 (No aftercare July 15, & 16, No swim lessons July 16)
Week of July 22, - 26,
Week of July 29, - Aug 2,
Week of July  5, -Aug 9

Post camp:
9:00am - 3:30pm

Week Aug 12, - 16,
Week Aug 19, - 23,

Before Care
7:45am - 8:30am
Monday  Tuesday  Wednesday  Thursday  Friday

After Care
4:00pm - 5:30pm
Monday  Tuesday Wednesday  Thursday  Friday

Sponsor a child
You can make a difference in the life of a child by donating to our scholarship fund. As JCA grows, so does the need for scholarships. JCA and Jewish Kids Programs strives to provide a quality Summer Camp to all children regardless of their financial ability. This means that as a Jewish camp, we look to you, our community, to help fund our scholarship program.

Contribute $18 to the Camp Scholarship Fund
Contribute $25 to the Camp Scholarship Fund
Contribute $50 to the Camp Scholarship Fund
Contribute $100 to the Camp Scholarship Fund
Contribute $250 to the Camp Scholarship Fund
would like to sponsor towards the scholarship program

I would like my child to take swimming lessons at $15 per session - minimum 2 sessions

Parents are responsible to provide 2 water bottle everyday


Quantity

Camper Shirt Size

Child Size:  X-Small    Small    Medium    Large
Adult Size:  Small    Medium    Large    X-Large
Child's Name:
(Last)                             (First)                                (Middle)
Address 1:
Address 2:    
(City)                                         (Zip Code)
Contact info:         
      Phone Number                                       Email Address
Date of Birth:           
                                                     (Place of Birth)
School attending:            
       (School)                                 (Grade entering)
Family:            
(Brother/s age)

                  (Sister/s age)               
Father or Guardian:
      
(Father or Guardian Name)    
  
                      (Profession)                       
    
(Address)

  (Telephone #)

(Religion)
Mother or Guardian:
       
(Mother or Guardian Name)     

  (Profession)   
     
  (Address) 
   
   (Telephone Number)

(Religion)
Shul affiliated with:
(if applicable)
Persons Permitted to remove child:

(Full Name)

(Full Name)

(Full Name)
In case of illness, accident or emergency: If for some reason the parents or guardians cannot be reached, please provide
persons to be contacted in case of illness, accident or emergency. if none, indicate "NONE"
   
(Name)                                 (Address)                            (Phone #)


(Relationship)
Special Instructions or areas of concern:
Is your child allergic to anything?:
Emergency Medical Authorization: I give authorization for Emergency Medical Care in the event of a serious illness or accident and if parents cannot be reached.
              
                        (Date)                        (Signature of Parent or Guardian)
Payment

Payment Options:
Pay in full now Charge my Credit Card the $250 deposit today and the balance on February 31, 2012

Credit Card Type:

Account #:

Exp. Date: CVC code: (3 or 4 digit security code)

Name(as it appears on card):

Amount: (Total of all above registrations)
Agreement :   
1. Chabad House Lubavitch of Palm Beach DBA, "The Jewish Camp of the Arts", reserves the right to terminate the enrollment of any child in the event of the breach of this tuition agreement.

2.Payment must be received prior to camp.

3.No refunds, credits, pro-rations or make-up days are available for absences due to illness, holidays, family vacations, or for any other reason.

4.In the event that a child is dismissed from the program due to misbehavior, no refund will be made.

5.The child and parents agree to abide by the rules and regulations set forth by the camp.

6.Chabad House Lubavitch of Palm Beach DBA, "The Jewish Camp of the Arts", will make every effort to protect the health and safety of every child. However, it will not be responsible for the injury or health impairment of any camper.
 
7.I give my child permission to go on all outings with this camp.

We have carefully read and understand this tuition agreement and agree to be bound to all of its provisions.

Signed  Date
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