Chabad of Malibu Adventure Camp June 22 to July 17 For ages 6 to 13 An unforgettable summer of sunshine, friendship, and adventure awaits! At Chabad of Malibu Adventure Camp, campers enjoy beach days and surfing, sports and team games, creative arts, nature exploration, and engaging, hands-on Jewish learning – all led by our warm and nurturing staff in a positive, supportive environment. Tuition: $400 per week when paid upfront ($1,600 per child) $475 per week if paying weekly Spots are limited — join us for an incredible summer experience! Child Information Child's Full Name* First Name Last Name Date of Birth* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Grade Entering in Fall* Parent / Guardian Information Parent/Guardian Name(s)* Phone Number(s)* E-mail Address* Emergency Contact (if different): Name & Phone Health & Safety Does your child have any allergies? (Food, Environmental, Medication)* YesNo If yes, please specify.* Does your child have any medical conditions or special health needs we should know about?* YesNo If yes, please specify.* Swimming Ability* BeginnerComfortable SwimmerStrong Swimmer Has your child surfed before?* YesNo Any fears or concerns about the ocean we should be aware of?* Inclusion & Support Does your child have any learning differences, sensory sensitivities, or support needs that would help us create the best experience for them?* What helps your child feel comfortable, safe, and included in group settings?* Jewish & Camp Experience Hebrew name (if applicable, optional) Has your child attended Jewish camp before?* YesNo What are you most excited for your child to experience at camp?* Permissions May we apply sunscreen to your child if needed?* YesNo May your child participate in all camp activities, including surfing, hiking, and outdoor play?* YesNo Photo permission for camp use (website/social/media)* YesNo Additional Information Dietary Needs (Kosher is observed; please list allergies or additional needs)* Anything else you’d like us to know to help your child thrive at camp?* Tuition & Payment Selection Full Session Payment (Discounted Rate): $1,600 per child ($400 per week). Weekly Payment Plan: $475 per week per child Payment must be made in full prior to the start of camp. Please select your preferred payment option:* Full Session Payment (Discounted Rate)Weekly Payment Plan Choose your preferred weeks: Select one or as many weeks as you’d like Week 1Week 2Week 3Week 4 Total $0.00 Payment* Credit Card Paypal Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearPaypal has been selected. 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