Printed from ChabadMainline.org

Winter Camp Registration

Winter Camp Registration

 

Winter Camp Registration

 

 

This camp is run by Chabad of the Main Line.
Drop off and pick up will be from Chabad of the Main Line.
625 Montgomery Ave.
Merion Station, PA 19066

For more information, please call (610) 660-9900

 

Child Information

Child's First Name
Child's Last Name
Child's Date of Birth
Child's School
Child's School Grade
Additional Children - Please submit a separate form for each child
Father's Name
Father's Cell Number
Father's Email
Mother's Name
Mother's Cell Number
Mother's Email
Address
City, State, Zip
Emergency Contact: Name

Emergency Contact: Phone Number
Price $210 for all four days
OR $55 a day - SnowTubing is $65.
10% Sibling Discount - (full week only)
Click here to register for all 4 days
OR indicate the days your child will be attending

Monday, December 26
Skatium

Tue, December 27 
International Sports Center

Wednesday, Dec 28
FunPlex

Thursday, Dec 29  
SnowTubing

Total Cost (please fill in)
Payment Information
Payment Type
Credit Card Type
Credit Card Number
Expiration Date
ccv
Comment
 

A Consent and Allergy form will be filled out on the first day of camp. Thank You.

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