Summer 2025 Camp Registration - ChabadNorthHollywood.org

This form is currently closed.

Camp registration is closed. If you are interested in joining camp please call our office at (818) 989-9539
Are you a returning or new student?*

ReturningNew
Student's Name:*
First Name Last Name
Student's Birthday:*

Month Day Year
Any known allergies:*

YesNo
Please specify allergies:*
Mother's Name:*
First Name Last Name
Mother's Phone Number:*
Mother's Email:*
Father's Name:*
First Name Last Name
Father's Phone Number:*
Father's Email:*

Home Address:*

Emergency Contact Name:*
First Name Last Name
Emergency Contact Phone Number:*
Doctor's Name:*
First Name Last Name
Doctor's Phone Number:*
Other people who are allowed to pick up your child from camp:*
Pricing:
Session 1: $1600
Session 2: $1200
Both: $2750
Tuition includes hot lunch and snacks.

Early bird special: If registering before April 1st, receive an additional $50 off per session.
Registration deposit: $250 will be applied towards your total tuition. The rest of the tuition payment will be due on June 1, 2024
Are you signing up for:*

Session 1: June 18 - July 12, 2024Session 2: July 15 - August 2, 2024Both sessions
Registration Deposit:

$250
Deposit:

$0.00

Payment:*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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Camp registration is closed. If you are interested in joining camp please call our office at (818) 989-9539