2024 School Days Out

Calling all K-5 graders! Join us for full day camp-style fun at Club Kesher!

4 additional Club Kesher Full Day sessions 8:30am – 4:30pm now available on-site at Temple Sinai!

Pricing:
Enrolled Club Kesher Participant Fee: $75/session
Temple Sinai Member Fee: $100/session
Temple Sinai Non-Member Fee: $120/session

Session Dates:
Session 1: Monday, October 14, 2024 (Indigenous People's Day)
Session 2: Monday, November 11, 2024 (Veteran's Day)
Session 3: Monday, November 25, 2024 (Thanksgiving Break Day 1)
Session 4: Tuesday, November 26, 2024 (Thanksgiving Break Day 2)

Are you a current Temple Sinai member?

Parent's First Name

Parent's Last Name

Address

City

State

ZIP Code

Phone Number

ATTENDANCE: Please fill out one form per child

Quantity 1

Total Guests

Please enter your child's Full name (first and last) and desired sessions, then go to the correct payment sections below.

Session Dates:

Session 1: Monday, October 14, 2024 (Indigenous People's Day)

Session 2: Monday, November 11, 2024 (Veteran's Day)

Session 3: Monday, November 25, 2024 (Thanksgiving Break Day 1)

Session 4: Tuesday, November 26, 2024 (Thanksgiving Break Day 2)

Please answer the following question for your child in the "Question" field below.

	Child's First Name	Child's Last Name	Email	Question
Participant 1
Participant 2
Participant 3
Participant 4
Participant 5
Participant 6
Participant 7
Participant 8
Participant 9
Participant 10

Custom Pricing

Item 1 Subtotal

Item 1 Fee

Fee

Item 1 Subtotal + Fee

Subtotal + Fee

PAYMENT SECTION 1: Enrolled Club Kesher Participant

Description
Current Club Kesher Participant Fee: $75/session

Quantity

Custom Pricing

Subtotal

Item 2 Fee

Fee

Item 2 Subtotal + Fee

Subtotal + Fee

PAYMENT SECTION 2: Temple Sinai Member

Description
Temple Sinai Member Fee: $100/session

Quantity

Custom Pricing

Subtotal

Item 3 Fee

Fee

Item 3 Subtotal + Fee

Subtotal + Fee

PAYMENT SECTION 3: Temple Sinai Non-Member

Description
Temple Sinai Non-Member Fee: $120/session

Quantity

Custom Pricing

Subtotal

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Fee

Item 4 Subtotal + Fee

Subtotal + Fee

Item 5

Fee 5 Label

Item 5 Description
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Item 6 Description
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Item 7

Fee 7 Label

Item 7 Description
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Item 10 Description
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Additional Contribution

Do you want to make a contribution to the Where the Need is Greatest Fund at Temple Sinai?

Yes, pleaseNo, thank you

Your contribution to Temple Sinai

Additional Contribution Fee

Additional Contribution Subtotal + Fee

Payment Section Control Elements & Options

AccountId

Submitting Contact First Name

Submitting Contact Last Name

Submitting Contact Email

Submitting Contact Mobile

Submitting Contact Street

Submitting Contact City

Submitting Contact State

Submitting Contact Zip

Submitting Contact Id

Submitting Campaign Id

Enable Payment Plans

YesNo

Payment Information

Payment Method

I will pay by credit cardI will pay by eCheck (ACH)

Subtotal

Credit Card Fees

Please consider a courtesy tax-deductible contribution of 3% to offset credit card processing fees.

Yes, I am covering the fees.No, I am not covering the fees.

3% Contribution

Total plus 3% contribution

Total Amount

Payment Schedule

Frequency (Credit or Debit Card)

Frequency (Check)

Number of Installments

Amount to be paid now / 1st Installment:

Amount paid per future installment:

Credit Card Information

First Name on Card

Last Name on Card

Credit Card Number

Exp. Month

Exp. Year

YYYY

Security Code

eCheck/ACH Information

Bank Routing Number

Bank Account Number

Bank Account Type

Bank Name

Account Holder Name

Use a different billing address than your membership address above?

NoYes

Billing Address

Billing Street

Billing City

Billing State

Billing Zip Code

Office Use - HIDDEN

Gateway Address

Gateway City

Gateway State

Gateway Zip

Gateway Quantity

Gateway Amount

Gateway Installment Amount

Gateway Number of Installments

Gateway Number of Months Between of Installments

Auth.net Response Fees

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