Registration | Camp Ayala

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Family

Your family information

Family last name*

Home phone*

Marital status*

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Affiliation/Shul/Community*

Address

Your home address

Address*

Address 2

City*

State*

Zip*

Father's Information

Contact details for father/guardian

Father's Title*

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Father's first name*

Father's phone number*

Father's email address*

Father's occupation*

Mother's Information

Contact details for mother/guardian

Mother's Title*

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Mother's first name*

Maiden name*

Mother's phone number*

Mother's email address*

Mother's occupation*

Additional Information

Please complete the following

How did you hear about Camp Ayala*

Emergency Contact 1

Someone we can reach in case of emergency

Emergency contact name*

Emergency contact Phone*

Emergency contact Relationship*

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Emergency Contact 2

Someone we can reach in case of emergency

Emergency contact name*

Emergency contact Phone*

Emergency contact Relationship*

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Campers

Fill out each camper's information below

Payment Information

Review your charges and make a payment

Fees and Payments:

Total Camp Fee:

Campers:

Camp Ayala- $3,350

Ayala Elite- $3,500

Camp fee includes all trips, activities, and laundry services.

Camp fee does not include camp sweatshirt, transportation, luggage, or medical expenses

A credit card on file is required.

Haff Staff:

Camp Fee- $2,500

Camp fee includes all trips, activities, and laundry services.

Camp fee does not include camp sweatshirt, transportation, luggage, or medical expenses.

A credit card on file is required.

Junior Staff:

Camp fee: $975

Camp fee includes all trips, activities, and laundry services.

Camp fee does not include camp sweatshirt, transportation, luggage, or medical expenses.

A credit card on file is required

Payment Schedule:

Campers, Haff Staff, and Junior Staff:

Deposit- $50

The deposit is due with the application and is only refundable if the applicant is not accepted.

Campers and Haff Staff:

Registration Fee: $800

Upon acceptance, the card on file will be charged for $800 and the amount will be deducted from the camp fee

The registration fee is only refundable within 48 hours of acceptance.

Once payment is received, the slot is confirmed.

The camp office will send an invoice to each parent. The remaining balance may be paid in full at one time or divided into three installments, due on February 1, March 1, and April 1. Parents may choose to pay the balance at once or set up automatic payments on the dates listed above.

Junior staff:

Upon acceptance, the card on file will be charged for the remaining balance.

This fee is only refundable within 48hours of acceptance.

No Campers, Haff Staff, or Junior Staff will be admitted to camp without full payment. All fees must be paid in full prior to the start of camp. No exceptions will be made.

Remaining Camp Fee- Cancellation Policy:

Cancellation Terms: Campers and Haff Staff Only

Cancellations before April 1, 2026- Eligible for a 50% refund of tuition paid, minus the $800 registration fee.
Cancellations on or after April 1, 2026- No refunds will be issued.
Unpaid Tuition by April 1, 2026- If full tuition is not received by this date, your camper’s slot may be released to another family. In such cases, no refund will be provided.
Prior payments cannot be transferred to another camper or held as credit

Total	$0.00
Balance	$0.00

Payment method*

A minimum deposit of $50.00 will be due

Complete camper details above to calculate the exact amount.

Disclosures & Consent

Please review and agree to the following

Terms and Conditions: Upon acceptance, the card on file will be charged for $800 and the amount will be deducted from the camp fee The registration fee is only refundable within 48 hours of acceptance. Cancellations before April 1, 2026, are eligible for a 50% refund of tuition paid, minus the $800 registration fee. I expressly acknowledge and agree that after this period, I waive any right to dispute, charge back, or reverse the deposit payment through my credit card provider or any other payment platform. This policy remains in effect regardless of any later withdrawal, cancellation, or failure to attend for any reason. Due to the seasonal nature of summer camp and the limited space available, we will not remunerate for late arrivals, early departures, or absences, including early dismissal of a camper by the administration. It is understood and agreed that, if a camper leaves camp grounds without permission of the Camp Director, or, if a camper damages or defaces camp property, or, if a camper's conduct is not up to the camp's standards, the camper will be dismissed at the sole discretion of the Director with no refunds. Waiver of Liability, Release, and Indemnification Agreement: In consideration of my child’s participation in any and all activities, programs, and trips organized by Camp Ayala (hereinafter referred to as “the Camp”), I, the undersigned parent or legal guardian, hereby agree to the following terms: Acknowledgment of Risk I understand that participation in camp activities, including but not limited to sports, swimming, trips, transportation, recreational outings, and other camp-related programs, involves certain inherent risks of injury, illness, property damage, or other loss. I voluntarily accept and assume all such risks on behalf of my child. Release and Waiver: I hereby release, waive, and discharge Camp Ayala, its directors, officers, staff, volunteers, agents, representatives, and affiliates from any and all liability, claims, demands, or causes of action whatsoever arising out of or related to any loss, damage, or injury—including illness or death—that may be sustained by my child or to any property belonging to my child, whether caused by negligence or otherwise, while participating in any camp activity, trip, or related event. Indemnification I agree to indemnify and hold harmless Camp Ayala. its employees, agents, and volunteers from any loss, liability, damage, or cost, including court costs and attorney’s fees, that may arise as a result of my child’s participation in camp activities. Transportation and Trips I grant permission for my child to participate in all camp trips and outings, whether on foot or by vehicle, and acknowledge that this waiver applies fully to all such off-site activities. Medical Authorization and Parental Consent In the event of an accident, illness, medical or surgical emergency, I hereby authorize the Camp Director, Program Director, Doctor, Nurse, or any administrative personnel, if unable to contact me, to act for me according to their best judgment with respect to the care of my daughter, including any medical and surgical care. I understand that every effort will be made by the camp administration to contact me immediately in the event of an emergency. I hereby release Camp Ayala and all persons connected therein from all liability and responsibility in the performance of the above acts and medical services. I understand that I am financially responsible for all costs and expenses which are not covered by my medical insurance. Limited medical services are provided through the camp infirmary and camp nurses. Off-site medical services and medications deemed necessary by the camp medical staff, or by the parents, shall remain the responsibility of the parents. I grant permission to the camp to charge my credit card on file for all such charges. Personal Belongings: Camp Ayala will make every effort to protect the personal belongings of every camper. However, the camp is not responsible or liable for equipment or personal property (including money or jewelry) of any camper - while in transit or at camp - whether the equipment or personal property is lost, stolen, or damaged by fire, laundering, or any other cause. I have read and fully understand this Waiver of Liability and Release. I acknowledge that I am signing this agreement freely and voluntarily and that it is intended to be a complete and unconditional release of liability to the greatest extent permitted by law. I have read and agree to the terms and conditions above. By signing this form, I give Camp Ayala permission to charge my card the total amount due as indicated on my tuition contract, if applicable.

I agree to receive text messages from Camp Ayala about important updates, reminders, schedule changes, billing/account notices, and occasional announcements or marketing promotions. Mobile opt-in data will not be shared with third parties for promotional and marketing purposes. Message frequency may vary. Msg & Data rates may apply. Reply STOP to unsubscribe. Text HELP for help. Consent is not a condition of enrollment. View our Privacy Policy and Terms & Conditions.

I am the parent/guardian and consent to providing my children's information. I agree to the Terms of Service and Privacy Policy.

We collect camper health, contact, and program data. You may request access or deletion via the camp office.

Signature

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Parent signature

Print name*

Date of signature