Summer Camp Enrollment
After you fill out this form, we will contact you to go over details and payment before your enrollment is finalized. If you have specific questions contact us at (310) 821-1414 or at info@opentemple.org.
Email address *
Parent First Name *
Your answer
Parent Last Name *
Your answer
Email Address *
Your answer
Phone number *
Your answer
Preferred contact method *
Required
How many children are you enrolling in camp?* *
*If you are enrolling more than two children in camp please give us a call at (310)821-1414 after completing this form.
Your answer
Please list their full names AND ages below: *
Your answer
Which week/s are you enrolling in? *
Required
Does your camper have any food allergies or dietary restrictions we should know about? *
Your answer
Please provide 2 emergency contacts for your camper: *
Please include First and Last Name, Phone Number and Relationship to your child.
Your answer
Are you interested in after-care for your camper? *
Are there any activities in which your camper should not participate? *
Your answer
Camper's current school: *
Your answer
50% deposit due upon registration. Remaining amount due by July 1st. An invoice will be emailed to you. Please select your form of payment below: *
Any questions or comments?
Your answer
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