Youth Interfaith Service Day Camp Registration - Week 1

This form will reserve a spot for your student at the 2019 Youth Interfaith Service Day Camp (week 1: June 17-21).  Registration is not complete until the Liability Waiver, Photo Release and Community Behavior Agreement have been signed and returned and any outstanding payment has been received.   

Registration Rate - $100/student

You will have the option of paying online via credit card OR by mail via check. 

* denotes a required field

Student's Information

Student's Contact Info

Student's Mailing Address


Parent / Guardian Information

Medical Information

Waiver and Community Behavior Agreement

Please note that, after sign-up is complete, you will receive by email a Liability Waiver, Photo Release and Community Behavior Agreement for parents / guardians to review and with their students. The signed forms can be returned by mail or email to the Kaufman Interfaith Institute (directions will be included along with the forms).


Schedule Considerations

The 2019 Youth Interfaith Service Day Camp will run June 17-21, Monday through Friday. Each day, students will be dropped off at 8:30 a.m. and picked up at 3:30 p.m. at the Kent Career Technical Center. Students are expected to be present for all portions of the camp.

Human Verification *



Page last modified April 29, 2022