Camp B'nai Ami 2024 - Form

As part of our ongoing quest to make registration as easy as possible, some of the fields below display the current information we have on file for you and your child. Any changes you make to these fields will be updated in our system.

Please make sure you are logged in for the best registration experience.

We recommend using Google Chrome when using the form.

As always, if you have trouble filling out the form, please contact our webmaster Tanya at 314-576-9990 x142 or email her at tanya@bnaiamoona.com

*At the end of the wait list form you will be asked to pay a $50 non-refundable fee to be placed on the waitlist.

Family Information

Child's Information

* Child's First Name

* Child's Last Name

Child's Nickname

Child's Hebrew Name

ie Sarah Bat Rivkah v' David

* Child's Birthday

* Child's Gender

Parent 1's Information

* Parent 1's First Name

* Parent 1's Last Name

* Parent 1's Cell Phone

* Parent 1's Email

* Parent 1's Work Phone

Parent 1's Home Phone

Parent 2's Information

Parent 2's First Name

Parent 2's Last Name

Parent 2's Cell Phone

Parent 2's Email

Parent 2's Work Phone

Parent 2's Home Phone

If different from Parent 1.

Sibling Information

Sibling 1's First Name

Sibling 1's Last Name

Sibling 1's Age

Sibling 1's School

Sibling 1's Current Grade

Sibling 2's First Name

Sibling 2's Last Name

Sibling 2's Age

Sibling 2's School

Sibling 2's Current Grade

Sibling 3's First Name

Sibling 3's Last Name

Sibling 3's Age

Sibling 3's School

Sibling 3's Current Grade

* Address

* City

* State

* Zip

Address 2

If different from Address 1

City

State

Zip

* Are you a B'nai Amoona Member?

Congregation Affiliation

Camp Schedule

* Please select your child's birthdate range:

* Please choose which days you need care:

Please Select OneI need care Monday - Friday (at the same time)I need care on different days / timesPlease note, the schedule will stay the same for each week of camp.

* Monday - Friday

I do not need careI need early drop off: 8:00 - 8:30 am8:30 - 12 pm8:30 - 1 pm8:30 - 3:30 pmLate Day pickup at 4:00 pmLate Day pickup at 4:30 pmLate Day pickup at 5:00 pmLate Day pickup at 5:30 pmPlease choose all that apply

*When choosing late pickup, please note the latest time slot you will need for pickup.

* Monday

* Tuesday

I do not need careI need early drop off: 8:00 - 8:30 am8:30 - 12 pm8:30 - 1 pm8:30 - 3:30 pmLate Day pickup at 4:00 pmLate Day pickup at 4:30 pmLate Day pickup at 5:00 pmLate Day pickup at 5:30 pmPlease choose all that apply.

*When choosing late pickup, please note the latest time slot you will need for pickup.

* Wednesday

I do not need careI need early drop off: 8:00 - 8:30 am8:30 - 12 pm8:30 - 1 pm8:30 - 3:30 pmLate Day pickup at 4:00 pmLate Day pickup at 4:30 pmLate Day pickup at 5:00 pmLate Day pickup at 5:30 pmPlease choose all that apply.

*When choosing late pickup, please note the latest time slot you will need for pickup.

* Thursday

I do not need careI need early drop off: 8:00 - 8:30 am8:30 - 12 pm8:30 - 1 pm8:30- 3:30 pmLate Day pickup at 4:00 pmLate Day pickup at 4:30 pmLate Day pickup at 5:00 pmLate Day pickup at 5:30 pmPlease choose all that apply.

*When choosing late pickup, please note the latest time slot you will need for pickup.

* Friday

I do not need careI need early drop off: 8:00 - 8:30 am8:30 - 12 pm8:30 - 1 pm8:30 - 3:30 pmLate Day pickup at 4:00 pmLate Day pickup at 4:30 pmLate Day pickup at 5:00 pmLate Day pickup at 5:30 pmPlease choose all that apply.

*When choosing late pickup, please note the latest time slot you will need for pickup.

I understand I am being charged a $50 non-refundable fee to be placed on the waitlist. In the event that a space opens up and I accept it I understand I will be charged a $200 registration fee.