Please print the registration form below, or fill it out online. Camper Info.Child 1 Attending First Half 6/27-7/21Second Half 7/24-8/17Whole Summer 6/27-8/17DOB Grade entering Yeshiva T-Shirt Size Youth SYouth MYouth LAdult SAdult MAdult LAdult XL 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 campsLunchBusShuttleChild 2 Attending First Half 6/27-7/21Second Half 7/24-8/17Whole Summer 6/27-8/17DOB Grade entering Yeshiva T-Shirt Size Youth SYouth MYouth LAdult SAdult MAdult LAdult XL 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 campsLunchBusShuttleChild 3 Attending First Half 6/27-7/21Second Half 7/24-8/17Whole Summer 6/27-8/17DOB Grade entering Yeshiva T-Shirt Size Youth SYouth MYouth LAdult SAdult MAdult LAdult XL 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 campsLunchBusShuttleChild 4 Attending First Half 6/27-7/21Second Half 7/24-8/17Whole Summer 6/27-8/17DOB Grade entering Yeshiva T-Shirt Size Youth SYouth MYouth LAdult SAdult MAdult LAdult XL 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 campsLunchBusShuttle Family Info.Last Name Address Street AddressApt, Suite, Bldg. 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Mother's cell ph. Emergency Info.Emergency Name Emergency number Relationship to camper WAIVERIn 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 2023 Fee Schedule Camp FeeElite- grades 6-9 - BOYS: $320 weekly/ $2350 8 weeks -- GIRLS: $235 weekly/ $1850 8 weeksChild 1- BOYS: $295 weekly/ $2250 8 weeks -- GIRLS: $220 weekly/ $1750 8 weeksChild 2- BOYS: $285 weekly/ $2170 8 weeks -- GIRLS: $210 weekly/ $1675 8 weeksChild 3- BOYS: $280 weekly/ $2130 8 weeks -- GIRLS: $205 weekly/ $1600 8 weeksChild 4- BOYS: $275 weekly/ $2090 8 weeks -- GIRLS: $195 weekly/ $1525 8 weeksPreK- ages 2-5 $235 weekly/ $1850 8 weeks Transportation Fee- per childMonsey Area $55 weekly/ $400 8 weeksNorthern NJ $80 weeklyManhattan $90 weekly Lunch Fee$30 per week per child 2023 "ARHS" - DEADLINE 8/19/22 Any changes in registration after deadline are subject to regular rates.SEE FLYER FOR RATES. ARHS ARE NON-REFUNDABLE.2023 August Red Hot Special Pay in full now receive hot lunchPay deposit now, balance 10/10/22 do NOT receive hot lunch NOVEMBER SPECIAL- DEADLINE NOV. 15 2022. Sign up by 11/15/22, and receive $25 off each camper each week, PLUS FREE HOT LUNCH!! PAY IN FULL NOW AND RECEIVE $35 OFF PER CAMPER PER WEEK PLUS FREE HOT LUNCH!!NOVEMBER EARLY BIRD SPECIAL Pay in full now, receive $35 off per week per camper plus free hot lunchPay deposit now, receive $25 off per week per camper plus free hot lunchTo receive November Special a $300 non-refundable deposit per child is due upon registering. The first half of the remaining balance is due on 1/15/23 and the second half is due on 3/15/23November 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 $300 deposit per child are refundable prior to 4/1/23. After 4/1/23 funds in excess of the $300 deposit are subject to a 50% cancellation fee. All refunds are payable after 11/15/23 EARLY BIRD DEADLINE- JANUARY 10, 2023Register by 1/10/23 and receive FREE HOT LUNCH for all campers!!January early bird registration must include a $300 non-refundable deposit per child and two checks for remainder balance dated 3/15/23 and 5/15/23 Any registration changes requested after 6/1/23 will be subject to a $25 processing fee for each change.January registration: All funds in excess of the $300 deposit per child are refundable prior to 5/1/23 After 5/1/23 funds in excess of the $300 deposit are subject to a 50% cancellation fee. All refunds are payable after 11/15/23 GROUP SPECIAL-NO DEADLINE.Sign up with a group of 4 new to Merockdim campers (max group size is 10). FOR BOYS CAMP: $300 off each full summer camper and $150 off each half summer camper. FOR GIRLS AND MINI CAMPS: $150 off each full summer camper and $75 off half summer campersGroup 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 $300 deposit per child are refundable prior to 5/1/23. After 5/1/23 funds in excess of the $300 deposit are subject to a 50% cancellation fee. All refunds are payable after 11/15/23Please list all names of people in your group. Important NotesChild 1= camper with highest fee2 week min. registration required Payment Info.Method of Payment Check- mail to 26 Parker Blvd. Monsey NY 10952Quickpay-send to office.leep@gmail.com Regular RegistrationMust include a non-refundable $300 deposit per child, plus checks for payment in full by 5/15/23. Applications will be charged in full upon receipt unless otherwise indicated.Any registration changes requested after 6/1/23 will be subject to a $25 processing fee for each change.All funds in excess of the $300 deposit per child are refundable prior to 5/1/23. After 5/1/23 funds in excess of the $300 deposit are subject to a 50% cancellation fee. All refunds are payable after 11/15/23Referred By: Text Email VerificationPlease enter any two digits with no spaces (Example: 12) *This box is for spam protection - please leave it blank: