Summer Camp Registration 2025

Welcome to the Beth Hadassah Synagogue 2025 Summer Camp Registration Form!

Registration is limited to the first 50 children and will close on May 15, 2025 at 12 noon.

* Primary Parent First Name

* Primary Parent Last Name

* Primary Parent Mobile Phone Number

* Primary Parent Email Address

* Secondary Parent First Name

* Secondary Parent Last Name

* Secondary Parent Mobile Phone Number

* Secondary Parent Email Address

* Home Address

* City

* State

Zip Code

* Emergency Contact Name

* Emergency Contact Mobile Phone

* Emergency Contact Email

* Emergency Contact Relationship

* Child's First Name

* Child's Last Name

* Child's Hebrew Name

* Child's Gender

* Child's Birthdate

* Child's School Name In September

* Child's School Grade in September

* Medical Insurance Provider

* Medical Insurance Policy Number

* Name of Doctor

* Doctor's Phone

* Does your child have any allergies? If so, list & explain.

* Does your child take any medications? If so, list & explain.

* Does your child have any medical (physical, emotional or mental) conditions we should be aware of? If so, list & explain.

* Parents Marital Status

Total Payment

Your credit card will be charged approximately 5 Business Days before the start of each week. A 3% credit card fee will be applied to each weekly payment. You may pay the entire cost of the weeks in advance by June 15 and save the 3% credit card fee.

I hereby give permission for my child to be taken off-campus on outings by camp for field trips and also give permission to use photos/videos of my child for community outreach purposes.

Tue, May 6 2025
8 Iyyar 5785

Today's Sefirah Count Is 23

היום שלשה ועשרים יום שהם שלשה שבועות ושני ימים לעמר

This week's Torah portion is Parshat Achrei Mot-Kedoshim

Shabbat, May 10

Candle Lighting

Friday, May 9, 7:41pm

Havdalah

Motzei Shabbat, May 10, 8:50pm

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Tue, May 6 2025 8 Iyyar 5785

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