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Winter Camp Registration 2017

Winter Camp Registration 2017

  • In order to reserve a spot in camp, a $25 non-refundable deposit is due per child.  This amount is applied towards your full tuition cost.  Your application cannot  be accepted without this deposit. 

  • Emergency/Health Information
    In case of emergency and we are unable to contact a parent, please write two individuals that can be contacted.

  • A $25 non-refundable deposit per child, is due at the time of registration.  This amount is applied towards your final tuition cost.  Balance must be paid in full by December 12th.

    To pay your balance, mail a check to
    the Ballantyne Jewish Center
    8632 Bryant Farms Rd. 
    Charlotte, NC 28277

    Or pay online www.JewishBallantyne.com/donate after submitting this form.  

  • As the parent(s) or legal guardian(s) of child noted above, I/we authorize any adult acting on behalf of the Ballantyne Jewish Center/Camp Gan Israel Ballantyne, to hospitalize or secure treatment for my child. I further agree to pay for all charges for that care and/or treatment. It is understood that, if time and circumstances reasonably permit, the camp will try to communicate with me prior to such treatment.

    I/we hereby give permission for my child/ren to attend all field trips and outings sponsored by the Ballantyne Jewish Center/Camp Gan Israel Ballantyne and be transported to and from the field trips and outings. I also allow my child to photographed while participating in camp activities. I/we understand that these photographs may be used for publicity purposes.

  • Please fill out the total amount you would like to pay right now. 
    Minimum payment due at this time is $25 deposit per child. 

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