Summer Registration Form Email(Required) We will be offering two sessions or the full summer. Session 1 (June 26 to July 21) Session 2 (July 24 to August 18) Our three days per week option is for Tuesday, Wednesday, and Thursday.Child's Legal Name(Required) First Last Child's Hebrew Name(Required) First Last Child's Date of Birth(Required) MM slash DD slash YYYY Child's Gender(Required) Male Female Mother's Name(Required) First Last Mother's Phone(Required)Mother's Email(Required) Father's Name(Required) First Last Father's Phone(Required)Father's Email(Required) Mailing Address(Required) Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Emergency Contact's Name(Required) First Last Emergency Contact's Phone(Required)Emergency Contact's Relation to Child(Required) Additional Information (Allergies or anything we should know about your child)(Required)Please NoteWe will be closed Tuesday, July 4th and Thursday, July 27thTuition Schedule for Summer 2023 (June 26 - August 18)Please note that the rates below do not include a $100 non refundable registration fee due at the time of enrollment. Morning Summer Program (8:30am - 1:00pm) 5 Days: $370 per week / $2,690 for the entire summer 3 Days (T, W, H): $225 per week / $1,680 for the entire summer 2 Days (T, TH): $150 per week / $1,060 for the entire summer Enrichment (1:00pm - 3:00pm) 5 Days: $180 per week / $1,300 for the entire summer 3 Days (T, W, TH): $110 per week / $770 for the entire summer 2 Days (T, TH): $85 per week / $550 for the entire summer Late Care (3:00pm - 5:00pm) 5 Days: $180 per week / $1,300 for the entire summer 3 Days (T, W, TH): $110 per week / $770 for the entire summer 2 Days (T, TH): $85 per week / $550 for the entire summerPlease select your child's schedule(Required) Full 8 week program (June 26 - August 18) Session 1 (June 26 to July 21) Session 2 (July 24 to August 18) Hours and DaysPlease choose any additional programs you would like your child to attendEnrichment 1:00 PM - 3:00 PM Late Care 3:00 PM - 5:00 PM If enrolling in the afternoon enrichment program, please let us know if your child will be in the: Sleeping Room Awake Room My child is not enrolled in the afternoon enrichment program. Please choose which days you would like your child to attendTuesday, Thursday (2 days per week) Tuesday, Thursday Tuesday, Wednesday, Thursday (3 days per week) Tuesday, Wednesday, Thursday Monday, Tuesday, Wednesday, Thursday, Friday (5 days per week) Monday, Tuesday, Wednesday, Thursday, and Friday Tuition Schedule for Summer 2022 (June 26 - August 18)Please note that the rates below do not include a $100 non refundable registration fee due at the time of enrollment. Morning Summer Program (8:30am - 1:00pm) 5 Days: $370 per week / $2,690 for the entire summer 3 Days (T, W, H): $225 per week / $1,680 for the entire summer 2 Days (T, TH): $150 per week / $1,060 for the entire summer Enrichment (1:00pm - 3:00pm) 5 Days: $180 per week / $1,300 for the entire summer 3 Days (T, W, TH): $110 per week / $770 for the entire summer 2 Days (T, TH): $85 per week / $550 for the entire summer Late Care (3:00pm - 5:00pm) 5 Days: $180 per week / $1,300 for the entire summer 3 Days (T, W, TH): $110 per week / $770 for the entire summer 2 Days (T, TH): $85 per week / $550 for the entire summerAgreement I hereby enroll my child in Center City Jewish Preschool's Summer Camp. I allow my child to participate in all camp activities and field trips. In case of emergencies, necessary medical attention may be obtained for my child by the camp. I agree that CCJP and its administration and staff will not be liable for any injury or health impairment that may occur. I allow photos or other recordings of my family to be used for any legitimate use. I will submit a $100 non-refundable deposit per child (payable by check or cash to Center City Jewish Preschool)Your Name(Required) First Last Today's Date(Required) MM slash DD slash YYYY The $100 non-refundable registration fee (deposit), which can be paid by check or cash, must be received by Friday, February 24, 2023 in order to ensure a spot for your child on your preferred days. After this date, limited spots will be available, and will only be accepted space permitting. The balance is due by May 1, 2023. Please make checks payable to CCJP Center City Jewish Preschool 527 Lombard Street Philadelphia, PA 19147
