Early Bird Camp Chabad Registration Form 2026

$200 off. Price as marked.
Promotion valid until March 13th, 2026.

Child 1*

First Name Middle Name Last Name

Child's current class*

Birth Date*

Month Day Year

Bunk Aleph Options*

Half Day: 9:00 a.m.- 1:00 p.m.Full Day: 9:00 a.m. - 3:00 p.m.

Bunk Aleph Rates*

Half Day: 2,100Full Day: 2,500

Bunk Bet Rates*

Full Day: 2,500

Parent 1*

First Name Last Name

Cell Phone*

Area Code Phone Number

Work Phone

Area Code Phone Number

Address*

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

E-mail* Primary email

Parent 2*

First Name Last Name

Cell Phone*

Area Code Phone Number

E-mail*

Emergency Contact*

First Name Last Name

Phone Number*

Area Code Phone Number

Relationship*

-Tuition includes daily hot lunches, morning and afternoon snacks

-Summer group placement may not necessarily be the same as that of the school year

-All groups are dismissed 1:00 p.m. on Fridays

-There is no Early Drop Off or Late Pickup in the summer

-There is no camp Thursday, July 23, in observance of Tisha Be'av - the Fast of the Ninth of Av.

-Your child needs to have a current medical form and be fully immunized in order to attend Camp Chabad. (The office will let you know if you need an updated form for the summer.)

-Your spot in Camp Chabad is confirmed *only* when you receive an email confirmation that we have received your payment online or the post-dated checks (which can be dropped off at the Chabad ELC office.)

-Refund Policy:

Withdrawal before 5/4/26: Complete refund, less deposit.
Withdrawal before 6/1/26: 50% refund.
Withdrawal after 6/2/26: No refund.

There are no refunds, credits or make-up days due to illnesses, holidays or family vacations.

-If you do not receive an e-mail confirmation within a week, please contact the office at [email protected]

Non-refundable deposit due with your registration today (this will be credited towards your tuition)*

$200

Balance after the deposit: Bunk Aleph Half Day: $2,000 Bunk Aleph/Bet Full Day: $2,300

$1900$2300

Total

$0.00

I would like to pay today:Full amount$200.00 minimum$

I would like to:*

Pay the full amount todaySend the balance in two post-dated checks dated 04/01/2026 and 05/01/2026 for the remaining balance

Payment*

Credit Card

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

Agreement*

I am signing up my child for camp. I give my child permission to attend all trips and receive medical care in the case of emergency, G-d forbid. I give Camp Chabad permission to photograph and videotape my children and use the photos and videos (without their names) for whatever the camp sees fit.

Camp Chabad Registration Form - Early Bird Special

1. Child's Information

2. Parent information

3. Emergency Information

4. Payment Information