ECS Summer Camp 2023 - Form - B'nai Shalom of Olney

NEW THIS YEAR!

Ö Annual Pass – New 12-month enrollment includes school year 23-24 plus all 8 weeks of Summer Camp
Camp tuition rates can be found on our site here.
Deposit (prepayment) will be charged June 5, 2023
New tuition rate goes into effect July 1, 2023
$80 materials fee for the summer

Ö 2-week sessions-
Camp tuition rates can be found on our site here.
$20 materials fee per session
Sessions 1 & 2 will be charged June 1, 2023
Session 3 & 4 will be charges July 5, 2023

Ö 1-week session (available for currently enrolled ECS children only) –
Camp tuition rates can be found on our site here.
$10 material fee per week
Each week will be charged the week prior to week of attendance.
Minimum of 2 week registration

Ö 3, 4, or 5 day a week schedule option

Once we receive this camp request form along with the appropriate fees, we will send you the applicable enrollment form where you can indicate your child’s schedule as well as provide you with any other required paperwork.

CHILD'S INFORMATION

Child's First Name

Child's Last Name

* Child's DOB

* Parents First Name (1)

* Parent Last Name (1)

* Address

* State

* Zip Code

* Cell Phone

* Work Phone

* Confirmation Email

Parent First Name (2)

Parents Last Name (2)

Address if different from above

Cell Phone

Work Phone

* Are you members of B'nai Shalom of Olney?

YesNoI'm interested

How did you hear about the ECS and our summer program?

**REGISTRATION OPTIONS: Please indicate your choice.**

A. Annual Pass (Non-refundable material fee per week = $80)

8-weeks of camp: June 26-August 18

B. 2-week sessions (Non-refundable material fee per session = $20)

Session 1 (June 26– July7)Session 2 (July 10 – July 21)Session 3 (July 24 – August 4)Session 4 (August 7 – August 18)

C. 1-week option (Non-refundable material fee per week = $10) Minimum of a 2-week registration

**Please note that there will be no Camp BSO on Monday, July 4 in observance of Independence Day

* I have read the enclosed information and I understand and will comply with the 2023 Camp BSO payment schedule.

I have read the enclosed information and I understand and will comply with the 2023 Camp BSO payment schedule.

* Electronic Signature: