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Camper 1 Camper 2 Camper 3
Camper's Full Name Camper's Full Name
 Camper's Full Name
Date of Birth
 Date of Birth
 Date of Birth
Gender
 Gender
 Gender
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
School Attending School Attending
 School Attending
Entering Grade Entering Grade
 Entering Grade
           
General Information
Previous Camps Attended
 How did you hear about Camp Aleph?
What goals would you like to see your child/ren accomplish during camp?
 Briefly describe your child/ren's personality
Child/ren's favorite activities
  
Tuition Fees

 

Select Your Sessions

MAIN CAMP
1st Session: June 29 - July 3         2nd Session: July 6 - July 10

PIONEERS
Pioneers (Girls entering Grades 7-9): June 29 - July 3 Pioneers: July 6 - 10

ADVENTURERS
Dates: June 29 - July 3, $450  -  Boys Ages 11-13 

 Select Your Tuition Rate

MAIN CAMP
Early Bird Pricing (before March 15) 5% Off
Rate A: 1 Week: $399 $375   •   2 Weeks: $749 $699
Rate B: 1 Week: $349 $325   •   2 Weeks: $649 $599
What is Rate A and Rate B? 

PIONEERS
Early Bird Pricing (before March 15) 5% Off
Rate A: 1 Week: $450 $425    •   2 Weeks: $850 $800  
Rate B: 1 Week: $400 $375   •   2 Weeks: $750 $700 

Special promo! Thanks to a grant from the Jewish Youth Network of the Bay Area. First time campers can receive $250 off one week (when registering for two weeks) . Details here    
Scholarships available. Contact us at 707.559.8585

Camp Aleph T-shirts
1 T-Shirt is included per child. Additional T-Shirts - $15
Campers are required to wear a Camp T-Shirt on trip days.
Child Small Medium Large
Adult Small Medium Large
Scholarship Fund

  Every Jewish child deserves a quality Jewish Summer Camp Experience.
Contact us at 707.559.8585 and we will be glad to help.

If you are in the position to contribute to the scholarship fund, please consider doing so below.
 $180   Half Scholarship - $375   Full Scholarship - $699    Other $ 
Parents' Information
Parents' Status 
Married In a Relationship Widowed Divorced Separated Single Parent
Home Phone
 Home Address
 City
 State
 Zip

Parent (Guardian) #1
Full Name
Email
Cell Phone
Work Phone
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Jewish?  Yes  No   •   Converted?  Yes  No

Parent (Guardian) #2
Full Name
Email
Cell Phone
Work Phone
Jewish?  Yes  No   |   Converted?  Yes  No
Comments
         
Emergency Contact Information
Contact 1
 Phone
 Relationship to child
  
Contact 2
 Phone
 Relationship to child
  
Family Physician
 Phone
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
Are there any medical concerns that your child's counselor should be aware of?
  
Permission
I hereby consent to the administration of Camp Aleph to take whatever medical measures they deem necessary for my child, in the event of a medical emergency
I hereby give permission for my child to participate in all Camp Aleph activities and trips (if applicable)
Parent/Guardian Date
 
Payment Details
$50 deposit per child per week. We will email you to confirm your child's acceptance to Camp Aleph.
Please indicate in "comments" when you would like us to charge the additional amount.
Payment is needed in full before June 1.

 

If your child is a first time camper, did you sign up for the New Camper grant?
First Name   Today's charge amount
Last Name   Card Type
Address   Card Number
 
 
 
 
 
 
 
City   Exp. Date
State   CVV code 3 digits on back of card
Zip   When should we charge the balance?
Comments?