Camp Registration Form
CAMP KULANU - MACCABI GIRLS 2018: AUGUST 6 - AUGUST 23

We are delighted to present the CAMP KULANU – MACCABI GIRLS SPECIAL RATES. Please use this form to register. Our new online registration site is currently under construction and will be available soon! If you have any questions please contact campkulanumaccabi@gmail.com or call Nia at (732) 572-5052 x223.

Please share this special offer with family and friends - A Minimum of 12 Campers Per Week Required!

Please submit completed Health & Medical Forms online by downloading them online on the RPRY Camp Website page. Health & Medical Forms can be found by clicking on the Health Forms links at www.rpry.org/camp-kulanu/index, including all necessary downloaded forms. Please note that ALL MEDICAL FORMS MUST BE SUBMITTED BY JUNE 14, 2018. NO CHILD WILL BE ADMITTED TO CAMP, WITHOUT COMPLETED, SIGNED HEALTH FORMS. Thank you!


Camp Special Rates will be as follows:
Special Rates
After 3/26/18

$250/Week - 3 Week Registration
$275/Week - 2 Week Registration
$300/Week - 1 Week Registration
$375/Week - Registration for the Week of 8/20-8/23, 2018 Only

Camper Information:
Please fill out all the information below
Choose Which Applies: *
Required
Camper 1 Name: *
Your answer
Camper 1 - # of Weeks Attending - Check weeks that apply. *
Required
Date of Birth *
MM
/
DD
/
YYYY
Age as of 12/31/17 *
Your answer
School Attending *
Your answer
Grade in Sept. 2017 *
Your answer
Camper 2 Name:
Your answer
Camper 2 - # of Weeks Attending - Check weeks that apply.
Date of Birth
MM
/
DD
/
YYYY
Age as of 12/31/17
Your answer
School Attending
Your answer
Grade in Sept. 2017
Your answer
Camper 3 Name:
Your answer
Camper 3 - # of Weeks Attending - Check weeks that apply.
Date of Birth
MM
/
DD
/
YYYY
Age as of 12/31/17
Your answer
School Attending
Your answer
Grade in Sept. 2017
Your answer
Home Address *
Your answer
Parent/Guardian 1 - Primary *
Your answer
Full Name *
Your answer
Primary Phone # *
Your answer
Alternate Phone #
Your answer
Primary Email *
Your answer
Parent/Guardian 2 - Secondary *
Your answer
Full Name *
Your answer
Primary Phone # *
Your answer
Alternate Phone #
Your answer
Secondary Email *
Your answer
How did you find out about Camp - Kulanu Maccabi? *
Your answer
Payment Instructions:
Please submit your check made out to RPRY by May 26, 2018. Please add "Camp Kulanu – Maccabi Girls” in the notes section.

Please note that NO REFUNDS WILL BE GIVEN, after Registration is submitted.

Health & Medical Forms
Please submit completed Health & Medical Forms online by downloading them online at the RPRY Website Camp page. Health & Medical Forms can be found by clicking on the Health Forms links at www.rpry.org/camp-kulanu/index, including all necessary downloaded forms. Please note that ALL MEDICAL FORMS MUST BE SUBMITTED BY JUNE 14, 2018. Due to NJ State Compliance requirements, NO CHILD WILL BE ADMITTED TO CAMP, WITHOUT COMPLETED, SIGNED HEALTH FORMS. Thank you!
Thank you for registering and we can't wait to see your daughters Summer 2018!
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