2020 Camp Rothschild Application
This application is for children ages 5 to 12. This does not guarantee a spot for your child. Notification will be sent to the email address provided if your application has been accepted. Please expect notification by Friday, April 3, 2020.

There will be limited care available during the last week of summer; Monday, August 31 through Wednesday, September 2. This is only open to families who attend year round and will be continuing into the 2020-21 School Year.
Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Mailing Address (Street, City, State, Zip) *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Grade Child Will Enter in September 2020 *
Your answer
School your child will attend *
Please include the School District and School Name
Your answer
Parent/Guardian 1 First Name *
Your answer
Parent/Guardian 1 Last Name *
Your answer
Parent/Guardian 1 Email Address *
Your answer
Parent/Guardian 1 Phone Number *
Please provide us the best phone number to reach you between 9am and 3pm.
Your answer
Parent/Guardian 2 First Name
Your answer
Parent/Guardian 2 Last Name
Your answer
Parent/Guardian 2 Email Address
Your answer
Parent/Guardian 2 Phone Number
Please provide us the best phone number to reach you between 9am and 3pm.
Your answer
Which hours would you like your child to attend? *
I understand that Camp Rothschild is a 5-day program *
Required
Please choose which weeks you would like your child to attend.
Week 1 *
June 29 - July 2 (Closed Friday, July 3)
Required
Week 2 *
July 6 - July 10
Required
Week 3 *
July 13 - July 17
Required
Week 4 *
July 20 - July 24
Required
Week 5 *
July 27 - July 31
Required
Week 6 *
August 3 - August 7
Required
Week 7 *
August 10 - August 14
Required
Week 8 *
August 17 - August 21
Required
Week 9 *
August 24 - August 28
Required
Week 10 *
There will be limited care available the last week of summer; Monday, August 31 through Wednesday, September 2. This is open for families who attend year-round and will be continuing into the 2020-21 school year. Please choose below if you need care for your child.
Required
How did you hear about us?
A copy of your responses will be emailed to the address you provided.
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