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Camp Israel Ami "Alpaim" Application
GENERAL TERMS AND CONDITIONS Please read the fine print, there may be a 5%-10% discount for you!!!

A Non-member is a San Diego resident who hasn't payed dues to the KJC in the past 6 months. All individual campers MUST fill out an application including health and Insurance information (to be provided with Camp Package.) Each application MUST be signed by Parent or Guardian so the application can be processed. Please make checks payable to the Ken Jewish Community. Total cost includes majane, tours, ground transportation, 2 T-shirts, and all outings. A $100.00 deposit is due at time of sign-up. This deposit reserves a space for your camper and is Non-refundable. All fees paid in full by April 30 will receive a 10% discount. All fees paid in full by May 31 will receive a 5% discount. Pictures of Campers are $10 each. Registration will close June 18. There is no refund nor reduction in tuition for children entering late or leaving early during a camp session. Please remember that there are no exceptions.

Personal Information
Full Name, that is on credit card: Email Address: Telephone/Teléfono:
Address/Dirección: City/Ciudad: State/Edo:
Country/Pais: Zip/CP:  
 
Payment Information
Visa
MC
Check
Cash
Credit Card Number
Expiration Date (mm/yy)
Sign Up Information For First Camper
Camper's Name (Last, First) Date of Birth
(MM/DD/YY)
Sex Age Grade*
Camp Program Shirt Size Cost
* Please Show School Grade As Of Sept. 2000
Sign Up Information For Second Camper
Camper's Name (Last, First) Date of Birth
(MM/DD/YY)
Sex Age Grade*
Camp Program Shirt Size Cost
* Please Show School Grade As Of Sept. 2000
Sign Up Information For Third Camper
Camper's Name (Last, First) Date of Birth
(MM/DD/YY)
Sex Age Grade*
Camp Program Shirt Size Cost
* Please Show School Grade As Of Sept. 2000
Sign Up Information For Fourth Camper
Camper's Name (Last, First) Date of Birth
(MM/DD/YY)
Sex Age Grade*
Camp Program Shirt Size Cost
* Please Show School Grade As Of Sept. 2000
Miscellaneous Information
Bus Transportation (Chula Vista-La Jolla): Yes No
Add Me To The Mailing List?
Payment Totals
Sub-Total: $
April 30, 10% discount:  Yes
May 31, 5% discount:  Yes
Deposit: $
Total: $

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