Sample Schedule:Text Box: Pricing and Dates: Camp Sebabah- Session 1: July 14– July 18 Session 2: July 21-25 Session 3: July 28– August 1 $550 for all 3 sessions (yay!!!) $200 per week (booo! sign up for the whole thing!) Transportation can be provided from Seward Park Directors: Jacob “Jakey” Rosen and Zorba “Zach” Grashin Phone: 206-380-6223 Fax: 206-762-6329 E-mail: campsebabah@gmail.com Text Box: Camp Sebabah - At Stroum Jewish Community Center Registration Form Please print and complete this form, and give to either Zach or Jakey.     Full Name (Last, First): ________________________________________________ Preferred Name:           ________________________ Grade Entering: _____ (First name only) Parent(s)/Guardian(s) Name(s): ____________________________ _______________________________ Mother’s Hebrew Name: ___________________________ Contact Info: (___)____ ________ Cell: _________________ Work: _____________________ ext. ___ Work 2: ___________________________ Please circle which number is best during the day. Emergency Contact: __________________________ Email:_____________________________ Phone:_____________________________ Cell: ____________________________     Date of Birth:    ________________________________________________ (MM/DD/YYYY) Gender: ___ T Shirt Size:  ___ Session(s) Attending: ___________ Full 3-week session: $550 July 14- August 1 (1 week/$210) Address: Street_______________________________________ City/Zip Code _____________/______ For applicant: List your favorite 5 sports: Name 5 non-sporting activities you want to see in camp: 1. 1. 2. 2. 3. 3. 4. 4. 5. 5. For Parents: Please put any comments regarding health/behavior/any significant issues the SJCC/ Jake or Zach should know: __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Permissions, Waivers, and Conditions: (must be signed to attend, and if you are emailing in your application, you will not be allowed on the program without this fully signed waiver) I hereby grant my child permission to attend the above NCSY sponsored event. I am familiar with the NCSY code of conduct to which my child must adhere through out the program. In the event that my child violates the rules or does not exercise good sense in his/her behavior, It may be determined that my child should be dismissed from the program. If my child is dismissed from the program, I understand that he/she will not be provided transportation home and it will be my responsibility and expense. Additionally, I understand that the NCSY administration may discuss any disciplinary problems with the administration of the school my child attends. NCSY may provide over the counter medication (Tylenol, Advil, etc.) As deemed necessary. I understand that incase of emergency, every effort will be made to contact me or the person that I have named. If I cannot be reached, I hereby give permission to the physician selected by NCSY to hospitalize, anesthetize, and secure proper treatment for my child as named above. NCSY will not be responsible for “lost and found” items that remained unclaimed for 30 days. Parent or Guardian signature:_______________________________ In registering for the NCSY event, I hereby agree to adhere to the program, observe the religious code set for the event, and conduct myself in a manner reflecting credit upon my congregation and community. NCSYer’s Signature:_________________________________________

Monday:

 

Warm Up

 

Green Lake!

 

Tournament & Skills Challenge

 

Swimming

 

Improv & Drama

Workshop

 

Snack & Cool Down

 

Tuesday:

 

Warm Up

 

Israel Day

 

Skate King!

 

 

Trivia Challenge!

 

Lifeguard Training

 

Snack and Cool Down

 

Wednesday:

 

Warm Up

 

Tye Dye

 

Denny Creek- hike!

 

Kickball in the Park

 

Special Snack

 

 

Thursday:

 

Warm Up

 

Bowling Bonanza!

 

Ultimate Frisbee Spectacular!

 

Swimming

 

Snack & Cool Down

Friday:

 

Warm Up/Parsha

 

Surprise trip!

 

Challah Baking

 

Apache Race Tournament

 

Week Wrap-Up