Camp Ruach Registration 2025 - Form - Congregation Etz Chaim

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Tell us how you heard about us?

* Current Synagogue Affiliation

Please Select OneCurrent Etz Chaim MemberNot a Member of Etz Chaim

If not currently a member, would you like to receive information about upcoming Etz Chaim activities?

YesNo

Family Information

* Parent Names

* Home Address

* City

* State

* Zip Code

* Cell Phone Number

* Additional Phone Number

* Primary Email Address

Number of Preschool Children being Enrolled

There is a registration fee of $75 due at the time of registration, this will go toward our special programming. This is non-refundable and per child.

Student Information and Program Selection

Enter the Number of Children 14-mths to Rising K Grade being Registered (same number as above)

Disclaimer:

Registration and/or schedule changes received after April 15, 2025 will incur a $10 per week administrative fee.

All camp fees are due by the 1st of the month, unless other arrangements have been made. There will be NO REFUNDS
after April 15, 2025

Please sign your name below stating you have read this disclaimer.

* Signature for Disclaimer

TOTAL REGISTRATION FEE DUE