Skip to main content
Home
About our Camp
Registration Options
Camp Registration
Register By Day
Staff Application
Camp Info
Parent Handbook
Activity Calendar
Camp Brochure
Contact
Mother's Info
First Name
*
Last Name
*
Phone Number
*
Email
*
Street Address
*
City
*
Postal Code
*
State/Province
*
Father's Info
First Name
*
Last Name
*
Phone Number
*
Email
*
Share address of
Address is same as Mother's
Street Address
*
City
*
Postal Code
*
State/Province
*
How many children are you registering?
*
1
2
3
4
Camper
First Name
*
Last Name
*
Gender
*
- Select -
Male
Female
Birth Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Shirt Size
*
- Select -
X-Small
Small
Medium
Large
X-Large
Select Group
*
- Select -
Torah Tots: Pre-k - 1st Grade
Mitzvah Mavens: Grades 2-3
Simcha Scouts: Grades 4-5
CITs: Grades 6-8
You have the same address as:
- None -
Mother's
Father's
Street Address
*
City
*
Postal Code
*
State/Province
*
Main Camp Sessions ($320/week)
Week 1 - June 22nd, 2020 - June 26th, 2020
Week 2 - June 29th, 2020 - July 3rd, 2020
Week 3 - July 6th, 2020 - July 10th, 2020
Week 4 - July 13th, 2020 - July 17th, 2020
Week 5 - July 20th, 2020 - July 24th, 2020
Week 6 - July 27th, 2020 - July 31st, 2020
Full Summer Discount
$
Early Care ($50/WEEK) (8:00-9:00 a.m.)
Week 1 - June 22nd, 2020 - June 26th, 2020
Week 2 - June 29th, 2020 - July 3rd, 2020
Week 3 - July 6th, 2020 - July 10th, 2020
Week 4 - July 13th, 2020 - July 17th, 2020
Week 5 - July 20th, 2020 - July 24th, 2020
Week 6 - July 27th, 2020 - July 31st, 2020
After Care ($100/WEEK) (3:30-5:30 p.m.)
Week 1 - June 22nd, 2020 - June 26th, 2020
Week 2 - June 29th, 2020 - July 3rd, 2020
Week 3 - July 6th, 2020 - July 10th, 2020
Week 4 - July 13th, 2020 - July 17th, 2020
Week 5 - July 20th, 2020 - July 24th, 2020
Week 6 - July 27th, 2020 - July 31st, 2020
River Rafting Overnight ($90)
River Rafting Overnight - July 7th, 2020 - July 8th, 2020
Tahoe Overnight ($150)
Tahoe Overnight - July 21st, 2020 - July 22nd, 2020
Health Info
Health Insurance Name
*
Health Insurance Number
*
Name any Allergies
List any medical conditions we should be aware of
Emergency Contact Info
First Name
*
Last Name
*
Cell Number
*
Work Number
*
Email
*
Camper 2
First Name
*
Last Name
*
Gender
*
- Select -
Male
Female
Birth Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Shirt Size
*
- Select -
X-Small
Small
Medium
Large
X-Large
Select Group
*
- Select -
Torah Tots: Pre-k - 1st Grade
Mitzvah Mavens: Grades 2-3
Simcha Scouts: Grades 4-5
CITs: Grades 6-8
You have the same address as:
- None -
Mother's
Father's
Street Address
*
City
*
Postal Code
*
State/Province
*
Main Camp Sessions ($320/week)
Week 1 - June 22nd, 2020 - June 26th, 2020
Week 2 - June 29th, 2020 - July 3rd, 2020
Week 3 - July 6th, 2020 - July 10th, 2020
Week 4 - July 13th, 2020 - July 17th, 2020
Week 5 - July 20th, 2020 - July 24th, 2020
Week 6 - July 27th, 2020 - July 31st, 2020
Full Summer Discount (Camper 2)
$
Early Care ($50/WEEK) (8:00-9:00 a.m.)
Week 1 - June 22nd, 2020 - June 26th, 2020
Week 2 - June 29th, 2020 - July 3rd, 2020
Week 3 - July 6th, 2020 - July 10th, 2020
Week 4 - July 13th, 2020 - July 17th, 2020
Week 5 - July 20th, 2020 - July 24th, 2020
Week 6 - July 27th, 2020 - July 31st, 2020
After Care ($100/WEEK) (3:30-5:30 p.m.)
Week 1 - June 22nd, 2020 - June 26th, 2020
Week 2 - June 29th, 2020 - July 3rd, 2020
Week 3 - July 6th, 2020 - July 10th, 2020
Week 4 - July 13th, 2020 - July 17th, 2020
Week 5 - July 20th, 2020 - July 24th, 2020
Week 6 - July 27th, 2020 - July 31st, 2020
River Rafting Overnight ($90)
River Rafting Overnight - July 7th, 2020 - July 8th, 2020
Tahoe Overnight ($150)
Tahoe Overnight - July 21st, 2020 - July 22nd, 2020
Health Info
Health Insurance Name
*
Health Insurance Number
*
Name any Allergies
List any medical conditions we should be aware of
Emergency Contact Info
First Name
Last Name
Cell Number
Work Number
Email
Camper 3
First Name
*
Last Name
*
Gender
*
- Select -
Male
Female
Birth Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Shirt Size
*
- Select -
X-Small
Small
Medium
Large
X-Large
Select Group
*
- Select -
Torah Tots: Pre-k - 1st Grade
Mitzvah Mavens: Grades 2-3
Simcha Scouts: Grades 4-5
CITs: Grades 6-8
You have the same address as:
- None -
Mother's
Father's
Street Address
*
City
*
Postal Code
*
State/Province
*
Main Camp Sessions ($320/week)
Week 1 - June 22nd, 2020 - June 26th, 2020
Week 2 - June 29th, 2020 - July 3rd, 2020
Week 3 - July 6th, 2020 - July 10th, 2020
Week 4 - July 13th, 2020 - July 17th, 2020
Week 5 - July 20th, 2020 - July 24th, 2020
Week 6 - July 27th, 2020 - July 31st, 2020
Full Summer Discount (Camper 3)
$
Early Care ($50/WEEK) (8:00-9:00 a.m.)
Week 1 - June 22nd, 2020 - June 26th, 2020
Week 2 - June 29th, 2020 - July 3rd, 2020
Week 3 - July 6th, 2020 - July 10th, 2020
Week 4 - July 13th, 2020 - July 17th, 2020
Week 5 - July 20th, 2020 - July 24th, 2020
Week 6 - July 27th, 2020 - July 31st, 2020
After Care ($100/WEEK) (3:30-5:30 p.m.)
Week 1 - June 22nd, 2020 - June 26th, 2020
Week 2 - June 29th, 2020 - July 3rd, 2020
Week 3 - July 6th, 2020 - July 10th, 2020
Week 4 - July 13th, 2020 - July 17th, 2020
Week 5 - July 20th, 2020 - July 24th, 2020
Week 6 - July 27th, 2020 - July 31st, 2020
River Rafting Overnight ($90)
River Rafting Overnight - July 7th, 2020 - July 8th, 2020
Tahoe Overnight ($150)
Tahoe Overnight - July 21st, 2020 - July 22nd, 2020
Health Info
Health Insurance Name
*
Health Insurance Number
*
Name any Allergies
List any medical conditions we should be aware of
Emergency Contact Info
First Name
Last Name
Cell Number
Work Number
Email
Camper 4
First Name
*
Last Name
*
Gender
*
- Select -
Male
Female
Birth Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Shirt Size
*
- Select -
X-Small
Small
Medium
Large
X-Large
Select Group
*
- Select -
Torah Tots: Pre-k - 1st Grade
Mitzvah Mavens: Grades 2-3
Simcha Scouts: Grades 4-5
CITs: Grades 6-8
You have the same address as:
- None -
Mother's
Father's
Street Address
*
City
*
Postal Code
*
State/Province
*
Main Camp Sessions ($320/week)
Week 1 - June 22nd, 2020 - June 26th, 2020
Week 2 - June 29th, 2020 - July 3rd, 2020
Week 3 - July 6th, 2020 - July 10th, 2020
Week 4 - July 13th, 2020 - July 17th, 2020
Week 5 - July 20th, 2020 - July 24th, 2020
Week 6 - July 27th, 2020 - July 31st, 2020
Full Summer Discount (Camper 4)
$
Early Care ($50/WEEK) (8:00-9:00 a.m.)
Week 1 - June 22nd, 2020 - June 26th, 2020
Week 2 - June 29th, 2020 - July 3rd, 2020
Week 3 - July 6th, 2020 - July 10th, 2020
Week 4 - July 13th, 2020 - July 17th, 2020
Week 5 - July 20th, 2020 - July 24th, 2020
Week 6 - July 27th, 2020 - July 31st, 2020
After Care ($100/WEEK) (3:30-5:30 p.m.)
Week 1 - June 22nd, 2020 - June 26th, 2020
Week 2 - June 29th, 2020 - July 3rd, 2020
Week 3 - July 6th, 2020 - July 10th, 2020
Week 4 - July 13th, 2020 - July 17th, 2020
Week 5 - July 20th, 2020 - July 24th, 2020
Week 6 - July 27th, 2020 - July 31st, 2020
River Rafting Overnight ($90)
River Rafting Overnight - July 7th, 2020 - July 8th, 2020
Tahoe Overnight ($150)
Tahoe Overnight - July 21st, 2020 - July 22nd, 2020
Health Info
Health Insurance Name
*
Health Insurance Number
*
Name any Allergies
List any medical conditions we should be aware of
Emergency Contact Info
First Name
Last Name
Cell Number
Work Number
Email
Gan Israel Berkeley
office@chabadberkeley.org
|
(510) 540-5824
Powered by
ChabadSuite
log in
