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Winter Break Adventures day camp
Past Sessions
Friday, January 24, 2020
•
27 Teves 5780
-
8:00 AM - 3:00 PM
-
Upstairs - All Rooms & Social Hall
Thursday, January 23, 2020
•
26 Teves 5780
-
8:00 AM - 4:00 PM
-
Upstairs - All Rooms
Wednesday, January 22, 2020
•
25 Teves 5780
-
8:00 AM - 4:00 PM
-
Upstairs - All Rooms
Tuesday, January 21, 2020
•
24 Teves 5780
-
8:00 AM - 4:00 PM
-
Upstairs - All Rooms
Monday, January 20, 2020
•
23 Teves 5780
-
8:00 AM - 4:00 PM
-
Upstairs - All Rooms
Friday, January 17, 2020
•
20 Teves 5780
-
8:00 AM - 3:00 PM
-
Upstairs - All Rooms & Social Hall
Thursday, January 16, 2020
•
19 Teves 5780
-
8:00 AM - 4:00 PM
-
Upstairs - All Rooms
Register
If you are a YIH member and wish to bill your YIH account, you must be logged in to do so (if you are logged in, the name and email fields should be filled in below). Please note that if you bill your account, full payment is due before the first day that your child attends Winter Break Adventures.
The person who fills out this form should be a parent or legal guardian of the child(ren) being registered. Please provide the name and contact details of the person filling out this form below.
*
First Name
*
Last Name
*
Email
*
Cell phone number
Home phone number
Work phone number
*
Relationship to child(ren) registered on this form
Please Select One
Mother
Father
Other
*
Home address
In addition to the person above, please provide emergency contact details for one additional person.
*
First & Last Name
*
Cell phone number
*
Relationship to child(ren) registered on this form
Now, let's register the child(ren) who will be attending Winter Break Adventures.
You can register up to 5 children using this form.
All children registered using this form must live at the same address.
To register cousins, guests, etc., please submit a new form for each household.
How many children (living in the same household) will you be registering today?
Choose
1
2
3
4
5
IMPORTANT:
If not all of the children you are registering will be attending for the same number of days, you MUST list them in descending order.
Start with the child(ren) who will be registered for the greatest number of days, and end with the child who will be registered for the fewest number of days.
Failure to do this will result in sibling discounts being applied incorrectly and may result in additional charges on your account.
CHILD #1
*
First Name
*
Last Name
*
School
Grade
select
Pre-K
K
1
2
3
4
5
6
Gender
select
Male
Female
*
Birthday
*
Term for which the above child is being registered
Choose one:
Full Program, 7 days, Jan 20-21 & 24-28 ($369)
Week two, 5 days, Jan 24-28 ($289)
Individual Days ($75 per day, select to the right)
Daily lunches are included in price
5% early bird discount will be automatically applied if you register by Wednesday, January 8
Would you also like to register for Thursday or Friday of Week One?
No, thanks!
Thursday, Jan 20 (+$49)
Friday, Jan 21 (+$49)
*
Check all dates for which you are registering.
Thursday, Jan 20
Friday, Jan 21
Monday, Jan 24
Tuesday, Jan 25
Wednesday, Jan 26
Thursday, Jan 27
Friday, Jan 28
Any special needs, dietary restrictions, allergies, or anything else we should know about this child?
CHILD #2
*
First Name
*
Last Name
*
School
Grade
select
Pre-K
K
1
2
3
4
5
6
Gender
select
Male
Female
*
Birthday
*
Term for which the above child is being registered
Choose one:
Full Program, 7 days, Jan 16-17 & 20-24 ($331.55)
Week 2 only, 5 days, Jan 20-24 ($265.05)
Individual Days ($71.25 per day, select to the right)
Prices reflect a 5% sibling discount
Daily lunches are included in price
5% early bird discount will be automatically applied if you register by Wednesday, January 8
Would you also like to register for Thursday or Friday of Week One?
No, thanks!
Thursday, Jan 16 (+$49.40)
Friday, Jan 17 (+$49.40)
*
Check all dates for which you are registering.
Thursday, Jan 16
Friday, Jan 17
Monday, Jan 20
Tuesday, Jan 21
Wednesday, Jan 22
Thursday, Jan 23
Friday, Jan 24
Any special needs, dietary restrictions, allergies, or anything else we should know about this child?
CHILD #3
*
First Name
*
Last Name
*
School
Grade
select
Pre-K
K
1
2
3
4
5
6
Gender
select
Male
Female
*
Birthday
*
Term for which the above child is being registered
Choose one:
Full Program, 7 days, Jan 16-17 & 20-24 ($314.10)
Week 2 only, 5 days, Jan 20-24 ($251.10)
Individual Days ($67.50 per day, select to the right)
Prices reflect a 10% sibling discount
Daily lunches are included in price
5% early bird discount will be automatically applied if you register by Wednesday, January 8
Would you also like to register for Thursday or Friday of Week One?
No, thanks!
Thursday, Jan 16 (+$46.80)
Friday, Jan 17 (+$46.80)
*
Check all dates for which you are registering.
Thursday, Jan 16
Friday, Jan 17
Monday, Jan 20
Tuesday, Jan 21
Wednesday, Jan 22
Thursday, Jan 23
Friday, Jan 24
Any special needs, dietary restrictions, allergies, or anything else we should know about this child?
CHILD #4
*
First Name
*
Last Name
*
School
Grade
select
Pre-K
K
1
2
3
4
5
6
Gender
select
Male
Female
*
Birthday
*
Term for which the above child is being registered
Choose one:
Full Program, 7 days, Jan 16-17 & 20-24 ($296.65)
Week 2 only, 5 days, Jan 20-24 ($237.15)
Individual Days ($63.75 per day, select to the right)
Prices reflect a 15% sibling discount
Daily lunches are included in price
5% early bird discount will be automatically applied if you register by Wednesday, January 8
Would you also like to register for Thursday or Friday of Week One?
No, thanks!
Thursday, Jan 16 (+$44.20)
Friday, Jan 17 (+$44.20)
*
Check all dates for which you are registering.
Thursday, Jan 16
Friday, Jan 17
Monday, Jan 20
Tuesday, Jan 21
Wednesday, Jan 22
Thursday, Jan 23
Friday, Jan 24
Any special needs, dietary restrictions, allergies, or anything else we should know about this child?
CHILD #5
*
First Name
*
Last Name
*
School
Grade
select
Pre-K
K
1
2
3
4
5
6
Gender
select
Male
Female
*
Birthday
*
Term for which the above child is being registered
Choose one:
Full Program, 7 days, Jan 16-17 & 20-24 ($279.20)
Week 2 only, 5 days, Jan 20-24 ($223.20)
Individual Days ($60 per day, select to the right)
Prices reflect a 20% sibling discount
Daily lunches are included in price
5% early bird discount will be automatically applied if you register by Wednesday, January 8
Would you also like to register for Thursday or Friday of Week One?
No, thanks!
Thursday, Jan 16 (+$41.60)
Friday, Jan 17 (+$41.60)
*
Check all dates for which you are registering.
Thursday, Jan 16
Friday, Jan 17
Monday, Jan 20
Tuesday, Jan 21
Wednesday, Jan 22
Thursday, Jan 23
Friday, Jan 24
Any special needs, dietary restrictions, allergies, or anything else we should know about this child?
Any additional information we should know
Total amount to be charged
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2 Iyyar 5784
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