Camp Beth Emet Registration 2022
Camper #1 T-shirt size Choose t-shirt size Youth X-Small Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL
The following information will be helpful for your child's counselors. 1. Please note any special diets or dietary concerns.
Camper #2 T-shirt size Choose t-shirt size Youth X-Small Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL
The following information will be helpful for your child's counselors. 1. Please note any special diets or dietary concerns.
Camper #3 T-shirt size Choose t-shirt size Youth X-Small Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL
The following information will be helpful for your child's counselors. 1. Please note any special diets or dietary concerns.
Guardian 1: Relationship to Child Pull Down for Options Mother Father Grandparent Aunt Uncle Other
State --Select State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Parent 2: Relationship to Child Pull Down for Options Mother Father Grandparent Aunt Uncle Other
State --Select State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Special Family Situations: If there is a special family situation, please notify camp. Please provide camp with any information/documentation needed to comply with legal requirements.
Health Insurance Information: Include Name of Insured, Name of Company and Policy #
Emergency Contact/Drop Off and Pick Up Release
In case of illness, accident or injury in the event that parents cannot be reached, the following people can be contacted and have permission to transport my child to and/or from Camp Beth Emet. Please list grandparents, relatives, housekeeper, sitter, friends, etc. We ask that you always call the office with any change of transportation. Please list persons full name, phone number and relationship to your child(ren).
Authorization for Emergency Medical - Surgical Treatment
It is the firm hope that the authorization granted on this form will never have to be used. For the safety of your child, however, sound medical practice calls for such authorization. In emergency situations where the parent of the child cannot be contacted immediately, this form may become extremely important. The authorization granted by this form will be used only where absolutely necessary and only after every attempt has been made to contact the parents. Doctors and hospitals refuse to give any treatment, regardless of how minor, unless they have authorization from the parents.
Registration Policy
All registered campers must submit a Physical Form HRS 3040 and an Immunizations Form HRS 680 before the first day of camp. Obtainable from your pediatrician. All campers must be picked up by 4:00 pm. A child not enrolled in extended care who is picked up late will be charged $12.00 for every hour or part thereof. Snack is included in all programs.
A hot lunch program will be available for no additional cost.
Temple Beth Emet is not responsible for lost items. Please label everything! Camp schedule is subject to change based on Broward County Public Schools calendar. Camp Directors must be notified in writing of any special needs or limitations a child may have. In the event of a medical emergency, I understand that Camp Beth Emet may have my child transported to the nearest hospital for treatment. The Camp Director reserves the right to deny any camper participation in any camp program or field trip if his/her conduct or behavior is deemed not in the best interest of the camp or in detriment to fellow campers. Camp Beth Emet reserves the right to substitute any activities without prior notice. Covid Policies must be followed by all camp families, as outlined in the Parent Manual. Campers and families agree to read and follow the Camp Beth Emet 2022 Parent Manual.
Payment Policies
To receive a membership discount for camp, Membership must be established for the 2021-2022 school year and Temple dues must be in good standing. Registration must be accompanied by a non-refundable , non-transferable $150 Registration Fee (per child).Registration fee is not applied to camp fees. There is a $36 Security Service Fee for families who were enrolled in the 2021-2022 school year and $150 Security Service Fee for families who were not enrolled in the 2021-2022 school year. Schedule changes will not be processed until the Schedule Change Request Form is submitted. Each change after June 1st will incur a $35 administrative fee. Requests for tuition refunds will be evaluated individually. Refund penalty may be applied and final credit may be posted to school tuition 2022-2023. Sibling discount only applies to campers registered for FULL SUMMER. A 10% discount is given to siblings. All Camp fees must be paid in full by July 1, 2022. No refunds will be given for absences during camp sessions.
Camp Beth Emet 2022 Tuition
June 13 - August 11, 2021
Registration Fees Security Fee Camp Tuition (Register after March 18,2022)
8 weeks 4 week Rate Additional Weeks Post Camp
Day Camp: 5 FULL DAYS $2950 $1680 $420 $350
Day Camp: 3 FULL DAYS $2200 $1200 $300 $350
Day Camp: Entering Kindergarten - 6th grade* 5 FULL DAYS $3150 $1780 $445 $350
Teen Camp: Entering 6th - 10th grade 5 FULL DAYS $4160 X
$520 X
*ALL DAY CAMPERS OPTIONS TO ENROLL ARE
Extended Care Options for Day Campers Only AM Morning Care (7:30 - 8:45 AM) $35 per weekPM Extended Care (4:00 - 5:45 PM) AM & PM Extended Care
Temple Members Receive 10% Tuition Discount Membership must be in good standing with dues paid off on a payment plan. Membership must be established for the 2021-2022 school year. Sibling Discount There is a 10% discount for Camp Beth Emet for campers enrolled in Full Summer.
Payment Agreement *Registration will be processed ONLY upon full completion of Payment Agreement.
Registration Fee: $150 per camper is due upon completion of registration.
Pull Down for Payment Options Pull down for Payment Options 1 payment on July 1, 2022 2 Equal Monthly Installments: June and July 2022 Need to discuss payment options
ACH Payment Information (No changes may be made within 10 business days of payment)
Credit Card Payment Information
Debit Card Payment Information (no additional fees for debit card payments)
