Registration process PLEASE NOTE: Initial registraion is to be completed on the UJA Website. Once you have sent in the form, you can then move to step 2 below. Click here to sign up: jewishtoronto.com/cje/march-break-experiences Fill out the full registration form on our website. Upon acceptance and full receipt of payment, an acceptance letter will be emailed to you with all the exciting stuff like packing lists and more! Early Bird Discount $50 discount for registrations before January 17th 2024. REFER A FRIEND and get an additional 10% off! JRCC Adventure Teen Camp Online Registration (secure) Camper/Parent Information Name First Last Hebrew Name Address Street City Province Postal code Date of Birth Select Month Jan Feb March April May June July August Sept Oct Nov December Select Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select Year 2005 2004 2003 2002 2001 2000 1999 1998 1997 Contact Info Phone Email Allergy/Health Information: Schools School Grade: Child's Mother Mother's Name Hebrew Name Work Phone Cell Child's Father Father's Name Hebrew Name Work Phone Cell Where did you hear about us? Is camper's mother Jewish? select one Yes No Is camper's father Jewish? select one Yes No PAYMENT & FEES: Fees $ 400.00 Camp Fee ($50 discount before January 17th) I will be paying by: Credit Card Check Card Type Visa MasterCard American Express Card Number Expiration Date 01 02 03 04 05 06 07 08 09 10 11 12 2017 2018 2019 2020 2021 2022 2023 2024 2025 IMPORTANT I hereby register my child in JRCC Adventure Teen Camp. I give permission for my child to participate in all camp activities, including trips. The Camper, as well as his parents or guardians, agree to abide by the rules and regulations set forth by the camp, We will make every effort to ensure the health, safety, and well being of every camper, however, I understand that camp does not assume responsibility for any injury or health impairment of any camper. In case of emergency necessary medical attention may be secured by the camp, for which I will reimburse camp. photos may be taken and used for future advertising. I/We confirm that all the details provided above are accurate, to the best of my knowledge, and if it becomes apparent that some of the provided information is inaccurate, it may be grounds to dismiss my child from camp. Cancellation policy: Before February 26th the camp fee will be refunded excluding a $50 registration fee. After February 26th camp fee refunds will only be issued due to illness accompanied with a Dr.'s note. I/We hereby release and forever discharge the JRCC ATC Camp from any and all liability for all loss, damage, expense, injury, death, property damage, illness or disease arising from or Covid 19. Signature of Legal Guardian: This page uses 128 bit SSL encryption to keep your data secure.
