Free Hebrew Summer Camp

FREE HEBREW SUMMER CAMP REGISTRATION 2025

Join us for the summer of a lifetime!

By signing up early, you'll help us confirm the camp can happen and secure your child's spot.

The location will be confirmed once the number of children is finalized.

Please fill out 1 form per child.

Please note registration fees are non refundable.

Registration Options*

Week 1: August 11-15Week 2: August 18-23Both weeks

Full Name*

First Name Last Name

Hebrew Name*

Birth Date*

Month Day Year

Time Born* In Judaism the day begins at nightfall, so the exact Jewish birthday will depend on the birth being before or after sunset.

Before SunsetAfter Sunset

Child's Grade*

School Attending*

CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.*

My child enjoys*

Child's T-shirt Size*

Father's Name*

Father's Cell #*

Father's Email Address*

Mother's Name*

Mother's Hebrew Name*

Mother's Cell #*

Mother's Email Address*

Home Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Emergency Contact 1*

Phone #1*

Emergency Contact 2*

Phone #2*

Medicare Card #*

Amount Paying for one week of Summer Camp*

$175

Amount Paying for Summer Camp for both weeks*

$350

Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Email Address to send confirmation of Registration:

E-mail Address*

Any Additional information we should be aware of:*

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Free Hebrew for Juniors to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Free Hebrew for Juniors personnel will try, but are not required, to communicate with me prior to such treatment.

I accept*

YESNO

I hereby give permission for my child to participate in all camp activities, join in camp trips on and beyond camp properties and allow my child to be photographed while participating in Free Hebrew activities and that these pictures may be used for marketing purposes.

I accept*

YESNO

Registration is not complete until you hear back from us by email or phone.

I would like to receive news and updates by email

STUDENT

PARENT INFORMATION

EMERGENCY INFORMATION

PAYMENT

AFTER SCHOOL, LUNCH PROGRAM & SUNDAY SCHOOL

KIDS MAKE SHABBAT

LAYLA TOV & BIRTHDAY CLUB

C TEEN PROGRAM

BAR & BAT MITZVAH CLUB

WOMEN'S CIRCLE