Registration | Camp Shi'ini

To register for the 2013 summer session, please fill in the fields below completely. One you click continue, you will be directed to paying your deposit online via PayPal. If you prefer to enroll via mail or fax, please click here and select the downloadable form option.

Name of person enrolling campers(s): *

Relationship to Child: *

Phone number of person enrolling camper(s): *

Email address of person enrolling camper(s): *

Number of campers enrolling: *

Parents' Full Names: *

Home Address: *

City: *

Zip Code: *

Home phone number: *

Cellular phone number 1:

Cellular phone number 2:

Work phone number 1:

Work phone number 2:

Primary E-mail address: *

First Child

Child's Full Name: *

Child's gender: *

Child's Date of Birth: *

Child's School: *

Child's Grade: *

As of September 2013

Session: *

Child's Shirt Size: *

Requested Buddies:

You May Request Up-To-3 Friends To Be In Your Child's Group. They Must Be Within 9 Months Of Your Child's Age.

Second Child

Child's Full Name: *

Child's gender: *

Child's Date of Birth: *

Child's School: *

Child's Grade: *

As of September 2013

Session: *

Child's Shirt Size: *

Requested Buddies:

You May Request Up-To-3 Friends To Be In Your Child's Group. They Must Be Within 9 Months Of Your Child's Age.

Third Child

Child's Full Name: *

Child's gender: *

Child's Date of Birth: *

Child's School: *

Child's Grade: *

As of September 2013

Session: *

Child's Shirt Size: *

Requested Buddies:

You May Request Up-To-3 Friends To Be In Your Child's Group. They Must Be Within 9 Months Of Your Child's Age.

Fourth Child

Child's Full Name: *

Child's gender: *

Child's Date of Birth: *

Child's School: *

Child's Grade: *

As of September 2013

Session: *

Child's Shirt Size: *

Requested Buddies:

You May Request Up-To-3 Friends To Be In Your Child's Group. They Must Be Within 9 Months Of Your Child's Age.

Fifth Child

Child's Full Name: *

Child's gender: *

Child's Date of Birth: *

Child's School: *

Child's Grade: *

As of September 2013

Session: *

Child's Shirt Size: *

Requested Buddies:

You May Request Up-To-3 Friends To Be In Your Child's Group. They Must Be Within 9 Months Of Your Child's Age.