PBJC Day Camp Summer 2025 Enrollment Application

* Child's First Name:

* Child's Last Name:

* Date of Birth:

* Parent/Guardian 1 First Name:

* Parent/Guardian 1 Last Name:

Parent/Guardian 1 Home Phone Number:

* Parent/Guardian 1 Mobile Phone Number:

* Parent/Guardian 1 Email Address:

Parent/Guardian 2 First Name:

Parent/Guardian 2 Last Name:

Parent/Guardian 2 Home Phone Number:

Parent/Guardian 2 Mobile Phone Number:

Parent/Guardian 2 Email Address:

* Home Address:

* City:

* Zip:

2025 PBJC Day Camp Terms of Enrollment

*Camp expenses are incurred whether or not a camper attends; therefore, refunds will not be made for absences, dismissals or withdrawls from the camp program.
*No refunds will be given if the camp is closed due to emergencies or holidays.
*Campers not paid in full by July 1, 2025 will incur a $50 per month late fee.
*Camp is not responsible for loss or damage to belongings brought to camp. Please label everything.
*Camp may photograph campers and has the right to use these photographs in camp brochures and media material.
*Permission is granted for child to participate in all camp activities.
*Medical forms MUST be submitted prior to June 1, 2025 with all necessary information and signatures.
*A copy of an original birth certificate MUST accompany registration for any NEW CHILD registering for camp.

* Virtual Signature. By writing my name below, I acknowledge that I have read all of the information on this registration form and agree to the terms and conditions herein.

* Please select which weeks your child will be attending camp. Please select all that apply.

Week 1 - June 23 through June 27Week 2 - June 30 through July 4 (Camp is closed on Friday, July 4)Week 3 - July 7 through July 11Week 4 - July 14 through July 18Week 5 - July 21 through July 25Week 6 - July 28 through August 1Week 7 - August 4 through August 8Week 8 - August 11 through August 15

* Please enroll my child for the 2025 summer. I agree to pay a $300 deposit at the time of registration, which will be applied towards camp tuition. I understand that the balance is due in full prior to July 1, 2025.

Please enroll my child for the 2025 summer. I agree to pay a $300 deposit at the time of registration, which will be applied towards camp tuition. I understand that the balance is due in full prior to July 1, 2025.2025 PBJC Day Camp Registration

Today's Calendar

Upcoming Programs & Events

This week's Torah portion is Parshat Mishpatim

Candle Lighting

Shabbat Mevarchim & Parshat Shekalim

Join Our Mailing List