Application for enrollment

The Camp Fee Includes:

• Six-week session
• Laundry
• Round trip transportation & baggage (Toronto/Camp return)
• One year Canadian Young Judaea membership fee
• Camp t-shirt

   
NOTE : CAMP FEE IS SUBJECT TO FEDERAL AND PROVINCIAL SALES TAXES

CAMP DEPOSIT of $600.00 must accompany completed application 

Conditions of Registration

• Second payment of $1,000.00 is payable on or before January 1st.
• Balance of camp fee is payable in full on or before April 1.
  
• If, for any reason, camper does not complete camp term, Camp Solelim is not obligated to refund camp fee. Reasons include, but are not limited to, reasons relating to illness, injury, discipline, homesickness, or family matters.
• CANCELLATION POLICY ENCLOSED.
• Medical & Waiver Forms must be RECEIVED by April 1.
• As Camp Solelim can only accomodate a limited number of campers, submissions of an application does not guarantee acceptance.

This form must be completed by new applicants. Please fill out, print, sign and mail this form to our office.

Canadian Young Judaea
788 Marlee Avenue,
Toronto ON, M6B 3K1

1. Camper's Information
2. Camper's Surame: *
3. Camper's Given Name: *
4. Gender: Male Female
5. Date of Birth: *
6. Camper's Email Address: *
7. Address: *
8. City: *
9. Postal Code: *
10. Home Phone: *
11. Summer Phone:
12. Parent's Information
13. Father's Name: *
14. Father's Occupation:
15. Father's Business Phone: *
16. Father's Cell Number: *
17. Father's Email Address: *
18. Mother's Name: *
19. Mother's Occupation:
20. Mother's Business Phone: *
21. Mother's Cell Number: *
22. Mother's Email Address: *
23. Other Information
24. Education
25. School:
26. Grade Completed by Camp Time:
27. Jewish Education
28. School:
29. How many years:
30. How did you hear about Solelim:
31. In what other group(s) is the camper active?
32. Did child attend camp this past summer? Yes No
33. If so, which camp?
34. Other Camp Experience
35. Names of camp(s) attended:
36. Years attended:
37. In Case Of Emergency / Absence Notify
38. Name: *
39. Telephone Number: *
40. Address: *
41. Relationship: *
42. Summer Phone Number: *
43. Cell Number: *
44. Health Card Number: *

1. Personal And Confidential Information

2. (To be completed by Parent or Guardian)

   To provide your camper with the most beneficial summer possible, this section must be completed in full.

3. Camper's Name:
4. Age (At Camp):
5. Birthday:
6. Are both parents living? Yes No
7. If not, is there a step-parent? Yes No
8. Specify:
9. Is camper adopted? Yes No
10. If yes, is camper aware of it?
11. Are the camper's parents: Divorced Seperated N/A
12. Camper resides with: Mother Father N/A
13. Who has legal custody? Mother Father N/A
14. Does camper have any: Brothers Yes No
15.   Ages
16.   Sisters Yes No
17.   Ages
18. Has camper ever had psychiatric guidance or have you ever consulted a psychologist, or other professional in this field about camper? Yes No
19. Please provide Director with a detailed letter (confidential)
20. Name of doctor:
21. Phone Number:
22. Is camper a vegetarian? Yes No
23. Does camper require special food? Yes No
24. Comments:
    (Please provide information of which Director should aware - food, medication etc.)
25. Date:
26. Signature of parent: