2014 Camp Bereisheet Registration Form

Note: This application is for Camp Bereisheet only. 92Y Camp Bereisheet brings you all the quality of 92nd Street Y’s Camps and Kids & Family programming—completely in Hebrew. Call 212.415.5573 if you have questions. If you prefer to print out and send in your registration, download the PDF version.

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Gender:*

 

 
 

 

 

Parent

   
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Parent 2

   

 
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Camp Information

   

  Camp Bereisheet
Full Summer Mon, Jun 30-Tue, Aug 19 $4200
6 weeks Mon, Jun 30-Fri, Aug 8 $3900
5 weeks Mon, Jun 30-Fri, Aug 1 $3600
Session A Mon, Jun 30-Fri, Jul 25 $3400
Session B Mon, Jul 28-Tue, Aug 19 $3300

Please use the information above to choose one of the camp options.


Please choose a plan

 


 


Transportation Information


Alternate Pick-Up/Drop-off Locations


Pick-up/drop-off locations cannot be guaranteed and are subject to change.

 
Camp Bereisheet

   
 

   

 


PAYMENT INFORMATION


A minimum deposit must be paid with the submission of this form in order to guarantee enrollment. Various payment options will be available, but camp must be paid in full before camp starts. Failure to make timely payments in accordance with your selected payment plan may jeopardize your enrollment. 92nd Street Y does not allow refunds or make-ups for missed camp days.


 
   



 
 
 

 
 
 
 
   
 


Credit Card Information