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Providing a superb day camp experience- a project of WCRJ 

Denver Jewish day Camp WCRJ will offer a full array of camp activities, keeping the campers smiling from drop off to pickup. Activities will include: Sports, Art, Dance, Karate, Kosher Cooking, Scavenger Hunts, Swimming, Shabbat parties,Team Building, Nature, Field Trips and much more!  

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SAMPLE SCHEDULE FROM SUMMER 2018 

 Medical Consent Form   

 

INFO, DATES AND RATES ( Includes 1 Camp T-Shirt)

 1st Session: June 11-14, 2019  ($220)

2nd Session: June 17- 21, 2019  ($250) 

 Additional camp T-Shirt ($10) 

Please check this box if you would be interested in a 3rd session 

 3rd Session:  June 24 - 28, 2019 ($250)

These prices are if paid in full by March 21, 2019. 

Online Registration Form 2019

Camper Information
Name
Last
Hebrew Name Male Female
Date of Birth
School
Grade Entering
Previous Jewish Camp Yes 
Where?

  Second Child

Name
Last
Hebrew Name Male Female
Date of Birth
School attending
Current Grade in school
Previous Jewish Camp Yes 
Where?

CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.

Parent Information
Father's Name  Phone  Email 
Mother's Name  Phone  Email 
Address  City   
State  Zip   
Is child(ren)'s father Jewish by birth or by choice*? Birth  Choice   
Is child(ren)'s mother Jewish by birth or by choice*? Birth Choice  

Have there been any conversions or adoptions in the family? If Yes, please explain. 

Synagogue Affiliation, if applicable 

General:

PICK UP INFORMATION*: The following people are authorized to take my child to and from camp:

Name
Relationship to child
Phone
Payment Information
Enter the total amount to be billed today*, $250 per session
Payment will be made on PayPal on next page  
   

• Make checks payable to “WCRJ ” and mail to “295 S. Locust St. Denver, CO 80224 ”

I Accept that all information provided is true and accurate. 

Name  Initials 

*Denotes required field  

Questions? Please call Rabbi Mendy Sirota 720-940-3716