CBS Camp Chaverim Registration 2025

Remember to log into your CBS account before filling out this form if you wish to bill to your CBS account and set up a payment plan!

Camp Chaverim 2024 will take place from Monday June 23 to Thursday July 3. We hope your children can come for one or both weeks! We'll have a different theme and different activities each day of camp.

Register by March 31st for the Early Bird discount and save $25 a week!
Discounts also available for enrolling in both weeks of camp and for additional siblings enrolled.

Please note that all requests for refunds must be made by June 1st. We cannot give a refund after that date.

Please select one of the following options:

Please select one.I need to register my child for camp.I have already registered my child for camp and ONLY need to add on extended care.If you have not already registered your child for camp, you may not enroll them in extended care.

Camper Information:

* First Name:

* Last Name:

* Birthday (MM/DD/YYYY):

* Grade in Fall of 2025

* Address:

* City:

* Zip

What is most important about your child’s experience at Camp Chaverim?

Please share anything you feel is important for us to know about your child so we may best accommodate their needs.

Parent #1 Information:

* First Name:

* Last Name:

* E-mail:

Home #:

* Cell #:

Work #:

Parent #2 Information:

First Name:

Last Name:

E-mail:

Home #:

Cell #:

Work #:

Emergency Contact Information:

Person(s) OTHER THAN PARENTS/GUARDIANS in case parents are unable to be reached.

* Emergency Contact Name:

* Emergency Contact Phone Number:

Emergency Contact Name:

Emergency Contact Phone Number:

Please let us know if there are any person(s) who are NOT authorized to pick up camper:

Unless noted, it will be assumed that any adult who comes indicating that they have permission to pick up your child may do so, and your child will be released into their care.

The following people MAY NOT pick up my child from Camp Chaverim:

Please include both first and last names of the people who do not have consent to take your child. If none, list "N/A".

Medical Information:

Physician:

Phone:

Dentist:

Phone:

* Medical Insurance:

* Medical Insurance Policy Number:

* Allergies:

Please list any allergies your child has. If none, list "N/A"

* Medications:

Please list any medications your child is taking and the frequency. If none, list "N/A"
Camp Chaverim is not permitted to administer any medications to any child for any reason. If your child requires medication during the camp day, please email education@cbsnapa.org to discuss.

Permission and Medical Release Form:

I/We hereby give permission for my child to be transported by camp transportation and to be supervised by camp staff and volunteers during all camp programs and field trips. My child may participate in all camp activities. I agree to abide by all Camp Chaverim rules, policies and regulations. I acknowledge that photos/video will be taken during camp for promotional purposes.

I/We, the undersigned, parent(s) or guardian(s) of:

* Camper Name:

a minor, do hereby authorize the directors of Camp Chaverim and Congregation Beth Shalom of Napa Valley, or their authorized representatives, as agents for the undersigned, to consent to medical treatment by a state licensed physician, or staff of a licensed hospital to be administered to my child in the event of accident, injury, sickness, etc., until such time as I may be contacted. I also assume the responsibility for the payment of any such treatment. This release shall remain in effect at all times during Camp Chaverim Summer Session 2025.

* Name of Parent/Guardian:

* Date:

Registration Deadline: June 1, 2025

Early registration is recommended to reserve your child’s spot.

Refunds will not be made for campers who withdraw from camp after June 1^st, unless due to serious illness.

* Please check this box to acknowledge that you have read the refund policy above.

Please check this box to acknowledge that you have read the refund policy above.

Tuition & Payment Information:

Camp Chaverim T-shirt and all activities are included in camp tuition.

WEEK #1: June 23-June 27, 9 AM - 3:30 PM

Members - $300Non-Members - $325

WEEK #2: June 30 -July 3, 9 AM - 3:30 PM

Members - $240Non-Members - $260

Optional Extended Care

We offer extended care each day from 8am to 9am and 3:30pm to 5pm.

We will not be able to run extended care if we do not have at least three children signed up per day per time slot by June 1. If we are not able to run extended care, we will let you know and you will receive a refund for the cost of the extended care.

Week 1 Extended Care, 8 am to 9am and 3:30pm to 5 pm

Full Week, Mon. June 23-Fri. June 27 ($100)Mon. June 23 ($20)Tues. June 24 ($20)Wed. June 25 ($20)Thurs. June 26 ($20)Fri. June 27 ($20)Only make this selection if your child is enrolled in camp for this week.

Week 1 Extended Care AM or PM

I need AM extended care from 8-9amI need PM extended care from 3:30-5pm

Week 2 Extended Care, 8 am to 9am and 3:30pm to 5 pm

Full Week, Mon. June 30-Fri. July 3 ($80)Mon. June 30 ($20)Tues. July 1 ($20)Wed. July 2 ($20)Fri. July 3 ($20)Only make this selection if your child is enrolled in camp for this week.

Week 2 Extended Care AM or PM

I need AM extended care from 8-9amI need PM extended care from 3:30-5pm

If your child attended Camp Chaverimin the past, you may have heard about our fantastic volunteer counselors from Haifa, Israel. We are so excited to announce that we'll have two new amazing teens joining us from Israel this summer!

We are looking for host families for our Israeli teens. As a host family, you would offer one of these teens a home for one week of camp, either the first week or the second week, and you would provide meals for your Israeli teen for that week. There are no other requirements, but our visitors would love to have a chance to explore more of the Bay Area on the weekends, if you have time to take your Israeli on a day trip! If you would be interested in hosting, check the box below to let us know, or email education@cbsnapa.org!

We would be interested in learning more about hosting an Israeli teen for a week. Please contact me to tell me more!

Select applicable discounts:
The early bird discount will be applied automatically.

Multi-session discount $15

N/AMulti-session discountThis discount only applies if you are enrolling your child for both weeks of camp.

Sibling discount $15

N/ASibling discountThis discount may only be used on any registration form over one child per family. The first child does not receive the discount.

Total Amount Due

Please Sign and click the Submit button below to proceed to the payment page.

Signature (please type full name)