Summer Camp

Registration Form

Get ready for an unforgettable experience at Jewish Summer Camp 2025!

This July, from the 14th to the 25th, we’re committed to providing a safe, healthy, and fun-filled Jewish environment for your child. They’ll make lasting memories while engaging in exciting activities and forming new friendships. Join us for an amazing summer adventure that your child will cherish!

Camper Information:

Child's First name

Child's Last name

Child's Full Hebrew Name (type in English)

Child's Date of Birth

Year

Month

Day

Age

Jewish Birthday

Month

Day

Gender

Grade Entering

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Parents Information:

Father's Name

Father's Full Hebrew Name

Occupation

Phone

Mother's Name

Mother's Full Hebrew Name

Occupation

Phone

Emergency Contact Information:

Emergency Contact Name (Please do not provide a parent's name. Emergency contact is in case of an emergency and both parents aren't able to be reached.)

Full Home Address

Phone

Relationship to Child

Additional Camper Information

Is the child's mother Jewish?

Yes

Is the child's father Jewish?

Yes

Have there been any conversions or adoptions in the family? If yes, please explain.

Were there any adoptions in the family? If yes, please explain:

School Child is Now Attending

Hebrew School

Previous Camps Attended

What Activities Does Your Child Enjoy?

In Which Extracurricular Does Your Child Participate Throughout the Year?

Briefly Describe Your Child's Personality:

Is There Anything Special That We Should Know About Your Child (Allergies, etc.)?

Comments

Parental Consent

I give my child permission to participate in all activities at Chabad's Jewish Day Camp - on-site, off-site. I give permission that any photos taken of my child during camp hours may be used for publicity purpose.

The parent signing this registration form represents that he/she has full authority to do so and will be responsible for payment of the camp fee.

Signed Name

Date

Payment

Payment Options

Camp Tuition

CA$120

CA$180

CA$360

Please Do Not Hesitate to call our office at (905) 909-8818 if you are in need of financial aid or a partial scholarship. No Jewish child will be turned away due to lack of funds.

CHABAD JEWISH CENTRE OF GEORGINA

Spreading the warmth of Judaism in the Town of Georgina

Summer Camp

Registration Form

Camper Information:

Parents Information:

Emergency Contact Information:

Additional Camper Information

Parental Consent

Payment