Club Sinai: Camp!

Monday, August 31

Tuesday, September 1

Wednesday, September 2

@ Temple Sinai

$75 per student/per day

1. Parent / Guardian Information:

Are you a member at Temple Sinai

YesNo

Parent/Guardian First name

Parent/Guardian Last name

Parent/Guardian Email address

Parent/Guardian Mobile phone number

Home Address

City:

Prov:

Postal Code

How many students are you registering?

1. Student Information:

Student First Name

Student Last Name

Date of Birth

Current Grade

School September 2026

Does your child have any allergies or dietary restrictions?

YesNo

Please specify below

Is there any other relevant information about your child that you would like to share with us?

Please select the days they will be participating:

Monday, August 31Tuesday, September 1Wednesday, September 2

2. Student Information:

Student First Name

Student Last Name

Date of Birth

Current Grade

School September 2026

Does your child have any allergies or dietary restrictions?

YesNo

Please specify below

Is there any other relevant information about your child that you would like to share with us?

Please select the days they will be participating:

Monday, August 31Tuesday, September 1Wednesday, September 2

3. Student Information:

Student First Name

Student Last Name

Date of Birth

Current Grade

School September 2026

Does your child have any allergies or dietary restrictions?

YesNo

Please specify below

Is there any other relevant information about your child that you would like to share with us?

Please select the days they will be participating:

Monday, August 31Tuesday, September 1Wednesday, September 2

Permissions

Emergency Contact

Please provide an additional emergency contact outside of the parent/guardian registering their child/ren

Full Name

Relationship to student/s

Phone number

Capturing the Memories

See the incredible moments, friendships, and learning experiences at Club Sinai's PD Day Camp! I understand that my child will be included in photos and videos that may be shared with Club Sinai families and may be used in Club Sinai promotional materials. To opt out, please contact Dana at clubsinai@templesinai.net.

Payment

Credit Card Payment Information

Total Family Fee

$

CDN

Credit Card Number:

Visa or MasterCard

Expiration Month:

Expiration Year:

CVV:

First Name on Card:

Last Name on Card:

Billing Address:

City:

Province:

Postal Code:

Authnet_Hidden_Fields

Hidden Fields - additional

Outreach ID

Designation ID - CS26

Invoice description

Invoice Name

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