Boys Registration

Child 1

Attending
FIRST HALF TBDSECOND HALF TBDWHOLE SUMMER TBD
DOB

Grade Entering

Yeshiva

T-Shirt Size
Youth SYouth MYouth LAdult SAdult MAdult LAdult XL
Options

Shuttle is a charter service that picks the campers up from a local monsey area destination and drops them back off at the same spot at the end of the day. It is $20 weekly per camper. It is offered for the boys, mini and girls camps

LunchBusShuttle

Child 2

Attending
FIRST HALF TBDSECOND HALF TBDWHOLE SUMMER TBD
DOB

Grade Entering

Yeshiva

T-Shirt Size
Youth SYouth MYouth LAdult SAdult MAdult LAdult XL
Options

Shuttle is a charter service that picks the campers up from a local monsey area destination and drops them back off at the same spot at the end of the day. It is $20 weekly per camper. It is offered for the boys, mini and girls camps

LunchBusShuttle

Child 3

Attending
FIRST HALF TBDSECOND HALF TBDWHOLE SUMMER TBD
DOB

Grade Entering

Yeshiva

T-Shirt Size
Youth SYouth MYouth LAdult SAdult MAdult LAdult XL
Options

Shuttle is a charter service that picks the campers up from a local monsey area destination and drops them back off at the same spot at the end of the day. It is $20 weekly per camper. It is offered for the boys, mini and girls camps

LunchBusShuttle

Child 4

Attending
FIRST HALF TBDSECOND HALF TBDWHOLE SUMMER TBD
DOB

Grade Entering

Yeshiva

T-Shirt Size
Youth SYouth MYouth LAdult SAdult MAdult LAdult XL
Options

Shuttle is a charter service that picks the campers up from a local monsey area destination and drops them back off at the same spot at the end of the day. It is $20 weekly per camper. It is offered for the boys, mini and girls camps

LunchBusShuttle

Last Name

Address

Street Address

Apt, Suite, Bldg. (optional)

City

State
ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
Zip

Country
CanadaIsraelMexicoUnited KingdomUnited StatesOther
Father's Name

Father's Occupation

Mother's Name

Mother's Occupation

Your email

Home Phone

Father's Cell ph.

Mother's Cell ph.

Emergency Name

Emergency Number

Relationship to Camper

WAIVER

In the event that we cannot be reached and in case of a medical emergency, I hereby authorize the physician selected by Camp Merockdim to secure complete and proper treatment for my child.

Please print full name to authorize treatment

Elite- grades 6-9 - BOYS: $335 weekly/ $2650 8 weeks -- GIRLS: $335 weekly/ $2650 8 weeks

Child 1- BOYS: $320 weekly/ $2450 8 weeks -- GIRLS: $320 weekly/ $2450 8 weeks

Child 2- BOYS: $310 weekly/ $2370 8 weeks -- GIRLS: $310 weekly/ $2370 8 weeks

Child 3- BOYS: $305 weekly/ $2330 8 weeks -- GIRLS: $305 weekly/ $2330 8 weeks

Child 4- BOYS: $300 weekly/ $2300 8 weeks -- GIRLS: $300 weekly/ $2300 8 weeks

PreK- ages 2-5 $320 weekly/ $2450 8 weeks

Monsey Area $55 weekly/ $400 8 weeks

Northern NJ $80 weekly

Manhattan $90 weekly

$35 per week per child

2025 August Red Hot Special Pay in full now receive hot lunchPay $500 deposit per child now and balance 10/10/24 do NOT receive hot lunch

NOVEMBER EARLY BIRD SPECIALPay in full now, receive $40 off per week per camper plus free hot lunchPay deposit now, receive $25 off per week per camper plus free hot lunch

To receive November Special a $400 non-refundable deposit per child is due upon registering. The first half of the remaining balance is due on 1/1/25 and the second half is due on 3/1/25

November special cannot be applied towards transportation. Any changes in registration after deadline are subject to regular rates.

November Special: All funds in excess of the $400 deposit per child are refundable prior to 4/1/25. After 4/1/25 funds in excess of the $400 deposit are subject to a 50% cancellation fee. All refunds are payable after 11/15/25

CYBER MONDAY SPECIALPAY ONLY DEPOSIT NOW, HOT LUNCH NOT INCLUDEDPAY IN FULL NOW, HOT LUNCH INCLUDED

To receive Cyber Monday Special a $400 non-refundable deposit per child is due upon registering. The first half of the remaining balance is due on 1/25/25 and the second half is due on 3/25/25

Cyber Monday Special cannot be applied towards transportation. Any changes in registration after deadline are subject to regular rates.

Cyber Monday Special: All funds in excess of the $400 deposit per child are refundable prior to 4/1/25. After 4/1/25 funds in excess of the $400 deposit are subject to a 50% cancellation fee. All refunds are payable after 11/15/25

Register by 1/1/25 and receive FREE HOT LUNCH for all campers!!

January early bird registration must include a $400 non-refundable deposit per child and two checks for remainder balance dated 3/1/25 and 5/1/25 Any registration changes requested after 6/1/25 will be subject to a $25 processing fee for each change.

January registration: All funds in excess of the $400 deposit per child are refundable prior to 5/1/25 After 5/1/25 funds in excess of the $400 deposit are subject to a 50% cancellation fee. All refunds are payable after 11/15/25

Sign up with a group of 4 new to Merockdim campers (max group size is 10), and receive $300 off each full summer camper and $150 off each half summer camper.

Group Special cannot be applied towards transportation. Any changes in registration after deadline are subject to regular rates.

Group Special deposits are non-refundable. All funds in excess of the $400 deposit per child are refundable prior to 5/1/25. After 5/1/25 funds in excess of the $400 deposit are subject to a 50% cancellation fee. All refunds are payable after 11/15/25

Please list all names of people in your group.

Child 1= camper with highest fee

Elite fee and Mini Merockdim fee are a flat rate and are not part of the sibling discount schedule

2 week min. registration required

Method of PaymentCheck- mail to 26 Parker Blvd. Monsey NY 10952Quickpay-send to office.leep@gmail.com

Must include a non-refundable $400 deposit per child, plus checks for payment in full by 5/1/25. Applications will be charged in full upon receipt unless otherwise indicated.

Any registration changes requested after 6/1/25 will be subject to a $25 processing fee for each change.

All funds in excess of the $400 deposit per child are refundable prior to 5/1/25. After 5/1/25 funds in excess of the $400 deposit are subject to a 50% cancellation fee. All refunds are payable after 11/15/25

Referred By

Text

Email