CBE Kids Summer 2023 Elementary Day Camp

CBE Kids Elementary Day Camp is for children entering K-5th grade. We offer a wide variety of fun and exciting activities in a safe environment supervised by highly qualified staff.

Our facilities include a spacious indoor pool, art room, computer room, and two large, multi-use air-conditioned spaces. Nearby Prospect Park is used for sports, nature, and outdoor play. Jewish values are explored through weekly themes including peace, friendship, community, nature and the environment, charity, and acts of loving kindness. Shabbat is celebrated every Friday and everyone is included.

CBE Membership Status

* Are you a member of CBE?

CBE Members receive discounted rates for camp.

Student Information

* Student First Name

* Student Last Name

* Gender

* Date of birth

* Child's Grade

Select your child's grade as of September of 2023.

Child's School (in Fall 2023)

Friend Request

T-Shirt Size

Mailing Address

Street Address

* City

* State

* Zip

Registration Fee and Terms

There is a nonrefundable $75 registration fee for CBE Kids camp. On completion of this form you will be asked to set up a monthly payment plan for the balance, with the first payment due on registration. You can also pay in full. All accounts must be fully paid June 1, 2023. All prior financial obligations to CBE must be fulfilled in order to participate in the summer camp session.

A standard Department of Health Medical form, which will be issued by the camp, must be submitted after a health examination. No child will be admitted to camp unless this document is on file before June 1. This is a Department of Health regulation.

* I agree to pay a nonrefundable $75 registration fee for this child, and agree to the terms above.

I agree to pay a nonrefundable $75 registration fee for this child, and agree to the terms above.

Attendance Weeks

Which weeks will your child be attending CBE Kids Camp?

Week 1: June 28 - July 7 (Closed Monday, July 3, Tuesday, July 4)Week 2: July 10-July 14Week 3: July 17-July 21Week 4: July 24 - July 28Week 5: July 31 - August 4Week 6: August 7- August 11Week 7: August 14- August 18

Number of Weeks Enrolled

Select the Camp Options

Extended Day Options

CBE Kids offers early bird (8am-8:30am) and late bird (4pm - 6pm). The Early Bird option is $75/week, and the Late Bird option is $200/week.

Early Bird

Late Bird

Both Early Bird AND Late Bird

Your Total Cost

The total cost for this child will be automatically updated below.

Total

Authorized Pickup People

Please let us know the name of anyone (other than parents) who is authorized to pick up your child from camp. Parents listed on this form will also be placed on the authorized pick up list.

Pick Up Contact 1 - Name

Pick Up Contact 1 - Cell Phone

Pick Up Contact 2 - Name

Pick Up Contact 2 - Cell Phone

Pick Up Contact 3 - Name

Pick Up Contact 3 - Cell Phone

Parent / Guardian Information

Parent / Guardian 1

* Parent/Guardian 1 First Name

* Parent/Guardian 1 Last Name

* Parent/Guardian 1 Email

* Parent/Guardian 1 Cell Phone

Parent/Guardian 1 Alternate Phone

Parent / Guardian 2

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Alternate Phone

Health Information

* Does your child have allergies?

If yes, please specify allergies and action to take.

* Does your child take medication?

If yes, please specify.

Emergency Contact Information

In an emergency, CBE Kids will always contact the parents first. If they cannot be reached, who would you like us to contact?

Emergency Contact 1: Name

Emergency Contact 1: Phone

Emergency Contact 1: Relationship

Emergency Contact 2: Name

Emergency Contact 2: Phone

Emergency Contact 2: Relationship

Emergency Treatment Release

* In case of an emergency, I do hereby give authority to the camp and its staff to obtain necessary medical emergency treatment for my child with the understanding that every effort will be made to notify the family. I hereby authorize the doctor or the hospital to which my child may be brought (and whomever they may designate as their assistants) to perform any emergency procedures or operations, to give treatment and administer anesthetics to my child / children.

In case of an emergency, I do hereby give authority to the camp and its staff to obtain necessary medical emergency treatment for my child with the understanding that every effort will be made to notify the family. I hereby authorize the doctor or the hospital to which my child may be brought (and whomever they may designate as their assistants) to perform any emergency procedures or operations, to give treatment and administer anesthetics to my child / children.

Sibling Information

* Have you already enrolled another child for a 2023 CBE Kids Camp?

* Please tell us the name of the already registered sibling.

* In which CBE Camp program is the sibling registered?

* To receive information on sibling discounts, please confirm that you have registered, and received a confirmation email from us, for the child listed above.

Sibling Discounts:

Families are entitled to a 5% discount on each child registered AFTER the first. As you have confirmed you have already registered a child, you may use the code below for your discount. We recommend you copy and paste it.

Your discount code: SIBLING2350

Please note that all uses of sibling discount codes will be thoroughly reviewed by our staff. If we cannot confirm that a child has already been registered, we will be in touch, and will bill you for the %.

Acceptance of Terms

* I have carefully read the application and agree to accept all terms. I give permission for my child to participate in all camp activities including off-camp activities and authorize CBE KIDS to act as parent surrogate on my behalf.

I have carefully read the application and agree to accept all terms. I give permission for my child to participate in all camp activities including off-camp activities and authorize CBE KIDS to act as parent surrogate on my behalf.

Photo Release

* I authorize my child to be photographed/filmed/recorded on camp premises and during camp activities and/or for the camp to use such images in any camp communication, electronic or printed.

How did you hear about our program?

If you selected "Other", please specify

* Were you referred by another CBE Kids Camp Family?

* Please write the name of the family, first name and last name.