Girl`s Application - CAMP AGUDAH TORONTO

INCREDIBLE
CRAFTS
SPORTS
CAMP FEES - 2016
ALL CAMPERS & AJC WAITRESSES
Completing Grades 4 to 10 inclusive
Canadian Funds
Camp Fee $1920.
+ $249.60 HST
= $2169.60
ROPES
U.S. Funds
Camp Fee $1440.00
+ $187.20 HST
= $1627.20
BUNK TRIPS
femz e’j - peiq h”j
DEPARTURE TIMES
Tuesday, July 5th
Buses commence boarding at 7:45 a.m.
Last bus departs promptly at 8:30 a.m.
from Carnegie
580 Finch Avenue West (north parking lot)
behind the building
10:00 a.m. from Toronto International Airport
Fees include registration, transportation (scheduled
departures from Toronto to camp and scheduled returns),
laundry, trips and excursions. Fees do not include staff tips.
RETURN TIMES
FROM CAMP
Minimum Tipping Schedule:
Co-Counsellors
Waitress
TOTAL
$45.00 each
$35.00
$125.00
APPLICATION GIRL’S SEASON
Commencing Tuesday, July 5th
Ending Monday, August 1st
A deposit of $500. per camper must accompany each
application. Postdated cheques for 50% of the fee are
due March 15, 2016. Balance is due May 4, 2016. If
payment is not made as per the schedule, Camp
Agudah may cancel the enrolment.
Pre-tipping is required. If tipping by credit card mark the
box on reverse side.
FESTIVAL
GIRL’S SEASON
Offering the finest
learning and recreational
facilities in the Ruach Hatorah
Magnificent 400 acre site with 700 feet of beachfront
on Lake Henshaw in magnificent Muskoka.
Bussing from the
Tri-State area available.*
Monday, August 1st
Between 2:00 and 3:00 p.m. Carnegie
580 Finch Avenue West (north parking lot)
behind the building
by 3:00 p.m. Toronto International Airport
Out-of-Towners who require pickup and/or drop-off at the
Airport, Train Station or Downtown Bus Station, will be charged
$50.00 plus tax on your credit card, even if only one way.
FRIENDSHIPS
ADVENTUROUS
TRIPS
IF PAYING BY VISA or MASTERCARD
CREATIVE &
DELECTABLE
BAKING
Camp Agudah will accept payment by Visa or Mastercard until
February 25th, 2016 and only if paying the full fee. Balance of
fees will be charged automatically to your credit card on or
about February 25th, 2016. Credit card payments made after
February 25th, 2016 will be subject to a charge to cover credit
card costs.
Reminder
Did you:
INSPIRING
SHIURIM
1
Send the deposit?
1
Fill out the credit card information?
1
Sign the application?
AMAZING
AQUATICS
* Dependent on number of campers.
Transportation fee not included in camp price.
CAMPFIRES
CAMP AGUDAH
OFFICE: 129 McGillivray Avenue
Toronto, Ontario M5M 2Y7
Tel. (416) 781-7101 Fax (416) 781-4544
Email: campagudah@rogers.com
CAMPER'S
APPLICATION
CAMP ADDRESS
3793 Highway 118 West
Port Carling, Ontario P0B 1J0
Tel. (705) 765-6816
Fax (705) 765-7205
Surname
GIRL’S SEASON
First Name
Date of Birth
M
D
School
Present Age
Y
English
Grade COMPLETED as of June 2016 - Hebrew
PREVIOUS CAMP EXPERIENCE:
Camp(s)
No. of Seasons
Where did you hear about Camp Agudah?
1
Advertisement Name of Publication
1
Friend/Staff Member: Name
1
CD: The Lost Treasure 1
Other
1.
2.
IS THERE ANY INFORMATION (i.e. medical, social, etc.) ABOUT APPLICANT WHICH IS IMPORTANT TO KNOW?
REFERENCES (Principal, Teacher)
Tel.
School
Home
School
Home
Tel.
FAMILY INFORMATION (If single parent, please include applicable information and addresses)
Father (Rabbi / Mr. / Dr.)
LAST NAME
Mother (Rebbetzin/Mrs./Dr.)
FIRST NAME
Marital Status
Marital Status
Occupation
Occupation
B. Tel.
Cell
H. Tel.
B. Tel.
Email
H. Fax
LAST NAME
B. Fax
FIRST NAME
Cell
H. Tel .
Email
H. Fax
B. Fax
FAMILY ADDRESS
Apt.
Street
No.
Emergency Contact: Name:
City
Prov. (State)
Relation to Child
Postal/Zip
Tel.
GENERAL AGREEMENT, CANCELLATION AND REFUND POLICY “Camp” means Camp Agudah of Toronto
A deposit of $500 per camper must accompany each application. Balance of payment as per schedule on reverse side. A full refund will be issued if application is
not accepted.
Cancellations until February 25th are subject to a $100 forfeiture. After February 25th refunds will be issued at the camp’s discretion.
CANCELLATION MUST BE MADE IN WRITING.
Camp Agudah will accept payment using Visa or Mastercard until February 25th, 2016 and only if paying the full fee. Credit card payments made after February
25th will be subject to a charge to cover credit card costs. NSF cheques and declined Visa/Mastercard will incur a $45 fee.
Pre-tipping is required. (Totalling $125 as per schedule on other side of form). If tipping by credit card, mark the box below .
All out of province campers and staff members must provide effective health coverage prior to being admitted into camp. No one will be permitted onto camp
grounds without proof of coverage. Upon acceptance, campers will receive a medical form which must be completed and returned immediately as part of your
acceptance to camp.
Even if paying by cheque Camp requires a credit card information, which must be filled out below, to cover unforeseen charges such as prescription and/or
medical costs, unexpected travel expenses and negligent purposeful damage to camp property caused by your child and NSF cheques. You will be notified of any
charges levied against the card.
WAIVER & DECLARATION - “Camp” means Camp Agudah of Toronto
Camp reserves the right, at its sole discretion, to withdraw any camper's enrolment at any time before or during the camp season. Going to the waterfront or
utilizing camp vehicles or assets without supervision or authorization or damaging camp property are examples of causes for dismissal. All travel and other
expenses incurred will be the parents responsibility. Camper lateness, absence, early departure or dismissal from camp is not a cause for a refund.
By completing this application, I hereby authorize Camp to take my child(ren) off camp grounds to go on trips organized as part of the camping program. This may
include swimming and/or boating activities. In addition my child(ren) may participate in any on or off ground activity organized by camp, including but not limited
to land sports, aquatic activities, ropes course, indoor activities, bicycling, hiking, cookouts etc. I understand the inherent risk of such activities and camp programs.
Camp will not be liable in the event of injury or property damage or loss as a result of such activities. I also agree to abide by all the rules and regulations set forth in
the application, parents guide and by the administration. Camp has the right to use photos of my child(ren).
I understand that Camp is not responsible for any damage, theft or loss of personal property for any reason. I agree to the conditions of enrolment,
payments, and refund policy stated on this application. Enclosed please find my deposit (application NOT VALID unless accompanied by full
deposit). I have read and accepted the enrolment, cancellation and refund policies .
I have read and accepted the Waiver/Declaration and general agreement and agree to all terms and conditions: By applying through email and printing my
name, I understand that this is a legally-binding contract.
Parent's Signature:
Date:
Even if paying by cheque Camp requires a credit card number to cover unforeseen charges such as prescription and/or medical costs, unexpected travel expenses,
negligent purposeful damage to camp property caused by your child. You will be notified of any charges levied against the card. IN ADDITION, ANY CAMP FEES NOT
PAID BY THE DUE DATE OR NSF CHEQUES WILL BE AUTOMATICALLY CHARGED TO THE CREDIT CARD ON FILE. VISA OR MASTERCARD
MUST BE SUBMITTED TO GUARANTEE YOUR ENROLMENT. If information is incorrect or if the card is declined a $45 fee will be assessed.
VISA/MASTERCARD NUMBER
EXPIRY DATE
FOR
NAME ON CARD
M
M
Y
Y
3 DIGIT SECURITY CODE
SIGNATURE
Name of Camper
Date applied
FOR OFFICE USE ONLY
Decision
Reference
Deposit
1
ADMINISTRATION
1
DEPOSIT 1
TIPS
1
FULL PAYMENT
1
CHEQUE ENCLOSED
Paid
Date