2025 Club Judea Summer Camp Registration - Form

Club Judea Summer Camp at Temple Judea is 6 weeks.

6 Week Session runs from June 16, 2025 - July 24, 2025

Registration fee per Family is $150 for Non-Club Judea or Margaux Student

2's, 3's
9 Full Days- 8:30 AM - 2:45 PM
$1000 per Session

Pre-K, Kindergarten, 1st , 2nd & 3rd grade
9 Full Days- 8:30 AM - 2:45 PM
$1050 per Session

Aftercare
9 Days- 3:00PM - 5:00PM
$288 per Session

Session A- Monday, June 16, 2025 to Friday, June 27, 2025 (Closed June 19)
*Session A- Art Camp for Pre-K through 3rd Grade

Session B- Monday, June 30, 2025 to Friday, July 11, 2025 (Closed July 4)
*Session B- Sports Camp for Pre-K through 3rd Grade

Session C- Monday, July 14, 2025 to Thursday, July 24, 2025 (Closed July 25)
*Session C- STEM Camp for Pre-K through 3rd Grade

* Parent 1 - First Name

* Parent 1 - Last Name

* Parent 1 - Email

* Parent 1 - Cell Phone

Parent 1 - Home Address

Parent 1 - City

Parent 1 - State

Parent 1 - Zip

Parent 1 - Home Phone

Parent 1 - Occupation

Parent 1 - Employer

Parent 1 - Work Phone

* Does your child currently attend Club Judea or Margaux School?

(Registration fee per family is $150 for non-Club Judea or Margaux school students)

* Is there another Adult on this account?

* Parent 2 - First Name

* Parent 2 - Last Name

* Parent 2 - Email

Parent 2 - Cell

Does Adult 2 live at the same address?

Parent 2 - Home Address

Parent 2 - City

Parent 2 - State

Parent 2 - Zip

Parent 2 - Home Phone

Parent 2 - Occupation

Parent 2 - Employer

Parent 2 - Work Phone

Child 1 First Name

Child 1 - Last Name

Child 1 - Gender

Child 1 - Date of Birth

Child 1 - Physician

Child 1 - Physician Phone

* Does Child 1 have any allergies?

Please describe Child 1's allergies:

Emergency Treatment

Emergency TreatmentIn the event a parent, guardian, or the child's physician cannot be reached, I authorize Temple Judea to obtain emergency treatment for my child by checking the box to the left.

* Please select your child's age group as of September 1, 2025.

* Please select the session dates you would like your child to attend:

Session A- Monday, June 16, 2025 to Friday, June 27, 2025Session B- Monday, June 30, 2025 to Friday, July 11, 2025Session C- Monday, July 14, 2025 to Thursday, July 24, 2025($1000 per session)

* Please select the session dates you would like your child to attend:

Session A- Monday, June 16, 2025 to Friday, June 27, 2025Session B- Monday, June 30, 2025 to Friday, July 11, 2025Session C- Monday, July 14, 2025 to Thursday, July 24, 2025($1050 per session)

* Please select the session dates you would like your child to attend Aftercare:

Session A- Monday, June 16, 2025 to Friday, June 27, 2025Session B- Monday, June 30, 2025 to Friday, July 11, 2025Session C- Monday, July 14, 2025 to Thursday, July 24, 2025I will not be using aftercare($288 per session 3:00PM-5:00PM)

* Are you registering a second child?

* Child 2 - First Name

Child 2 - Last Name

Child 2 - Gender

Child 2 - Date of Birth

Child 2 - Physician

Child 2 - Physician Phone

Does Child 2 have any allergies?

Please describe Child 2's allergies

Emergency Treatment

Emergency TreatmentIn the event a parent, guardian, or the child's physician cannot be reached, I authorize Temple Judea to obtain emergency treatment for my child by checking the box to the left.

* Please select child 2's age group as of September 1, 2025.

* Please select the session dates you would like your child to attend:

Session A- Monday, June 16, 2025 to Friday, June 27, 2025Session B- Monday, June 30, 2025 to Friday, July 11, 2025Session C- Monday, July 14, 2025 to Thursday, July 24, 2025($1000 per session )

* Please select the session dates you would like your child to attend:

Session A- Monday, June 16, 2025 to Friday, June 27, 2025Session B- Monday, June 30, 2025 to Friday, July 11, 2025Session C- Monday, July 14, 2025 to Thursday, July 24, 2025($1050 per session)

* Please select the session dates you would like your child to attend:

* Emerg. Contact 1- First Name

* Emerg. Contact 1- Last Name

* Emerg. Contact 1- Relationship to Child

Emerg. Contact 1- Home Phone

* Emerg. Contact 1- Cell Phone

Emerg. Contact 1- Work Phone

Emerg. Contact 2 - First Name

Emerg. Contact 2 - Last Name

Emerg. Contact 2 - Relationship to Child

Emerg. Contact 2 - Home Phone

Emerg. Contact 2 - Cell Phone

Emerg. Contact 2 - Work Phone

Please select whether each person below is permitted to remove child from school:

* Parent 1

Parent 2

Emerg Contact 1

Emerg Contact 2

I hereby grant permission for the Summer Camp at Temple Judea to utilize artwork, photographs or any other visual representation of my son/daughter in connection with any Temple Judea brochure, video, promotion, website, advertising or any other media. Names and personal information of the children will not be disclosed.

* I hereby grant permission for the faculty and staff of Summer Camp at Temple Judea to share pictures of my child through a private classroom website and/or application.

Late Camp Fee:

Camp fees must be paid in full by June 1st. Temple Judea reserves the right to refuse to allow a child to participate in the camp program until the family's financial obligation is made current.

Health Forms

No child will be admitted to camp without an updated health form from the child's physician. Forms 3040/680 must be provided to the Summer Camp office by June 16, 2025. These forms are available from your pediatrician's office.

Mandatory Financial Payment Information

All families in the Summer Camp at Temple Judea are required to have a valid credit card on file.

Tuition Payment

If payment is not received by June 1, 2025, a charge will be processed on your credit card on the 15th of the month. This will process automatically without additional notification.

All Other Outstanding Payments

If your account has an outstanding balance that is 30 days past due, a charge will be processed on your credit card on the 25th of the next month. This will process automatically without additional notification.

Cancelation Policy

Registration and tuition are non-refundable and non-transferable.

* By checking this box I acknowledge that I have read these policies and will adhere to its terms.

By checking this box I acknowledge that I have read these policies and will adhere to its terms.

Total Due