Camp Save A Spot - Chabad of Roslyn

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 NameLast Name
Birth Date:*
MonthDayYear
Grade Entering Sept 2020:*
School Attending:*
Check YES to SAVE A SPOT*
$50
Child 2:
First NameLast Name
Birth Date
MonthDayYear
Grade Entering Sept 2020:
School Attending:
Check YES to SAVE A SPOT
$50
Child 3:
First NameLast Name
Birth Date
MonthDayYear
Grade Entering Sept 2020:
School Attending:
Check YES to SAVE A SPOT
$50
Parent Name:*
First NameLast Name
E-mail*
Cell Number*
Area CodePhone Number

Address*

Payment

Credit Card

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