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Klein Summer Day Camp Application

2007 JCCs Summer Day Camp Application. JCCs Klein Branch Membership REQUIRED.

Child's Details

Last Name: *

First Name: *

Middle Initial: *

Address: *

City: *

Zip: *

Home Phone#: *

Cell Phone#: *

Parent's email address: *

Birthdate*

Age as of 6/1/07: *

Grade in 9/07: *

Gender: *

Male

Female

Contact Information

Mother's Name: *

Mother's Business Phone#: *

Father's Name: *

Father's Business Phone#: *

Emergency Contact Name: *

Emergency Contact Phone#: *

Camp Options

Age Group: *

Camp Shemesh

Camp Levitties

Chavura (Grades 7 & 8)

Maccabi Boys/Girls Sports Camp

Camp CIT

Camp Sessions: *

8 weeks (6/25-8/17)

4 weeks 1st Session (6/25-7/20)

4 weeks 2nd Session (7/23-8/17)

Extended Care 7:30-9:00 AM:

M

Tu

W

Th

F

Extended Care 3:30-6:00 PM:

M

Tu

W

Th

F

Events

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Username: *

Password: *

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JCCs of Greater Philadelphia

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Klein Summer Day Camp Application

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