2008 Camper Application
Camp Lakeland

Conditions of Enrollment (Please Read Carefully)

  • Applications cannot be considered unless accompanied by a $600 Deposit.
  • The Camp Director reserves the right to dismiss a camper when it is deemed to be in the best interests of  both child and camp.  In the event that a camper is dismissed from camp, there will  be no refund of camp fees.
  • There are no deductions for campers arriving late or leaving early.
  • In the event that the registration is cancelled after March 1, 2008, 80% of total fees will be refunded. No refund will be made for cancellations after May 1.
  • I understand that Camp Lakeland and the Jewish Community Center (JCC) will provide necessary and appropriate supervision of my child(ren) and that Camp  Lakeland and the JCC, their officers, agents or employees, will not be responsible for any accident or injury unless arising out of negligence or willful misconduct of Camp Lakeland or JCC personnel.  I authorize the JCC to use my child’s photograph in publicity and news releases at its discretion.
  • Every precaution is taken for the safety and good health of our campers but, in the event of accident or illness, the Camp does not assume responsibility for any accidents.
  • The Camp retains full-time medical staff on site throughout the summer season with a fully equipped Infirmary.  In the event that a camper requires special medication, X-ray or treatment beyond that which is possible at the camp, we will make every effort possible to notify the parent/guardian.
  • The balance of the camp fee is due on May 1, 2008.
  • The Camp CX is where campers can purchse items needed for the summer, i.e. flashlights, batteries, stamps, etc. This CX fee will include a candy bar (or a healthy alternative) each day for your camper(excluding Shabbat), a 2008 summer slideshow CD rom and a popular Camp Lakeland T-shirt. The CX fee is $15.00 per week with a maximum amount of $45.00. Parents may contribute more to this fee as needed. This fee will be due along with the $600 deposit for camp.

  • All applications will include a registration fee. For all new campers, this fee is $200 for a 3 1/2 week session (or longer) and a $100 for a mini camp session. For all returning campers, this fee is $175 for a 3 1/2 week session (or longer) and $75 for a mini camp session. This registration fee is waived for all JCC members.

 


Camper Info



First Name

Middle Name 

Last Name

 

 

Street Address
City



State

Zip Code



Home Phone

Parent Cell #

E-mail Address

Gender



Date of Birth
 
Grade in Sept. 2008




Have you attended camp before?

yes

no

If so, which one? (Name of camp and location, eg. Lakeland, Centerland)
When?

Family Info

Father's Name



Occupation

Business Phone

ext.

Mother's Name



Occupation

Business Phone

ext.



Parent's Relationship


Emergency Contact Phone ext.
How did you hear about us ?  
Are You a Member of a JCC (Yes or NO)  
Would You Like to Receive All Our Forms By Email Email Address
Email a photo of your child to LindaHanes@jccbuffalo.org  

 

 

 

2008 Camp Sessions

A $600 deposit is required for all sessions
Please choose one: Please choose one:
7 Week Session Minicamp Grades 3 + 4
1st Session Chalutzim Grades 5 + 6
2nd Session Chaverim Grades 7 + 8 
MiniCamp A (1 week) Bogrim Grades 9 + 10
MiniCamp B (2 week)     
MiniCamp C (1 week)  
MiniCamp D (2 week)   

 

 


1st SESSION - June 29 -July 22

MiniCamp A -  June 29 -July 6

MiniCamp B -  June 29 -July 13

Full Summer  June 29 -August 17

$2,899.00

$979.00

$1,799.00

$4,969.00

2nd SESSION -  July 24 - Aug 17

MiniCamp C -   July 24 - Aug 1

MiniCamp D - July  24 - Aug 8

$2,899.00

$979.00

$1,799.00


 


Payment
ALL ONLINE FORMS REQUIRE CREDIT CARD PAYMENT. IF YOU DO NOT WISH TO PAY USING OUR SECURED SERVER,  You can download a hard copy or
PLEASE CALL 716-886-3145 FOR A PAPER APPLICATION. 

Registration will be finalized when you are contacted by the camp office


This is a secure document. Deposits for each session is $600 in addition to the CX fee.
Balance must be paid in full by May 1, 2008.



Type of card

Name as it appears on credit card

Credit card number

Expiration date

Amount to be billed to credit card
US Dollars
 


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