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Camp Shemesh Summer 2022

Please choose session(s) and days you would like to attend:

Student Information
Children must be 2 years old to register for camp. 

Please indicate the school(s) and dates attended

Please explain any allergies this child has.

Please explain any support services this child receives.  N/A if not applicable


Parent & Family Information
If not Temple Israel 

If applicable 

Payment

Parent(s), Guardian or Trustee must complete this section.

Parent 1, Guardian or Trustee: Entering your name in this field constitutes your signature

Parent 2, Guardian or Trustee: Entering your name in this field constitutes your signature

• The policy of Temple Israel is to accept applications only when all unpaid balances from prior ECC programs have been paid unless satisfactory arrangements have been made.
• A non-refundable deposit of $100 must accompany this application.
• Payment must be made according to the tuition payment schedule.
• Enrollment will be canceled if tuition obligations are not met.
• All students must adhere to Temple Israel vaccination policy. Enrollment will be canceled if the vaccination policy is not met.
• There are no fee adjustments for or refunds because of absence, inclement weather, ordinary illness, family vacations, or government-mandated school closures.
• No partial session enrollment. You will be responsible for payment of the entire session regardless of absence from program.
• Notwithstanding anything to the contrary contained in this Agreement, Temple Israel may dismiss or decline to re-enroll a child if Temple Israel determines, in its sole discretion, the child or parent(s)/guardian(s) engaged in conduct or behavior which does not service the best interest of Temple Israel or its Early Childhood Center.
• Because of our camp structure, we are unable to provide for make-up days.
• While your child’s safety is a priority for Temple Israel, by signing this Agreement, you understand and voluntarily assume all risks related to your child’s exposure to communicable diseases, such as COVID-19, and you agree on behalf of your child not to hold Temple Israel and any of its employees or affiliates liable for illness or injury.

Sibling discount
• 15% discount on tuition for a second sibling enrolled in a younger program.
• 20% discount on tuition for a second sibling enrolled in the same age level program.

*50% due by May 1st       *Remaining balance due by June 20th          *Credit Card on file required 
Thu, March 28 2024 18 Adar II 5784