Printed fromChabadFamilyCenter.org

Chabad Family Center

ב"ה

Presidents Day Camp

For more information contact Chaya: (412) 251-4297

Monday, Feb 16. 2026
10am-3pm
Ages 3 - 11
- $45 per Child
- Pasta and Cheese Lunch provided
- Please send 2 snacks
Parent Name*
First Name Last Name
Phone Number*
E-mail*
Have you attended our Summer camp in the past?*

YesNo
Spouse Name
First Name Last Name
How Many Children*
Child Name 1*
Child 1 DOB*

Month Day Year
Child 1 School*
Child 1 Grade*
Child Name 2*
Child 2 DOB*

Month Day Year
Child 2 School*
Child 2 Grade*
Child Name 3*
Child 3 DOB*

Month Day Year
Child 3 School*
Child 3 Grade*
Emergency Contact Name* Cannot be a parent
First Name Last Name
Emergency Contact Phone Number* Cannot be a parent
Any Allergies we should be aware of?*

YesNo
Please explain details and care*
Total

$0.00

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Should be Empty:

This page uses TLS encryption to keep your data secure.