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Extended Care Form

Extended Care Form

We are pleased to provide extended care for summer and winter camp from 8:00 - 10:00 am and 4:00 - 6:00 pm (except Friday).

The cost is $5/hour per child (3rd child is free).

Registration including payment must be completed before camp starts.

If there are any changes afterward, please contact Rabbi Yishai at

Please specify below which days and hours you will need care.
Please note: There is no after-care on Fridays.

Names of Children (It is assumed that the same care is needed for all children listed unless specified otherwise in the comments section below.):
Child 1:
Child 2:
Child 3:
AM Specify dates:
Specify dates:

Payment Information
Pay with credit card Pay with check or cash
Total Amount
First Name on Card
Last Name on Card
Credit Card #
Exp. Date

CVV Code



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