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Neranina
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This form is most user friendly when filled out on a computer and can’t be saved in progress.
Please be advised that you will need to fill out a separate application for each camper that is applying.
Bunk requests will be emailed at a later date and are not on this application.
Transportation Information:
Please note that we are offering transportation through Presidential Bus Service for our campers in Lakewood and for most areas of Toms River, Manchester, & Jackson. If we are unable to reach your area, we will let you know in the beginning of May. We expect that most of Jackson & Toms River will be ok for corner stops. Due to significant increases in bussing fees from our bus company for areas outside of Lakewood, the fee is higher for those areas.
Please note:
Due to major trips, there will be one day first half without AM transportation and one day second half without PM transportation.
Was anyone in your family enrolled in Neranina as a camper in 2024?
Yes
No
This application is for new families. As you are a returning family, please visit
portal.admirepro.com/neranina
and follow instructions to setup your portal and apply. Be sure to use the email associated with your account. If you have any questions, email
[email protected]
.
Did anyone in your family previously attend Neranina?
Yes
No
Did you apply and were not accepted to Neranina last summer?
Yes
No
Are you applying for any other children?
Yes
No
How many?
--Select--
1
2
3
What Grade is the other child entering?
--Select--
P
1
2
3
4
5
6
What Grade is the other child entering?
--Select--
P
1
2
3
4
5
6
What Grade is the other child entering?
--Select--
P
1
2
3
4
5
6
Is there anything else we should know about?
Account Information
Last Name
Home Number
Address
City
State
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip
08701
08514
08527
08533
08733
08759
08732
08735
08751
08753
08754
08755
08756
Will you be located at a different address for the summer?
--Select--
Yes
No
Number
Street
City
State
--Select--
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip
08701
08514
08527
08533
08733
08759
08732
08735
08751
08753
08754
08755
08756
Marital Status
--Select--
Married
Divorced
Separated
Widow
Widower
Primary Email
Secondary Email
Father
Father's Title
--Select--
Mr.
Rabbi
Dr.
Father's First
Father's Cell
Mother
Mother's Title
--Select--
Mrs.
Ms.
Dr.
Mother's First
Mother's Cell
Emergency Contact
Emergency Contact
Relationship to Camper
Emergency Contact Phone
Campers
First Name
Please Check Off Which Trips You Are Applying For
--Select--
First
Second
Full Summer
We are only able to provide transportation to Lakewood, Toms River, Jackson and Manchester zip codes.
Would you like transportation? ($150 per half)
--Select--
Yes
No
Would you like transportation? ($220 per half)
--Select--
Yes
No
Would you like transportation? ($150 per half)
--Select--
First Half Only
Second Half Only
Full Summer
None
Would you like transportation? ($220 per half)
--Select--
First Half Only
Second Half Only
Full Summer
None
DOB
Current Grade
--Select--
Kindergarten
Primary
1
2
3
4
5
Grade Entering in September
--Select--
Primary - Minors
1 - Soloists
2 - Duetos
3 - Trios
4 - Quartets
5 - Quints
6 - Majors
Your child's current and next year grade are the same, please correct.
Price
Does your child have any physical conditions, mental conditions or anything else we should know about?
--Select--
Yes
No
Please specify any physical conditions, mental conditions or anything else we should know about:
Allergies (fill out n/a if not applicable)
School
--Select--
Bais Faiga
Bais Faiga Hachodosh
Bais Rivka Rochel
Bais Tova
Bnos Bracha
Bnos Devora
Bnos Esther Malka
Bnos Hadassah
Bnos Melech
Bnos Orchos Chaim
Bnos Yaakov
Bnot Yisrael
Chein Bais Yaakov
Chinuch L’banos
Meoros
Moreshes
Masores Bnos Yisroel
Nachlas
Neemas
Shiras Chaim
Tehilas Chaya Sara
Tiferes Bais Yaakov
Tehilas Chaya Sara
Tiferes Bais Yaakov
Other
Other School
Current Hebrew Teacher Title
--Select--
Mrs
Miss
Current Hebrew Teacher Last Name
Which camp did you attend in 2024?
Does your daughter require extra behavioral support in school (such as a para or shadow)?
--Select--
Yes
No
Please email us before completing this application so we can discuss it together and be sure that camp will be a good fit for her.
Please upload camper's immunization records here. If you do not have records available at this time, please send them to
[email protected]
at a later date.
Choose file
Payment Information
Payment Schedule:
Upon Acceptance: Initial $250
per camper, per half
non-refundable deposit (this will be applied towards your total).
The remaining balance (including transportation fees, if applicable) will be split into 4 payments which will charged on the following dates:
February 20, 2025
March 20, 2025
April 23, 2025
May 21, 2025
A detailed breakdown of payments will be listed on your acceptance email.
CANCELLATION POLICY:
Prior to February 20th, 2025: $250 service fee per camper, per half.
February 20th – April 23rd, 2025: Additional $250 per camper, per half (total $500).
April 24th – May 21st, 2025: Additional $150 per camper, per half (total $650).
After May 21st 2025:
No refunds.
Payment
can be via credit card (a 3% processing surcharge will be added to credit card payments) or directly from your bank via eCheck (ACH) which does not have a processing surcharge. Following the initial deposit, all balances will be automatically charged per the above schedule. Please make sure to have sufficient funds available in your account on the scheduled dates. Please use the button below to complete your payment. If you'd like to make alternate payment arrangements after your initial deposit, please email
[email protected]
.
Enter Payment Method
×
I understand that if I choose credit card I will be charged an additional 3% processing surcharge
For ach payments, please fill out routing and account numbers as pictured below.
Tznius guidelines:
Camp Neranina strives to provide a Torahdik environment befitting a true Bas Yisroel. We appreciate your cooperation! The following are guidelines for girls entering first grade and up.
Skirts must cover the knees at all times & knee socks should be worn.
Necklines and elbows should always be covered.
Shirts with large words should not be worn.
Nail polish should not be worn.