2024 Magic the Gathering Camp at Rodef Shalom - Form

Please join us for Magic the Gathering Camp at Rodef Shalom with Stephen Shenassa. Learn to play Magic or sharpen your skills at this weeklong training camp.

Camp Details

Open to kids ages 8–18
Monday–Friday, August 5–9, 2024 from 9:00 a.m. – 3:00 p.m.
Cost is $350 (includes snacks and lunch each day, magic cards, and a full kit of tournament ready goodies)

Rodef Shalom Members:

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Nonmembers:

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* Congregation Rodef Shalom (CRS) membership:

CRS MembersCRS Non-Members

* Parent First Name

* Parent Last Name

* Email

* Cell Number

* Student 1 First Name

* Student 1 Last Name

* Date of Birth

* Current School Year Grade

Camp Tuition

After Care

Student 1 Physical or Health Needs (check all that apply)

Food/dietary restrictions or allergiesMy child has an IEP or 504 plan

Please provide details:

Student 2 First Name

Student 2 Last Name

Date of Birth

Current School Year Grade

Camp Tuition

After Care

Student 2 Physical or Health Needs (check all that apply)

Food/dietary restrictions or allergiesMy child has an IEP or 504 plan

Please provide details:

Student 3 First Name

Student 3 Last Name

Date of Birth

Current School Year Grade

Camp Tuition

After Care

Student 3 Physical or Health Needs (check all that apply)

Food/dietary restrictions or allergiesMy child has an IEP or 504 plan

Please provide details:

(1) Emergency Contact First & Last Name

Relationship to Child(ren)

Phone Number

(2) Emergency Contact First & Last Name

Relationship to Child(ren)

Phone Number

Physician Name

Healthcare/Hospital or Emergency Facility

Phone Number

Parent Release Items (All students are automatically opted in for items where boxes are not checked)

Emergency Release: In the event of an emergency, I DO NOT give permission to Congregation Rodef Shalom or its agent to hospitalize and/or secure proper treatment for my child(ren) as named in this form.Photo and Video Release Authorization: Photos or videos will be taken of students, student activities, etc. Names will not be used without a separate, signed release. I DO NOT authorize the use of photos or videos of my child(ren).

Total Due

Members: you can pay in full or "Bill to account" if you are logged into your ShulCloud account. Nonmembers: payment in full is required in order to complete the registration process.