2023 Camp Orot Registration

Important Dates:

Full Summer Thursday, June 29 - Thursday, August 17

Session 1:Thursday, June 29 - Friday, July 21

Session 2: Monday, July 24 - Thursday, August 17

Camper Information:

First Name *

Last Name *

Birth date *

Gender *

Current School *

School attending Fall 2023 *

Household/Adult Primary Contact Infromation

First Name *

Last Name *

Relationship to child: *

Phone Number *

Street Address *

Address Line 2

City *

State *

Zip Code *

Email Address *

Parent #2 First Name *

Last Name *

Relationship to camper

Phone number *

Street Address *

Address Line 2

City *

State *

Zip Code *

Email Address *

Emergency Contact Information

In the event of an emergency and we cannot reach you, please provide the names and information of two people we may contact.

Last Name *

First Name *

Relationship to your child *

Phone number *

Last Name *

First Name *

Relationship to your child *

Phone number *

Friend Request

Relationship to your child *

Please list three (3) friends you would like your child to be with in their bunk/group.

We guarantee at least one of the people on the list will be with your child.

Three (3)Friends I would like my child to be in a bunk/group with: *

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Agreements

I/We give permission for our child to participate in trips sponsored by Camp Orot. I/We agree to hold Camp Orot and its employees harmless from any liability which may occur as a result of such trips including, but not limited to, transportation and participation in activities at the trip destination. *

Yes

No

It is the practice of Camp Orot to use photographs in its publications and in other selected media, including on the school/camp instagram for the purpose of promoting the camp and its programs. Camp Orot maintains the right to utilize such photographic and quoted materials or other selected media. I/We, as parent(s) and guardian(s), give permission to use photographic and quoted material in MDS or Camp Orot publications and other selected media. *

Yes

No

Please choose one on the following camp divisions (based on your childs birthday) as well as the number of sessions you wish your child to attend.

Toddlers (must turn 2 by 11/30/23) Monday - Friday 9-12:30pm

3's - Early dismissal (must turn 3 by 11/30/23) Monday - Friday 9 - 1pm

3's - Full day (must turn 3 by 11/30/23) Monday - Thursday 9-3:30pm Friday 9 - 2pm

4's Full Day (must turn 4 by 11/30/23) Monday - Thursday 9 - 3:30pm Friday 9 - 2pm

5's (must turn 5 by 11/30/23) Monday - Thursday 9 - 3:30 Friday 9 - 2pm

6's (must turn 6 by 11/30/23) Monday - Thursday 9 - 3:30pm Friday 9:-2pm

A $500 NON-REFUNDABLE, NON-TRANSFERABLE registration fee/deposit is due at the time of registration. Tuition balance must be received by May 1st, 2023 *

Non Refundable/ non Transferable Deposit ($500)

I acknowledge all of the above: *

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