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Machane Sholom

Click Here to download the health form and please fill one out for each camper email to Shira Twersky at sntwersky@gmail.com or mail to the Beth Sholom Office at 1161 Monroe Ave, Rochester, NY 14260 with attention to Shira Twersky

Interested in becoming a Head or Junior Counselor? Click Here to Apply Now!

 
Nonrefundable registration fee is $25 per child.

Child 1 Information

Child 2 Information

Child 3 Information

Child 4 Information

Parent Information
Father
First Name
Last Name
Mother
First Name
Last Name
Home Address
Address Line 1
Address Line 2
City
State
ZIP Code

Emergency Information
Emergency Contact
First Name
Last Name
Pediatrician
First Name
Last Name

I am signing up my child for Camp Machane Sholom. I give my child permission to attend all trips including swimming and receive medical care in the case of emergency, G-d forbid.

I give Machane Sholom permission to photograph and video my children and use the photos and videos (without their names).

Special payment arrangements must be made before camp starts. If no special arrangement is made, I agree to pay the posted tuition, in full.

Payment

 

Wed, April 24 2024 16 Nisan 5784