Camp ICLI 2019
Assalamu'alaikum!

Welcome to Camp ICLI 2019, we hope you can join us for a fun-filled summer.

6 week program: July 8, 2019 to August 15, 2019, Monday to Thursday, 9 a.m. to 2 p.m., Insha'Allah

If Registration is done before June 15 - Members fee: $575 and Non Members fee: $625 per child. Can be paid in 3 installments.

If Registration is done on or after June 15 - Members fee: $625 and Non Member fee: $675 per child. Can be paid in 3 installments.

Weekly Fee - $150 / week (If not registering for the full six week program)

If choosing an Installment Plan: First installment will be due on registration
Balance for second installment due after 1 month from registration
Balance for third installment will be due after 2 months from registration

Sibling Discount - 1st child pays full, 1st sibling 10% discount, 2nd sibling and more 15% discount.
Please call the office to ask for discount codes.

In order to secure your position payment must be made in full or installment plan selected.

Cancellation Policy: Cancellations or refunds applied on or before June 15 will be fully refunded
If applied on or before June 25 will incur 25% deduction
If applied on or before July 3 will incur 50% deduction
If applied after July 3 will incur 75% deduction
No refund will be given after July 8, 2019.

Payments can be made on ICLI website at www.icliny.org
or directly at the office located at 835 Brush Hollow Road, Westbury NY 11590
ICLI Office Phone number - 516-333-3495.

Supervised early drop off and late pick available, based upon demand and availability. Contact ICLI Office for more information.

Lunch provided daily.

**One form per child, please submit another response for each additional child**

Email address *
Parent's First and Last Name *
Your answer
Home Address (street address, city, state, zip code) *
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
Which phone number is the best to contact you? *
Your relation to participant (Please specify) *
Your answer
Emergency Number *
Your answer
Child's First and Last Name *
Your answer
Child's Age *
Your answer
Child's date of birth *
MM
/
DD
/
YYYY
Gender *
Childs Grade (starting fall 2019) *
Your answer
Select a Group for summer camp, based on entering grade in fall 2019. *
List any health problems and/or allergies that can/will affect performance: List & Explain *
Your answer
Are you an ICLI member? *
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