TSELC Summer Camp Registration - Form

2024 Temple Shalom Early Learning Center
Summer Camp Registration Form

*This form is only required for children not in our year-round program. For year-round students, summer programming is already included.

These rates are by program. If a child is in the infant/toddler program and turns 2 years old while in those classes the tuition rate does not change unless/until a child is moved into a 2-5-year-old program class.

If you have any questions, please contact elc@templeshalom.net

Program Options

Session 1: June 20-July 5

Session 2: July 8 - July 26

Session 3 July 29- August 16

Summer Deposit and Registration Fee

A non-refundable registration fee of $125 plus session's tuition is due at the time of acceptance.

* Date

* Are you a Temple Shalom Member? Check all that apply.

MemberNon-MemberInterested in Membership
Priority enrollment is offered to temple members and siblings of existing students.

* Child's First Name

* Chid's Last Name

* Chid's Birthdate

Child's Gender

* Which Sessions of Summer Camp is Your Child Attending?

Session 1Session 2Session 3Check all that apply.

Second Child's First Name

Second Child's Last Name

Second Chid's Birthdate

Second Child's Gender

Which Sessions of Summer Camp is Your Child Attending?

Session 1Session 2Session 3Check all that apply.

Third Child's First Name

Third Child's Last Name

Third Child's Birthdate

Third Child's Gender

Which Sessions of Summer Camp is Your Child Attending?

Session 1Session 2Session 3Check all that apply.

* Parent/Guardian First Name

* Parent/Guardian Last Name

* Parent/Guardian Pronouns

* Street Address

* City

* State

* Zip Code

* Parent/Guardian Email

Parent/Guardian Cell Phone

Parent/Guardian2 First Name

Parent/Guardian2 Last Name

Parent/Guardian 2 Pronouns

Address

City

State

Zip

Parent/Guardian 2 Email

Parent/Guardian 2 Cell Phone

* I acknowledge that registration fees are non-refundable.

I acknowledge that registration fees are non-refundable.

Tuition Refund Policy: More than 60 days notice will receive a 100% refund (excluding registration fees), 30-60 days notice will receive a 50% refund (excluding registration fees), less than 30 days notice will not receive a refund. By checking this box I acknowledge the refund policy.

* First and Last Name of Person Filling out the Registration

* Camp Registration Payment

Session 1: 12-mos-2-yr-old Temple Shalom Member ($1440)

Session 1: 3-5-yr-old Temple Shalom Member ($1320)

Session 1: 12-mos-2-yr-old Temple Shalom Non-Member ($1527)

Session 1: 3-5-yr-old Temple Shalom Non-Member ($1404)

Session 2: 12 mos-2-yr-old Temple Shalom Member ($1800)

Session 2: 3-5-yr-old Temple Shalom Member ($1650)

Session 2: 12-mos-2-yr-old Temple Shalom Non-Member ($1908)

Session 2: 3-5-yr-old Temple Shalom Non-Member ($1755)

Session 3: 12 mos-2-yr-old Temple Shalom Member ($1800)

Session 3: 3-5-yr-old Temple Shalom Member ($1650)

Session 3: 12-mos-2-yr-old Temple Shalom Non-Member ($1908)

Session 3: 3-5-yr-old Temple Shalom Non-Member ($1755)