Printed from ChabadMinneapolis.com

Camp Registration

Camp Registration

Online Registration

$50 deposit fee due at registration will be deducted from total tuition.

Camper Profile
 
Family Name
Name of Child
Date Of Birth
Age
Grade Entering Sept 2017
Male Female  
Home Address
Home Phone
   

 Young Cooks (ages 6-8) August 7-11    Tween Chefs (ages 9-12) August 14-18


Second Child:

 

Name of Child
Date Of Birth
Age
Grade Entering Sept 2017
Male Female

 Young Cooks (ages 6-8) August 7-11    Preteens (ages 9-12) August 14-18

 
Parent Information
 
Father's Name
Father's Phone
Father's Cell
Father's Email
   
Mother's Name
Mother's Phone
Mother's Cell
Mother's Email
   
ALLERGY INFORMATION: please list any allergies that your child has or other health issues we should be aware of. List NONE if no allergies

Emergency Information
 
Emergency Contact 1
Phone
Emergency Contact 2
Phone
Doctor's Name
Doctor's Phone Number
   
Tuition Agreement and Discounts

Registration Fee: $50 (deducted from total tuition)

Cost: $199

Discounts:   limited scholarships available contact Rivka@ChabadMinneapolis.com for more information. 
                        * 5% sibling discount 

Sign up by March 6 for 10% discount
 

 

 
 
 
Extended Care
 
 $6/hour
Morning; from what time
Afternoon; until what time
 
 
 
 
Payment
 

Method of payment:

Your child's registration is pending until deposit is received. 

Check - Please mail checks to Chabad Minneapolis: 2845 Hedberg Dr., Minnetonka, MN 55305
Credit Card
 
CC Type   Card Number
Billing Address   City, State, Zip
Charge Amount   Exp Date
Security code

 

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad Minneapolis/ Kosher Culinary Camp to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad Minneapolis personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all camp activities, join in outings if applicable on and beyond camp properties and allow my child to be photographed while participating in camp activities and that these pictures may be used for marketing purposes.

I Accept

Name: Initials: Date:

We look forward to a wonderful summer!

 

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