IT IS TIME TO REGISTER FOR 

 
SUMMER CAMP

Caspe Terrace
33158 Ute Avenue
Waukee, IA 50263
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Billing and Payment
Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. The phrase "8882448044 ONLINE REG FEE" will appear on your bank or credit card statement. Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
Please enter your full name in the space below.
 


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Registration inquiries:
Anissa Deay
anissa@dmjfed.org
515-987-0899 x 233
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Camper's Information
 


Parent/Guardian Information
 


Health Care Provider and Emergency Contact Information
 
Gan Shalom must have a copy of your child's current health care physical and immunization records. Forms can be faxed to (515) 987-3619. 
 


Gan Shalom Camp Summer Sessions
 
Monday-Friday 9:00 a.m. to 4:00 p.m.
 
2 Year Old Program * 5 Full-Days $210 per Week
3-4 Year Old Program * 5 Full- Days $200 per Week
(Flexible Scheduling Offered)
 

June 5- 9 SUMMER KICK OFF
June 12-16 INCREDIBLE INSECTS
June 19-23 CREATIVE COLORFUL ART
June 26-30 DINOSAUR DIG
July 3- July 7 BIG WHEELS
July 10-14 GET MOVING AT CASPE TERRACE
July 17-21 OUTERSPACE EXPLORATION
July 24-28 EXPLORING THE DEEP SEAS
July 31- August 4 CONSTRUCTION AND DEMOLITION
August 7-11 MAD SCIENCE
August 14-18 FAIR AND CARNIVAL TIME
June 5- 9 SUMMER KICK OFF
June 12-16 INCREDIBLE INSECTS
June 19-23 CREATIVE COLORFUL ART
June 26-30 DINOSAUR DIG
July 3- July 7 BIG WHEELS
July 10-14 GET MOVING AT CASPE TERRACE
July 17-21 OUTERSPACE EXPLORATION
July 24-28 EXPLORING THE DEEP SEAS
July 31- August 4 CONSTRUCTION AND DEMOLITION
August 7-11 MAD SCIENCE
August 14-18 FAIR AND CARNIVAL TIME


Before/Aftercare Options
 
Before Care  7:30 a.m. - 8:55 p.m. * $25.00 per week
After Care 4:00 p.m. - 5:30 p.m. * $25.00 per week
Both Before Care and After Care * $50.00 per week

Drop-off Care * $10.00 per day for either Before Care or After Care. Check with Director for Drop-off care availability. 
 
A Late Pick-up fee of $10.00 will be accessed after 5 minutes. 
 

 



Transportation Options
 
Transportation Daily
Morning pick-up at Tifereth Israel Synagogue. Bus leaving at 8:40 a.m.
Afternoon drop-off 4:15 p.m.at Tirereth Israel Synagogue.
 
$15 for one way or $20 for round trip, per week
 

 

 

These terms and conditions apply to Gan Shalom and those persons registering for and participating in Gan Shalom Camp.

Your child will only be released to you or to the persons you have listed. Emergencies may prevent you from picking up your child; therefore, include those individuals whom you would authorize in such events. If you want a person who is not identified as on the authorized pickup list, you must notify Gan Shalom in advance and in writing. Your child will not be released without prior written authorization.

If a child has not been picked up after closing and we have not heard from you, we will attempt to contact you and then the emergency contacts listed. Provisions will be made for someone to stay with your child as long as possible, but if we are unable to reach you or an
emergency contact after two hours, we will call the local child protective services agency. Repeated late pick-ups may result in dismissal from the programA late pick-up fee of $1.00 per child is payable for each minute your child(ren) remains after program closing.

Gan Shalom legally cannot deny access to or release of a child to either parent/guardian, unless there is an active restraining order, a specific schedule of court-ordered visitation rights, or other Court Order in place. If the family is not in agreement or the situation is unclear, we will require the family to return to the court to resolve their differences.

Prior to enrollment, you must give Gan Shalom a copy of health physical exam and immunization records for your child, which must be updated annually. Children without appropriate, current medical records may not attend Gan Shalom.

Sunscreen must provide UVB and UVA protection of an SPF of 15 or higher. Gan Shalom has permission to apply sunscreen that is clearly labeled with the child's name, within the expiration date, in original container. Gan Shalom provide and apply sunscreen to those children that do not have parent provided sunscreen. Sunscreen should be applied to a child at home to test for any allergic reactions. Aerosol sprays are prohibited.

If you are notified that your child is ill, you must pick up your child immediately. If your child is absent due to a reportable disease, your child may return only with a physician’s note indicating that he or she is no longer contagious.

In case of emergency, you agree that Gan Shalom has your permission to administer first aid or to obtain emergency medical treatment in the child's best interest.

The procedure for notifying families of closures or late openings due to severe weather or other conditions will be sent by text, e-mail or announced on KCCI. If it is necessary to close early, it will be your responsibility to arrange for your child’s early pickup. There will be no tuition credit for any time Gan Shalom is closed.

Gan Shalom takes photographs and videos of children enrolled at its centers on a regular basis for its business purposes. Gan Shalom retains all rights, title, and interest in these materials and may use and disseminate them in a variety of ways, in its sole judgment.

Billing and payment processing for Gan Shalom is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. The phrase "8882448044 ONLINE REG FEE" will appear on your bank or credit card statement. Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

Any person(s) signing this agreement, whether as a Member, co-signer or otherwise shall be jointly, severally and individually liable to Business and MSI for the full contract price as if such person signed as the Member. All persons signing this agreement assume responsibility for all costs of collection, including but not limited to collection agency fees, court costs, attorney's fees, and late charges that may be incurred in the event of a default. Any person (s) signing this agreement authorizes the use of a disclosed e-mail address for billing purposes and acknowledges that e-mail text may include financial information pertaining to the membership. Any person signing this agreement authorizes the use of a disclosed cell phone or telephone number for auto-dialed or pre-recorded voice calls and text messages for billing related issues including, but not limited to, expiring billing information, or overdue account balances.

If you wish to cancel your registration, you may cancel by delivering or mailing by certified mail, return receipt requested written notice to MSI and Gan Shalom Camp. If your notice of cancelation is received more than 10 days prior to camp, no administrative fee will be charged. Any cancelation received 10 days or fewer before camp shall result in a per person administrative fee equal to the lesser of $25 or 30% of the camp cost. MSI is not responsible for any refunds. Customer further agrees that once the registration is submitted, this Agreement is a legally binding and enforceable obligation of Customer.

All rights and obligations of the Business and Customer under this Agreement are subject to all applicable federal, state and local laws and regulations. These terms and conditions shall be deemed revised to conform to applicable statutes, rules, and regulations. Gan Shalom and/or MSI may modify the terms and conditions stated herein at any time in their sole and absolute discretion. Customer shall be bound by the modified Agreement and agree that no other modifications shall be enforceable. This Agreement constitutes the entire Agreement between the parties and supersedes all prior agreements between the parties, whether written or oral. The invalidity or unenforceability of any provision hereof shall not affect the validity or enforceability of any other provision. The waiver of any breach shall not constitute a waiver of any subsequent breach.
Check this box to indicate that you have read and agree to all of the above terms & conditions