How did you hear about Summer at SEM?

Family/Friend Mailed Postcard Social Media Camp Fair Returning Camper Buffalo News magazine Spree Business 1st WNY Family The Bee Elmwood Village newsletter The Public newspaper Artvoice Jewish Journal

Number of campers registering

If sisters are not registering for the same weeks, please use separate forms.

1 2 3

Camper's First Name:*

Last Name:*

Birthdate:* (mm/dd/yyyy)

School:*

Grade in Sept '18:*

T-shirt size:*

Sibling 2 First Name:*

Last Name:*

Birthdate:* (mm/dd/yyyy)

School:*

Grade in Sept '18:*

T-shirt size:*

Sibling 3 First Name:*

Last Name:*

Birthdate:* (mm/dd/yyyy)

School:*

Grade in Sept '18:*

T-shirt size:*

Parent's Name:*

Address:*

Town:*

State*

Zip code:*

Home Phone:

Cell Phone:

Choose your weeks - $350 for one week

WK 1 / June 25 - June 29 - For entering 5th and 6th graders ONLY! WK 2 / July 2 - 6 - Short week - $70 less WK 3 / July 9 - 13 WK 4 / July 16 - 20 WK 5 / July 23 - 27 WK 6 / July 30 - Aug 3

How many weeks of camp did you just choose?*

Which weeks do you need early drop off?

Which weeks do you need late pick up?

Which weeks do you need early drop off?

Which weeks do you need late pick up?

Which weeks do you need early drop off?

Which weeks do you need late pick up?

How many campers are you registering for Week #2? Week 2 is only 4 days because of the holiday. The credit will be deducted from the total.

One Two Three

Total Due**

Your registration will be processed as soon as a minimum of $100 deposit is received.
The total due must be paid before camp begins in June.

Payments may be made by credit card online by choosing the "Make A Payment" button on the main camp webpage. You may also mail or drop off a check to:

Buffalo Seminary
Summer at SEM
205 Bidwell Parkway
Buffalo, NY 14222

Please call (716) 885-6780 with any questions.