Register Online

Please fill out the form below:

Camper 1 Camper 2 Camper 3
Campers Full Name Campers Full Name
Campers 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

1st Session: June 22 - 26         2nd Session: June 29- July 3

1 Week: $275 • 2 Weeks: $500 • Sibling Discount 5%
Early Bird (before March 15) 10%

Camp Aleph T-shirts
Camp Aleph T-Shirt
1 T-Shirt is included per child. Additional T-Shirts - $10
Campers are required to wear a Camp T-Shirt on trip days.

Child Small Medium Large
Adult Small Medium Large
COVID-19 Fund

Please consider adding an amount for covid-related expenses.

 $100      $200      $300      Other amount $ 
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 - $325    Full Scholarship - $650     Other amount $ 
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

Jewish?  Yes  No
Converted?  Yes  No 

Work Phone
Cell Phone
Email

Parent (Guardian) #2 Full Name
Jewish?  Yes No 

Converted?  Yes No  

Work Phone
Cell Phone
Email
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 have read the COVID-19 FAQ page, and understand that a special waiver will be required.
I also 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. 
Please indicate in "comments" when you would like us to charge the additional amount.
We will email you in a few days to confirm your child's acceptance to Camp Aleph.
Payment is needed in full before June 22.
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?