Camp Akiba 2023 Registration

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Sunday July 23 – Sunday August 6, 2023

Camper Placement By Grade Information:

Unit One: Campers entering 3-5^th grade in Fall 2023

Unit Two: Campers entering 6-7^th grade in Fall 2023

Unit Three: Camper entering 8-9^th grade in Fall 2023 **Unit Three Girls is currently waitlist only**

CIT “Counselor-in-Training” Program: Teens entering 10^th grade will participate in a well-established Akiba program that incorporates counselor training, self-reflection, mental health awareness, team building, responsibility and lots of observation to foster self-growth and great counselor qualities!

Jr. Staff: Teens entering 11^th grade will participate in a well-established Akiba program that includes a more immersive counselor training program and builds on the topics and activities experienced in the CIT program. This program includes limited participation in some of the pre-camp planning process and will involve placement in a cabin with campers half-way through Akiba Resident Camp if space permits.

Bus Transportation will be provided to/from Camp and Temple Akiba.

Camp Tuition Pricing

Temple Akiba Member Pricing

Early Bird *Paid in Full BY April 1, 2023*

Entering Grades 3 - 9: $2,375

CIT: $2,175

Jr. Staff: $1,975

Regular Pricing *Paid in Full AFTER April 1, 2023*

Entering Grades 3 - 9: $2,500

CIT: $2,300

Jr. Staff: $2,100

Temple Akiba Non-Member Pricing

Early Bird *Paid in Full BY April 1, 2023*

Entering Grades 3 - 9: $2,675

CIT: $2,475

Jr. Staff: $2,275

Regular Pricing *Paid in Full AFTER April 1, 2023*

Entering Grades 3 - 9: $2,800

CIT: $2,600

Jr. Staff: $2,400

*Early Bird Pricing strictly ends April 1, 2023. If the total tuition cost is not received by April 1, 2023 then Regular Pricing will be invoiced.

*Sibling Discounts of $50 per camper will be applied when two or more campers are registered from the same family.

**Final Payment is due by June 1, 2023**

Scholarship & Grant Information

CAMP ACCESS FOR ALL - DON'T LET COST HOLD YOU BACK!

The Temple Akiba Scholarship program is for need based financial assistance to supplement the tuition cost of Akiba Resident Camp 2023. All funds are distributed on a first come, first served basis and can be requested during the registration process. Scholarships are available because of our participation in the Jewish Federation’s Tour de Summer Camps, which is an annual bike tour to raise funds for all participating Jewish Residential Camp programs. Scholarships are also available through our From the Heart Resident Camp Scholarship Fund, which was created by Akiba Resident Camp alumni.

If you or anyone you know is interested in supporting the From the Heart Resident Camp Scholarship Fund to help more kids get to Camp, please direct them to our Temple Akiba donation page at https://www.templeakiba.net/donate. Any and all donations to any of our funds are greatly appreciated!

The One Happy Camper Grant program is also a partnership between camps, the Jewish Federation, the Foundation for Jewish Camps and the PJ Goes to Camp program. This grant is eligible to all Akiba Resident Camp 2023 first time campers. If eligible, you may receive $700 off of your camp tuition fees this summer. Please see eligibility requirements below. An access code is required to apply for the One Happy Camper grant. Please email pjgtc@hgf.org if you need an access code. Once a code is granted, you can visit onehappycamper.org to apply.

One Happy Camper eligibility criteria for first-time* campers in the Greater Los Angeles Area:

$1,000 grant for campers enrolled for 19+ consecutive days
$700 grant for campers enrolled for 12-18 consecutive days
Must be entering grades 2-12 (after camp)
Do not attend Jewish day school or yeshiva (Why is that?)
Attending a nonprofit, Jewish, overnight camp in California
Campers with Special Needs enrolled in Jewish Day School are eligible to for grants.

*Campers who previously attended camp for 11 days or less are still eligible for first-time camper grants.

Children that received a One Happy Camper Grant in 2022 will have a $350 One Happy Camper Grant credit applied to their registration within 3-5 business days of receiving your registration.

All scholarship requests through Temple Akiba must be received by MARCH 1, 2023.

COVID-19 & Health Information

Thank you for choosing Akiba Resident Camp this summer and for being a part of our growing family! We understand that the state of the COVID-19 Pandemic is variable and could affect our camp program. We will be abiding by all regulations from the State of California, San Diego County, as well as the Temple Akiba COVID Task Force and Board of Directors. If anything needs to change with our program (dates/capacity/testing), we will inform all registered and interested participants as soon as possible. Our priority will always be the health and safety of our campers and staff.

Please note that full COVID-19 vaccination is a requirement to attend Akiba Resident Camp in 2023 at least one month prior to July 23, 2023.

Please find the link to the health form here. All required forms are due at least two weeks prior to July 23, 2023.

A $250 per child deposit is due upon completion of this form.
If you wish to only pay the deposit or to pay by check you must be logged in to your Temple Akiba ShulCloud Account.

Please note that if you are not logged in to your Temple Akiba ShulCloud account payment is due in full, by either a single payment or an automatic payment plan due by the final payment deadline, upon completion of this form. Online payments may be made by Credit Card or ACH (E-Check).

If you need assistance with logging in to your Temple Akiba ShulCloud account or setting up a new account please email admin@templeakiba.net.

This form must be filled out in a single sitting. Please make sure you have the following information available in advance of filling out the form:
Name and Phone Number of child(ren)'s Physician
Picture or PDF of child(ren)'s Medical Insurance card(s)
2 Emergency Contacts that are not the child(ren)'s parents

* I understand that if I am not logged in to my ShulCloud account payment is due in full, by either a single payment or an automatic payment plan that concludes by the final payment deadline, upon completion of this form.

Parent Information

* Parent 1 First Name

* Parent 1 Last Name

* Parent 1 Email

* Parent 1 Cell Phone

Parent 1 Home Phone

Parent 1 Work Phone

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Cell Phone

Parent 2 Home Phone

Parent 2 Work Phone

* Address Where Camper(s) Resides

* City

* State

* Zip Code

* Camper(s) live with:

* Temple Membership

Camper Information

* How many children are you enrolling?

* Child 1 First Name

* Child 1 Last Name

* Child 1 Date of Birth

* Child 1 Grade in September 2023

* Child 1 Gender Identifies As

* Child 1 T-Shirt Size

* Is Child 1 a New Camper?

* Child 1 Camp Registration

* Child 2 First Name

* Child 2 Last Name

* Child 2 Date of Birth (MM/DD/YYYY)

* Child 2 Grade in September 2023

* Child 2 Gender Identifies As

* Child 2 T-Shirt Size

* Is Child 2 a New Camper?

* Child 2 Camp Registration

* Child 3 First Name

* Child 3 Last Name

* Child 3 Date of Birth (MM/DD/YYYY)

* Child 3 Grade in September 2023

* Child 3 Gender Identifies As

* Child 3 T-Shirt Size

* Is Child 3 a New Camper?

* Child 3 Camp Registration

* Child 4 First Name

* Child 4 Last Name

* Child 4 Date of Birth (MM/DD/YYYY)

* Child 4 Grade in September 2023

* Child 4 Gender Identifies As

* Child 4 T-Shirt Size

* Is Child 4 a New Camper?

* Child 4 Camp Registration

* Child 5 First Name

* Child 5 Last Name

* Child 5 Date of Birth (MM/DD/YYYY)

* Child 5 Grade in September 2023

* Child 5 Gender Identifies As

* Child 5 T-Shirt Size

* Is Child 5 a New Camper?

* Child 5 Camp Registration

Photo Release

* I give Camp Akiba permission to photograph, video, and/or record my child(ren) for Temple Akiba use.

* Parent's Name

Medical Information

* Insurance Company

* Policy Number

* Full name of primary person insured

* Name of primary physician

* Primary Physician Phone Number

* Please upload copies of your insurance card(s)

A Health History form needs to be filled out for each camper.

CLICK HERE TO FILL OUT REQUIRED FORM.

Emergency Contacts

Camp Akiba will always contact the parents/guardians first in the case of an emergency. If the parents/guardians cannot be reached I authorize Camp Akiba to contact the below individuals.

* Emergency Contact 1 Full Name

* Emergency Contact 1 Relationship to camper(s)

Emergency Contact 1 Home Phone

* Emergency Contact 1 Cell Phone

Emergency Contact 1 Work Phone

* Emergency Contact 2 Full Name

* Emergency Contact 2 Relationship to camper(s)

Emergency Contact 2 Home Phone

* Emergency Contact 2 Cell Phone

Emergency Contact 2 Work Phone

If for any reason you wish not to authorize treatment please write a letter of explanation.

I attest that registered camper(s) above is/are in good health and able to actively participate in camp activities except as noted in this form. I take full responsibility to see that camper(s) is/are properly prepared for camp including having proper clothes, equipment and being in good health. I authorize the camp to provide routine health care, administer prescribed and over-the-counter medications that I am sending to camp, as well as any medications recommended by the camp's health care staff for various problems, except as I have noted in the Health History Form. I hereby authorize the camp to share the information provided above and on the Health History Form with appropriate camp staff and professional health care providers on a need-to-know basis.

In case of medical emergency or need for medical treatment, after every reasonable effort has been made to contact me, the family physician, or one of the alternates listed above, I hereby give my permission to the physician secured by the camp to hospitalize, secure treatment for and order injection, anesthesia or surgery for camper(s).

I authorize the camp to arrange and/or provide necessary related transportation for camper(s). I agree to be responsible for expenses incurred during such care and treatment.

Further details regarding COVID-19 precautions to follow as we approach the summer and have further information from the county health department. Please be advised that campers and families must adhere to county protocols and that any camper with a positive exposure to COVID-19 or COVID-19 symptoms will not be allowed at camp. Details regarding precautions families may take to ensure reduced risk of COVID will be provided. If families have any questions or concerns regarding what an exposure is or if their child is in need of care prior to camp, please reach out to your pediatrician with any questions.

In addition, once medical forms are received and reviewed, if our camp nurse has any additional questions regarding campers with preexisting conditions, be advised that she may reach out for further details to understand whether certain symptoms are within normal range or could be that of COVID-19.

* I give my consent to treat my child(ren)

* Letter to not authorize treatment

* Parent's Full Name

Payment and Scholarships

A minium $250/deposit per camper is due upon completion of this form.

If you are logged in to your ShulCloud account and wish to only pay the deposit today, please select the "Bill to My Account" option on the next page. After you select "Bill to My Account", please click the "My Billing" option under the "My Account" drop down. From there you can access the payment page to make one time payment or setup a payment plan.

To receive the early bird discount you must be paid in full by April 1, 2023. If full payment is not received by that date your account billing will be updated to the regular price. All payment plans initiated online today must be completed by June 1, 2023.

If you have any questions or would like to make different payment arrangements, please contact our Bookkeeper (Dina Hempling) at bookkeeper@templeakiba.net.

* Would you like to donate to the From the Heart Resident Camp Scholarship Fund to help more kids get to Camp?

* Please enter the amount you would like to donate to the From the Heart Resident Camp Scholarship Fund

Financial assistance through Temple Akiba is granted on a first-come, first-served basis. This year, scholarship funds were raised through Tour de Summer Camps and from our generous donors. So that we may help as many families as possible, we ask that you only request the amount that is necessary for your child(ren) to be able to attend camp.

Please submit a scholarship request form by March 1, 2023 and it will be reviewed by the Scholarship Committee.

* Do you need to apply for a scholarship through Temple Akiba?

* Please list other financial assistance received from Temple Akiba and/or additional sources:

* Please disclose amount of scholarship requested and reason for request:

Children that received a One Happy Camper Grant in 2022 will have a $350 One Happy Camper Grant credit applied to their registration within 3-5 business days of receiving your registration.

* One Happy Camper Grant

Your One Happy Camper Grant Credit from summer 2022 will be applied to your account within 3-5 business days of receipt of your registration and if your payment plan needs to be adjusted our Bookkeeper, Dina Hempling, will be in touch. If you have any questions, please contact our Bookkeeper (Dina Hempling) at bookkeeper@templeakiba.net.

Your One Happy Camper Grant for your new camper(s) will be applied to your account within 3-5 business days of receipt of confirmation from One Happy Camper. If your payment plan needs to be adjusted our Bookkeeper, Dina Hempling, will be in touch. If you have any questions, please contact our Bookkeeper (Dina Hempling) at bookkeeper@templeakiba.net.

Once clicking the submit button at the bottom of this page you will be redirected to the payment page.

If you wish to only pay the deposit today or to pay by check, please select the "Bill to My Account" option. After selecting that option, please click on "My Billing" under the "My Account" tab to pay your deposit ($250/child). If you are paying by check, please make checks payable to "Temple Akiba" and write "Resident Camp 2023" in the memo.

If you have any questions, please contact our Bookkeeper (Dina Hempling) at bookkeeper@templeakiba.net.

Total Due

Tue, April 29 2025
1 Iyar 5785

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