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