* Required Information

Camper Information

Emergency Contact Information

Camp Sessions & Programs

Summer Tuition—Cost is per session

2 Half Days $218 2 Full Days $320 2 Extended Days $404

3 Half Days $266 3 Full Days $362 3 Extended Days $450

4 Half Days $310 4 Full Days $412 4 Extended Days $496

5 Half Days $358 5 Full Days $458 5 Extended Days $542

Official use only

Authorization of Treatment:
I hereby give my permission to the medical personnel selected by the camp director to order treatment and necessary transportation for my child. In the event that I cannot be reached in an emergency, I hereby give permission to the physician to secure and administer treatment, including authorization for my child.

Release Statement:
I acknowledge that there are natural hazards associated with camp and related activities in an outdoor setting. I hereby affirm that my child is in good health and physically capable of the performing the required activities of camp. In consideration of Chai Preschool accepting my child and to the extent permitted by State law, I hereby release and forever discharge Chai Preschool/Chabad of Poway, it’s units, agents, and employees from all claim of liability for any damages or injuries which may be sustained while at camp.

Photo Release:
I hereby give permission for my child’s picture to be taken and used by Chai Preschool/Chabad of Poway’s publications or video programs.

Water Activities:
I understand that the camp at Chai Preschool/Chabad of Poway include activities in or near water. I give my permission for my child to participate in all water activities included in the camp.

Travel:
I give my permission for my child to participate in all camp nature walks, hikes to the park (within 2 mile radius of the school).

Sunscreen:
I give my permission for Chai Preschool/Chabad of Poway to apply sunscreen, provided by me on my child before participating in any outside activities.

Photo ID:
I understand that if a teacher/counselor does not know the person picking up my child, they will be asked to provide a photo ID to be matched to authorized names on file given by me.

Tuition:
I understand that tuition is due prior to first day of the camp session and can be paid by:

Sign In/Out:
I understand that I MUST sign (full signature) my child in and out on a daily basis. If they are not signed in or out, and because the school does not have documentation on when my child was brought/picked up, I will be charged for an extended day– all daycare charges will be applicable until 6:00 p.m. **By initialing above, you acknowledge that you have read and agree to each item.

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