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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
*
Male
Female
Current School
*
School attending Fall 2023
*
Household/Adult Primary Contact Infromation
First Name
*
Last Name
*
Relationship to child:
*
Mother
Father
Other
Phone Number
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Email Address
*
Parent #2 First Name
*
Last Name
*
Relationship to camper
Mother
Father
Other
Phone number
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
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:
*
+
-
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
1st Session only - 6/29-7/21 - ($1950)
2nd Session only 7/24-8/17 - ($1950)
Full summer 6/29-8/17 - ($3450)
3's - Early dismissal (must turn 3 by 11/30/23) Monday - Friday 9 - 1pm
1st Session only 6/29-7/21 ($2100)
2nd Session only 7/24-8/17($2100)
Full summer 6/29-8/17 - ($3700)
3's - Full day (must turn 3 by 11/30/23) Monday - Thursday 9-3:30pm Friday 9 - 2pm
1st Session only 6/29-7/21($2300)
2nd Session only 7/24-8/17 ($2300)
Full summer 6/29-8/17 ($4200)
4's Full Day (must turn 4 by 11/30/23) Monday - Thursday 9 - 3:30pm Friday 9 - 2pm
1st Session only 6/29-7/21 ($2300)
2nd Session only 7/24-8/17 ($2300)
Full summer 6/29-8/17 ($2300)
5's (must turn 5 by 11/30/23) Monday - Thursday 9 - 3:30 Friday 9 - 2pm
1st Session only 6/29-7/21($2300)
2nd Session only 7/24-8/17 ($2300)
Full summer 6/29-8/17 ($4300)
6's (must turn 6 by 11/30/23) Monday - Thursday 9 - 3:30pm Friday 9:-2pm
1st Session only 6/29-7/21 ($2300)
2nd Session only 7/24-8/17 ($2300)
Full summer 6/29-8/17 ($4200)
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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