Online Pre-Registration!

Please fill out the information below. A full registration package will be mailed to you.

Please use a separate form for each child.

Camper Information
Name
  First
Middle Last  
Date of Birth
   
Contact Info
  Phone
Email
 
           
Child's Grade
       
Please indicate which session/s your child will attend camp:
   
   

Week 1 (July 3-6) Full Session (July 3-20)

Week 2 (July 9-13)

Week 3 (July 16-20)

Click here for rates

PAYMENT
 

I will be paying by:
Cheque - mail a cheque to:
Chabad of Vancouver Island
2955 Glasgow Street
Victoria, BC V8T 4H1

Credit card

Name: Last Name:

Address:

Email:

Card Type*
Card Number
Expiration Date
CVV Security Code