Camp Beth Sholom- End of Summer Camp

Monday, August 18, 2025 • 24 Av 5785

9:00 AM - 4:00 PM 1 week afterassembly hall

Register

Camp Beth Sholom Registration Form For Summer Camp 2025

August 18- 29, 2025 from 9 AM to 4 PM:

Included: Daily freezie before pick-up, splash pads, Fridays pizza lunch & challah bake, field trips, outdoor activities, art & craft and lots of fun

Please fill out the form below to register for

our upcoming Summer Camp 2025!

Contact Fargana at fargana@ bethsholom.net with any questions

Parent Information

* Parent/ Guardian 1 Name

* Parent/ Guardian 1 Email

* Parent/ Guardian 1 Phone Number

Parent/ Guardian 2 Name

Parent/ Guardian 2 Email

Parent/ Guardian 2 Phone Number

Child Information

Please verify and complete the enrollment information for each child below.

People joining first year as a member at Beth Sholom Synagogue will receive a free spot for one child for one week for Summer & Pesach Camps. If you are interested in membership, please contact our Membership Coordinator, Victoria Mesihayev at victoria@bethsholom.net

Please choose the week you want to register as a member

1st week (August 18-22 -$350)2nd week (August 25-29 -$350)2 weeks (August 18-29-$600)

Please choose the week you want to register as a non-member

1st week (August 18-22 -$400)2nd week (August 25-29 -$400)2 weeks (August 18-29 -$700)

Child First Name

Child Last Name

Child Date of Birth

Does your child have any life-threatening allergies or medical conditions? If yes, please list the allergy, triggers and symptoms/warning.

Permission to use photo/video images of the child for the purpose of education and marketing of our Youth Programs

YesNo

NOTE:

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Wed, April 30 2025 2 Iyyar 5785