PLP Summer 2022 - Congregation Kol Ami

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Apply for Summer Camp 2022!
Please use the form below to apply for and pay your $100 deposit to hold your spot at the Playful Learning Preschool at Kol Ami Summer Camp. Please contact Kim Saul, Preschool Director, with any questions.

Go back to the Playful Learning Preschool Website

Billing Information

* First Name

* Last Name

* Email

* Phone

* Address

* City

* State

* ZIP Code

Child Information

* Child's Full Name

Name Child Goes By

* Gender

* Date of Birth

* Age

Parent/Guardian Information

* Parent/Guardian 1 Name

Home Phone #

Email Address

Cell Phone #

Employer

Work Phone #

* Parent/Guardian 2 Name

Home Phone #

Email Address

Cell Phone #

Employer

Work Phone #

Home Information

* Child Lives With

If "Other," Please Provide Details

Sibling's Names and Ages

Schedule & Deposit

* Please Indicate Which Schedule You Are Applying For

Please Select OneFull Day, Monday – Friday, 8:30 am – 3:00 pmHalf Day, Monday – Friday, 8:30 am – 12:00 pm

* By checking this box you are agreeing to pay a $100 deposit to hold your child's place.

By checking this box you are agreeing to pay a $100 deposit to hold your child's place.

Additional Comments

Wed, February 8 2023
17 Shevat 5783

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Wed, February 8 2023 17 Shevat 5783