Register

Please mail your payment along with your completed, signed and dated Camp Waiver and Permission Slip forms to 108 North Detroit Street, Los Angeles, CA 90036 (between Beverly Blvd. and 1st Street).

CAMPER 1

Gender

Please check off weeks attending:

See extended week pricing here

Date of Birth

CAMPER 2

Gender

 See extended week pricing here

Date of Birth

 

PARENT/GUARDIAN INFORMATION

 

MEDICAL RELEASE INFORMATION

 

Allergies/Medical Condition

The purpose of the above listed information is to ensure that medical personnel have details of any medical problems, which may Interfere with or alter treatment.

 

EMERGENCY CONTACT INFORMATION

 

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Terms of Agreement

Camp Chaverim is not responsible for lost or damaged personal property. By submitting this application above you agree to pay all applicable tuition and deposit fees by the stated deadlines as stated on the our website. All camp fees must be paid in full by June 1st. Registration fees are non-refundable. I understand that there is no reduction or refund due to absence, illness or withdrawals. After June 1st, no refunds will be made for all camp fees under any circumstances. All scheduled events are subject to change. In case of an emergency, and if a family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, and/or Physician). Campers’ photos and quotes may be used for publicity purposes.

Note: After clicking the "Submit" button below you should receive an email regarding your registration. If you do not, please email us.