Camp ECC Summer 2018 Extended

Our Extended Day program offers full time care, 7:00 am – 6:00 pm, year round. The summer session of Extended Day is available to children who are part of the program year round. If you are interested in being part of the Extended Day program this summer, please contact Lori Weinberg at lweinberg@agudath.org for details about the schedule and pricing.

* Child's Last Name

* Child's First Name

* Date of Birth

* Gender

* Home Phone Number

* Family's Email Address

* Address

* City

* State

* Zip Code

* Mother's First Name

* Mother's Last Name

* Mother's Cell Phone

Mother's E-mail Address

Please fill out, if you would like e-mail communication to this address.

Mother's Occupation

Mother's Employer

Mother's Work Phone

Mother's Business Address

Father's First Name

Father's Last Name

Father's Cell Phone

Father's E-mail Address

Father's Occupation

Father's Employer

Father's Work Phone

Father's Work Address

Nanny's Name

Nanny's Cell Phone

* Are you a congregant of Congregation Agudath Israel?

Please Select OneYesNo

Would you like information regarding membership?

YesNo

Are you members of any other congregation?

YesNo

If so, which one?

How did you hear about us?

Comments

Please choose program:

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* By checking this box you have read and agree to the terms and conditions of CAI ECC Tuition and Registration Agreement

By checking this box you have read and agree to the terms and conditions of CAI ECC Tuition and Registration Agreement

*This is required to complete your school registration.

Please click here to view our CAI ECC Extended Day Tuition and Registration Agreement.

Once you submit this form please select "BILL MY ACCOUNT" so we can confirm your selection. Thank you!

April 16,2024 /
8 Nisan 5784

April 16,2024 / 8 Nisan 5784