Online Application

    Camper 1

    Camper 2

    Camper 3

    Camper 4

    *Camp fee schedule includes busing for campers in the Queens area only. There is a minimum registration of 2 weeks per camper at a rate of $775 for younger child or $875 for older child per 2 weeks.

    Please read carefully, sign and date below:

    • Complete this application form in full and return with a non refundable and non transferable Registration Fee of $500 per camper! Deposit is not refundable for any reason including but not limited to: Cancellation by either the Applicant or the Camp, closure due to COVID-19 or any other natural or un-natural causes.
    • The $500 deposit/registration fee is non refundable and non transferable for any reason
    • Applications will not be processed without the Registration Fee and a signed application. Post-dated checks WILL NOT be accepted. We are not responsible for any checks in our possession that was deposited earlier than the date on the check. All associated fees will be applied to the customer.
    • Remaining balance is due in full and must be paid by May 1st; after May 1st all new applications must include full payment. Any payment made within 10 business days before the start of camp must be made in cash as there is no longer time for checks to clear.
    • There is a $40 fee for any bounced check.
    • There is no reduction or refund due to absence, illness or withdrawals.
    • Any additional children or any extensions will be charged based on the payment scale at the time of addition or extension. Additionally, after April 1st any changes made concerning camp dates are subject to a $100 service fee.
    • There will be a $150 per half ($300 for full summer) surcharge for meals that will be waived if a summer lunch form is completed by June 1st, irrespective of qualification.
    • The Board of Health requires that a current medical check up form for each camper be on file with the camp office prior to the start of camp. Completed medical forms must be submitted prior to June 1st.
    • Chazak Day Camp reserves the right to use all pictures and/or videos taken during the summer for publicity purposes.
    • Any items left in camp at dismissal on the last day of camp are considered hefker.
    • In the event of a cancellation, the following procedures are in effect:
      • Before May 1st, all camp fees will be refundable except for the $500 Registration Fee per camper.
      • After May 1st, no refunds will be made.

    I hereby authorize the Chazak Day Camp staff to obtain necessary emergency medical treatment for my child with the understanding that the family will be notified as soon as possible. I hereby authorize my Child's school to release my child's USDA eligibility status to Chazak Day Camp.

    Medical Information:

    By selecting the "Register" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement. By selecting "Register" using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforce ability of your E-Signature.

    You MUST include the name of your child(ren) in the body of the payment so we can properly mark them down as being paid, if you do not include the names we may not be able to associate the payment with your account!

    Registration is now closed. If you have any questions, email us at [email protected]