"Camp Kibbutz on Zoom" Registration 2020
We are excited to have you join us!
Primary 'Parent Contact' Name *
Primary 'Parent Contact' Email address (Where Zoom will be sent) *
Primary 'Parent Contact' Phone Number
Second 'Parent Contact' Name (Optional)
Second 'Parent Contact' Email Address (Optional)
Second 'Parent Contact' Phone Number (Optional)
Emergency Contacts and Phone Number(s) *
Primary Camper Address (Where are you zooming in from?) *
Secondary Address (Second parent household etc - Optional. Please provide and explain.)
Camper Name *
Grade Entering in 2020/21 School Year *
Camper Date Of Birth *
Camp SWAG Fee (T-Shirt, etc) *
T Shirt Size
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Full Access Package (Access to all classes, davening, group activities & Outdoor In Person excursion) - Week Enrollment - select all weeks - ($150/week)
Davening Package (Morning Davening & Judaic Study only, 9:30a-10:15a) - Weekly Enrollment - select all weeks ($50/week)
Drop-in Classes ($20/class) (We will email you to set up specifics)
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I understand that my camper needs access to a strong and consistent WiFi source. I also understand that while smartphones do have Zoom capability, they cannot be the primary access device. *
My student will attend camp on a: *
By submitting this form, you agree that Camp Kibbutz and Ohev Sholom The National Synagogue are not actively supervising campers. The parent/guardian is responsible for providing adult supervision, safety help and anything else necessary for your camper. Camp Kibbutz is not liable for any injury that may occur while participating in Zoom Camp activities. *
Do you have any questions or concerns at this time? If you want to contact us at any point, please don't hesitate to reach out to Tyler Herman, Camp Director, at campkibbutz@ostns.org
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