Camp Sholom Extended Care Registration - Form - Temple Beth Sholom

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Camp Sholom Extended Care Registration

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Camp Sholom offers two Extended care programs:

Morning Daycare:

Daily Hours: 8:00 to 9:00 am only. All campers must be signed in by a parent

Afternoon Daycare:

Daily Hours: 4:00 to 6:00 pm only. All campers must be signed out by a parent.
If your child is not signed out from camp by 4:05 pm, you will be billed for extended care.

* Camper First Name

* Camper Last Name

* Parent First Name

* Parent Last Name

Parent Email

Does your Camper require Extended Care for ALL 5 weeks or just parts of the Summer?

My Camper requires Extended Care for the week of July 1-3:

Which MORNINGS will your Camper require Extended Care?

July 1July 2July 3

Which AFTERNOONS will your Camper require Extended Care?

July 1July 2July 3

My Camper requires Extended Care for the week of July 8-12:

Which MORNINGS will your Camper require Extended Care?

Full Week of Morning Care (or choose specific mornings below)July 8July 9July 10July 11July 12

Which AFTERNOONS will your Camper require Extended Care?

Full Week of Afternoon Care (or choose specific mornings below)July 8July 9July 10July 11July 12

My Camper requires Extended Care for the week of July 15-19:

Which MORNINGS will your Camper require Extended Care?

Full Week of Morning Care (or choose specific mornings below)July 15July 16July 17July 18July 19

Which AFTERNOONS will your Camper require Extended Care?

Full Week of Afternoon Care (or choose specific mornings below)July 15July 16July 17July 18July 19

My Camper requires Extended Care for the week of July 22-26:

Which MORNINGS will your Camper require Extended Care?

Full Week of Morning Care (or choose specific mornings below)July 22July 23July 24July 25July 26

Which AFTERNOONS will your Camper require Extended Care?

Full Week of Afternoon Care (or choose specific mornings below)July 22July 23July 24July 25July 26

My Camper requires Extended Care for the week of July 29 - August 2:

Which MORNINGS will your Camper require Extended Care?

Full Week of Morning Care (or choose specific mornings below)July 29July 30July 31August 1August 2

Which AFTERNOONS will your Camper require Extended Care?

Full Week of Afternoon Care (or choose specific mornings below)July 29July 30July 31August 1August 2

Total Extended Care Fees

Fri, April 26 2024 18 Nisan 5784

Temple Beth Sholom
2625 N. Tustin Ave, Santa Ana, CA 92705
714-628-4600 | www.tbsoc.com

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