Camp Save A Spot - ChabadRoslyn.com

NO-RISK SPOT SAVER

This form is to save a spot for your child at Camp Gan Israel of Roslyn, pending confirmation of operating details, per Health Department Covid-19 safety regulations. Should you decide to withdraw from the program before the program begins, full refund will be granted.

PLEASE NOTE: This is just a spot saver. Full registration will be required once program details become available.
Child 1:*

First Name Last Name
Birth Date:*

Month Day Year
Grade Entering Sept 2020:*
School Attending:*
Check YES to SAVE A SPOT*

$50
Child 2:

First Name Last Name
Birth Date

Month Day Year
Grade Entering Sept 2020:
School Attending:
Check YES to SAVE A SPOT

$50
Child 3:

First Name Last Name
Birth Date

Month Day Year
Grade Entering Sept 2020:
School Attending:
Check YES to SAVE A SPOT

$50
Parent Name:*

First Name Last Name
E-mail*
Cell Number*

Area Code Phone Number

Address*

Payment

Credit Card

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