CONTINUED INFO
Sending multiple children to camp?
Yes
No
**For members: All siblings receive a 5% discount at time of registration
Are you a deployed military family?
Yes
No
**Deployed military families receive a 5% discount at time of registration
PAYMENT INFO
Traditional Camp J Fees $________________
Specialty Camp Fees $________________
5th of July or Pre/Post Camp Fees $_________________ ECE Camp Fees $______________
Yes, I’d like to help send a kid to camp. My tax deductible donation is:
$36
$72
Other $______________
One time enrollment fee $35
Total fees less deposit $__________________ **All discounts will be applied at registration
CREDIT CARD
CHECK
ELECTRONIC FUNDS TRANSFER (void check attached)
Full Name (as appears on credit card) ___________________________________________________
Address _______________________________________________________________________
City/State/Zip ______________________________________________
Credit Card # ___________________________________________________________________
Please indicate last 4 digits _____________ Exp. Date ______________
PAYMENT POLICY
There is a one-time, non-refundable $35 enrollment fee for each child, plus a non-refundable $20 deposit for each child for each week of camp (will apply to camp fee). Payment
is required in full for each week of camp on the Friday prior to the start of the week. Cancellation policy: More than 2-weeks notice - refund all camp fees except the non-refundable
deposits and enrollment fees. Less than 2-weeks notice - refund 50% of balance after the non-refundable deposit and enrollment fee. Less than 24 hours notice, no refunds. Please
mail or bring registration form to the Tucson J, 3800 E. River Road, Tucson AZ 85718. Scholarship requests due March 31, 2019. Payment option must be submitted with registration.
Camp will send an email confirmation with the parent handbook and other required forms. All schedules and programs are subject to change. Your signature below acknowledges
that you understand the refund/cancellation policy. As a parent and/or guardian, I assume all risks (injury or illness) for my children and family members that may occur during
participation in any activities or use of facilities at The J or on supervised field trips. In case of sudden injury or illness, I hereby give authority to any hospital or doctor to render
immediate aid as may be required the time for my child’s health and safety. I hereby give permission for J personnel to use their judgment in arranging for my child’s emergency
medical treatment in addition to contacting me to the best of their ability. I certify that my child is fully covered by medical insurance and that I am fully responsible for all costs
incurred due to medical or dental treatment as deemed necessary by J personnel. I understand medical expenses are my responsibility. I authorize staff to apply sunscreen to
avoid sunburn. I give permission for my child to swim in The J pool, for my child to attend J supervised field trips, and for photographs to be taken and used privately and/or in J
publications and advertising. By signing this form, I acknowledge that I am aware of the potential risks of participating in activities and/or programs at The J, and agree to in no
way hold the management, agent or employees of the J liable for any injury that my children may sustain.
IMMUNIZATION POLICY
“For the health, safety, and welfare of both the staff and students, the Tucson Jewish Community Center follows all the Department of Health Services vaccination requirements
for students entering our program. Documentation of compliance, from an M.D. OR D.O., with these requirements shall be provided to the center for all students upon entry to our
programs. The center will monitor on-going vaccination compliance. This follows the standards and policies of the American Academy of Pediatrics, the Centers for Disease Control
and the American Council on Immunization and Prevention. There are no religious or personal exemptions to this policy. Medical exemptions will be reviewed by the Director with
medical consultation as necessary.”
__________________________________________________ Date __________________
Signature (parent or legal guardian)
__________________________________________________ Date __________________
Signature ( person responsible for payment if different)
16
CAMP J 2019