Passover Mini Camp 2023

Parent's First Name

Parent's Last Name

Cell Phone Number

Child 1's Full Name

Birth Date of Child 1

Please share any allergies or special details our staff should know about Child 1.

Child 2's Full Name

Birth Date of Child 2

Please share any allergies or special details our staff should know about Child 2.

Child 3's Full Name

Birth Date of Child 3

Please share any allergies or special details our staff should know about Child 3.

* Emergency Contact 1

* Phone Number

* Emergency Contact 2

* Phone Number

Member Fees - $65 per day

April 10

April 11

Non-Member Fees - $80 per day

April 10

April 11

After Care Member Fees - $25 per day

April 10

April 11

After Care Non-Member Fees - $35 per day

April 10

April 11

Total

Thu, March 23 2023 1 Nisan 5783