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Online Registration

Father's Full Name Mother's Full Name
Father's Email Mother's Email
Email required.Invalid Email.
Father's Cell Phone Mother's Cell Phone
Cell Phone required.
Home Phone
Address

City
State
 

Emergency Contact Name

In case a parent can't be reached


Emergency Contact required.

Emergency Phone

Emergency Number required.
      Camper Name  
Camper required.
School   School required. DOB  

DOB required.

Session 1 Session 2
  Week 1 (June 19-23) Week 3 (July 3-7) Week 5 (July 17-21) Week 7 (July 31-Aug 4)
  Week 2 (June 26-30) Week 4 (July 10-14) Week 6 (July 24-28) Week 8 (Aug 7-11)
  $75 Registration Fee* Please Choose.    Required.      

 


        ADD AFTERCARE SERVICE

  4:30-5:30pm for an additional fee of $10 per day, or $50 a week
  Week 1 (June 19-23) Week 3 (July 3-7) Week 5 (July 17-21) Week 7 (July 31-Aug 4)
  Week 2 (June 26-30) Week 4 (July 10-14) Week 6 (July 24-28) Week 8 (Aug 7-11)
                 


        SIGN UP ADDITIONAL CAMPERS

      Camper 2 Name  
School   DOB  

Session 1 Session 2
  Week 1 (June 19-23) Week 3 (July 3-7) Week 5 (July 17-21) Week 7 (July 31-Aug 4)
  Week 2 (June 26-30) Week 4 (July 10-14) Week 6 (July 24-28) Week 8 (Aug 7-11)
  $75 Registration Fee*        

        ADD AFTERCARE SERVICE
  4:30-5:30pm for an additional fee of $10 per day, or $50 a week
  Week 1 (June 19-23) Week 3 (July 3-7) Week 5 (July 17-21) Week 7 (July 31-Aug 4)
  Week 2 (June 26-30) Week 4 (July 10-14) Week 6 (July 24-28) Week 8 (Aug 7-11)
                 


      Camper 3 Name  
Camper required
School   DOB  

Session 1 Session 2
  Week 1 (June 19-23) Week 3 (July 3-7) Week 5 (July 17-21) Week 7 (July 31-Aug 4)
  Week 2 (June 26-30) Week 4 (July 10-14) Week 6 (July 24-28) Week 8 (Aug 7-11)
  $75 Registration Fee*        

        ADD AFTERCARE SERVICE

  4:30-5:30pm for an additional fee of $10 per day, or $50 a week
  Week 1 (June 19-23) Week 3 (July 3-7) Week 5 (July 17-21) Week 7 (July 31-Aug 4)
  Week 2 (June 26-30) Week 4 (July 10-14) Week 6 (July 24-28) Week 8 (Aug 7-11)
                 
  $75 Non - Refundable Registration Fee Per Child
SIBLING DISCOUNT: *5% Sibling Discount Per Sibling (not for “Lifetime Subscription”)


Total Camp Fees $   

REFUND POLICY: Any registrations withdrawn before April 1st 2017 will receive a full refund
Any changes made between April 1st 2017 and May 31st 2017 will receive a 50% refund
Any changes made after June 1st 2017 will not receive a refund
*A total of $175 (the total price of the non-refundable registration fee and tuition deposit) will be subtracted from any refund


Required.
  Waiver   See all
In enrolling a child in Camp Nageela Boca, a program of the Jewish Education Center of South Florida, the undersigned authorizes the officials of Camp Nageela Boca to act for the parents while the child is in their care. This includes the power to authorize emergency
treatment when it is deemed necessary and in the best interest of the child. Participation in any of the Camp Nageela activities and use of any recreational facilities involves risk of accidental injury despite all safety precautions. Having been informed of the activities to be conducted by Camp Nageela Boca, the undersigned assumes all risks and hazards incidental to the activities and release from responsibility and agree to indemnify and hold harmless Camp Nageela Boca, its officers, directors, independent contractors, volunteers and all employees for any illness or injury to the undersigned, his or her child or family members occurring during his/her/their participation in any activity or use of any facility at/or conducted by Camp Nageela Boca


Required.   Activities and General Permission of Use   See all
Submission of completed medical form #3040 and immunization form #680 (as well as IEP or 504 plan if applicable) are required for attendance. Failure to disclose any pre-existing medical conditions, including cognitive, social and/or motor disabilities, or failure
to disclose a change in dosage of regularly prescribed medication may result in dismissal from camp without refund or proration of tuition. By Initialing below the undersigned understands and agrees to all the terms set forth herein. The camp program may include out of camp activities and permission is hereby given for the camper to take part in such activities off camp grounds. The camp may use photographs, statements, articles, names, music, art, film, video tapes taken of the camper or made by the camper in promoting the camp and camp-related activities through advertising, publication and/or exhibition. This contract shall become binding when signed by an authorized agent of Camp Nageela Boca, without delivery of a copy thereof to the undersigned applicant. If Camp Nageela Boca is unable to perform any of its obligations under this contract by reason of fire, strike or damage by the elements, or of any unavoidable casualty, the obligations on its part will terminate at once. This contract contains all of the terms and conditions agreed on by the parties and no other agreement, oral or otherwise, regarding to the subject matter of this contract, shall be deemed to exist or to bind any of the parties. By initialing below the undersigned understands and agrees to all the terms set forth herein
Required.  I, the undersigned, have read the above waiver and agree to all of the terms set forth therein

Required.  I, the undersigned, understand that the $75 registration fee and $100 tuition deposit per child that is registering, are non-refundable and must accompany this application

Required.  I, the undersigned, have read, understand, and agree to adhere to Camp Nageela Boca’s “Refund Policy” stated above
Required.  I, the undersigned, understand that ALL payments must be made by June 1st, 2017 (and May 1st 2017 for anyone who signs up for the “Lifetime Subscription” deal)
Required.  I, the undersigned, understand that medical form #3040 and immunization form # 680 are required for attendance at Camp Nageela Boca