MoEd Summer 2019 Sign-Up: June 17-Aug 2
Please fill in the required fields.
Registration Fee
$100 deposit per camper required for registration. Make check payable to “MoEd” and mail check to MoEd:
8300 Meadowbrook Lane, Chevy Chase, MD 20815, or drop it off at Ohr Kodesh in the MoEd mailbox or give it to one of our staff members.

Questions? Call 240-450-0689 or email contact@moedcommunity.org.

Parent/Guardian #1 Name *
First and Last name
Your answer
Parent/Guardian #1 Telephone No. *
Your answer
Parent/Guardian #1 Email Address *
Your answer
Parent/Guardian #2 Name
First and Last name
Your answer
Parent/Guardian #2 Telephone No.
Your answer
Parent/Guardian #2 Email
Your answer
Other: Grandparent/Babysitter/Guardian Name
First and Last name
Your answer
Grandparent/Babysitter/Guardian Telephone No.
Your answer
Grandparent/Babysitter/Guardian Email
Your answer
House No. *
Home Address
Your answer
Street name *
Home Address
Your answer
City *
Home Address
Your answer
State *
Home Address
Your answer
Zip *
Home Address
Your answer
Child 1 Name *
First and Last name
Your answer
Child 1 Nickname
Your answer
Child 1 Grade *
Your answer
Child 1 Age *
Age in June 2019
Your answer
Child 1 Gender *
Your answer
Child 1: Register for week
One week or up to all seven weeks.
Full Day (9 am - 6 pm)
9 am - 3 pm
Week 1: June 17-21
Week 2: June 24-28
Week 3: July 1-5 (Closed 7/4)
Week 4: July 8-12
Week 5 :July 15-19
Week 6: July 22-26
Week 7: July 29-Aug 2
Child 1 Hebrew Knowledge
Your answer
Child 1 Food Restrictions/Allergies *
Your answer
Child 2 Name
First and Last name
Your answer
Child 2 Nickname
Your answer
Child 2 Grade
Your answer
Child 2 Age
Age in June 2019
Your answer
Child 2 Gender
Your answer
Child 2: Register for week
One week or up to all seven weeks.
Full Day (9 am - 6 pm)
9 am - 3 pm
Week 1: June 17-21
Week 2: June 24-28
Week 3: July 1-5 (Closed 7/4)
Week 4: July 8-12
Week 5 :July 15-19
Week 6: July 22-26
Week 7: July 29-Aug 2
Child 2 Hebrew Knowledge
Your answer
Child 2 Food Restrictions/Allergies
Your answer
Child 3 Name
First and Last name
Your answer
Child 3 Nickname
Your answer
Child 3 Grade
Your answer
Child 3 Age
Age in June 2019
Your answer
Child 3 Gender
Your answer
Child 3: Register for week
One week or up to all seven weeks.
Full Day (9 am - 6 pm)
9 am - 3 pm
Week 1: June 17-21
Week 2: June 24-28
Week 3: July 1-5 (Closed 7/4)
Week 4: July 8-12
Week 5 :July 15-19
Week 6: July 22-26
Week 7: July 29-Aug 2
Child 3 Hebrew Knowledge
Your answer
Child 3 Food Restrictions/Allergies
Your answer
Will you need Early Drop Off? *
If so, please indicate what time you would like to drop off in the "Anything Else" box below. We are flexible and will do our best to accommodate your needs!
Are you interested in swimming lessons for your child(ren)? *
If yes/maybe, please give us more information in the "Anything Else" box.
Anything else we should know?
Anything you would like us to know about your children, etc. that wasn't already covered.
Your answer
Registration Fee
$100 deposit per camper required for registration. Make check payable to “MoEd” and mail check to MoEd:
8300 Meadowbrook Lane, Chevy Chase, MD 20815, or drop it off at Ohr Kodesh in the MoEd mailbox or give it to one of our staff members.

Questions? Call 240-450-0689 or email contact@moedcommunity.org.

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