Friendship Circle of Arizona Summer Camp Registration
Summer Camp this year will be held from May 29th to June 1st at the Chabad of North Phoenix, located at
22044 N 44th St, # 100 Phoenix, Arizona 85050. Drop off will be at 10:00AM and pick up will be at 3:00PM ! We will be having a variety of activities, games, sports, field trips and more! We can't wait to have your camper join us for days of fun!

If you have never filled out a Friendship Circle intake form, you will be directed to our online form after we process your registration.

Have any questions? Contact our camp director Elianna at elianna@fcaz.org or 602-861-1600.

Camper Full Name? *
Your answer
Camper Birthday? *
MM
/
DD
/
YYYY
Parent's Email address: *
Your answer
Camper Allergies? *
Your answer
Campers T-Shirt Size? *
Parent's Emergency Contact Information *
(Please enter both Mom & Dad and cell phones for each)
Your answer
Second Emergency Contact Information (Name, Relationship and Phone #) *
Your answer
Does your camper have any restrictions for activities that we should be aware of? *
Your answer
Anything we should know to make your campers experience the best it can be? *
Your answer
How many days will your camper be attending Summer Camp? *
Required
How would you like to pay for Summer camp? (cost is $250 for entire session or $75/day) *
Required
I give permission to the Friendship Circle of Arizona and its professional staff members to transport my camper to and from Field Trips using methods of transportation such as rented vans and school busses.
Does your child need to ride in a car seat?
By clicking "yes", I allow my child to participate in all outings and activities and agree to release Friendship Circle of Arizona, its providers and administrators, from all liability for any incident which may affect the health, welfare or safety of my child during Summer Camp 2018. I hereby give permission to the Friendship Circle of Arizona to seek medical treatment for my child in the event that my child has an emergency and the emergency contacts listed above cannot be reached. *
I understand that drop off is at 10AM and pickup is at 3PM each day *
Questions or Comments?
Your answer
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