Kibbutz Kef Camp 2018!

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Remember to click the dark blue "Register" button
when you've completed all sections!)

Family Information

Parent 1

* Name

Work Phone Number

* Cell Phone Number

Email Address

Home Info

* Family Street Address

* City/State/Zip

Home Phone Number

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Parent 2

Name

Work Phone Number

Cell Phone Number

Email Address

Camper Information

Camper #1

* Camper's Full Name

Hebrew Name

Please Transliterate!

* Birth Date and Age

* Secular School Attending

* Secular School Grade

As of September 2018 - i.e. for the 2018-2019 school year.

* Camp Tuition

Tuition $250.00

Tuition covers costs of all materials, staff, transportation to afternoon events, admission to afternoon events and snacks. Campers are asked to bring their own lunches each day.

Camper #2

Camper's Full Name

Hebrew Name

Please transliterate!

Birth Date and Age

Secular School Attending

Secular School Grade

As of September 2018 - i.e. for the 2018-2019 school year.

Camp Tuition

Tuition $250.00

Tuition covers costs of all materials, staff, transportation to afternoon events, admission to afternoon events and snacks. Campers are asked to bring their own lunches each day.

Camper #3

Camper's Full Name

Hebrew Name

Please transliterate!

Birth Date and Age

Secular School Attending

Secular School Grade

As of September 2018 - i.e. for the 2018-2019 school year.

Camp Tuition

Tuition $250.00

Tuition covers costs of all materials, staff, transportation to afternoon events, admission to afternoon events and snacks. Campers are asked to bring their own lunches each day.

Camper #4

Camper's Full Name

Hebrew Name

Please transliterate!

Birth Date and Age

Secular School Attending

Secular School Grade

As of September 2018 - i.e. for the 2018-2019 school year.

Camp Tuition

Tuition $250.00

Tuition covers costs of all materials, staff, transportation to afternoon events, admission to afternoon events and snacks. Campers are asked to bring their own lunches each day.

Medical & Special Needs Info

Medical and Special Needs Information

Medical Contacts

* Physician Name

* Physician Phone Number

* Dentist Name

* Dentist Phone Number

Other Specialist Name

For other medical specialists we may need to contact on your child's behalf, such as allergists.

Other Specialist Phone Number

Emergency Contact

* Name

If you are unavailable in the event of an emergency, we will contact this person.

* Relation to Children

* Phone Number

Special Needs and Challenges Info

Special Needs And Challenges Information

Please use separate paragraphs for each child in the fields below.

* Regular Medications

Does your child(ren) take medication on a regular basis that we should know about? Does your child(ren) take medication during the secular school day that is not taken on the weekends?

* Allergy Information

If your child(ren) has/have a life threatening food allergy, please be clear about treatment for exposure! If your child(ren) has/have any allergy it is your responsibility to provide proper medical support in the TBS office. We will label and keep epi-pens, antihistamines or any other needed supplies in the office for your child(ren).

Any Other Information We Should Know?

Please also feel free to call us at the TBS office to further discuss any needs your child(ren) may have.