Camp Application Form

Camp Application

"*" indicates required fields

Camper Name*

Gender*

Girl

Boy

Birth Date*

Age as of 6/1/2025*

Please enter a number from 0 to 18.

Address*

City*

State*

Zip Code*

Primary Phone Number*

Grade starting September 2025*

T-Shirt Size*

Parent Information

Adult #1*

Parent

Step Parent

Guardian

Other

Name*

Email*

Phone Number*

Adult #2*

Parent

Step Parent

Guardian

Other

Name*

Email*

Phone Number*

Camp Options

Age Group*

Camp Sessions*

Lunch (included in camp price)

Select dates you'd like us to provide lunch for your child*

	10 Weeks	8 Weeks	4 Weeks	Per Week
Lower Camp, Maccabi, Sr. Girls & CIT	$2,850	$2,280	$1,140	$300
Payment Option	Full	Full	Full	Weekly

The dates of camp are June 16, 2025 through August 22, 2025 (10 weeks). It’s $300/week if someone pays for 1-3 weeks and $285/week for 4-10 weeks.

Payment Method

ELRC (formerly CCIS)

Private Pay

“*” Required Information

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