Camp Merchandise Order Form 2017

Camp Merchandise Order Form

T-Shirts, Back Packs, Baseball Caps and Money Holders

JCC/Lillian Schwartz Day Camp at Henry Kaufmann Campgrounds

1131 Manor Road, Staten Island, NY 10314

Each Child receivies one FREE camp shirt (2 for Teen Travel only) and one FREE special Friday shirt.

Please use the order form below if you wish to purchase adiitional shirts or a camp back pack.

Contact Samantha Goodman at sgoodman@sijcc.com or 718.475.5285

Campers Name*

First Name

Last Name

Division*

Parent/ Guardian Name*

First Name

Last Name

Extra Camp T-Shirt (18CP201)

Price $10 each

$ 10.00

Quantity:

Please Choose Extra Camp T shirt Size

Extra Special Friday T-Shirt (18CP202)

Price $8 each

$ 8.00

Quantity:

Please Choose Extra Special Friday T shirt Size

Camp Back Pack (18CP200)

Price $15 each *Children registered for earlybird receive FREE camp back pack

$ 15.00

Quantity:

Baseball Cap (18CP204)

Price $15 each

$ 15.00

Quantity:

Money Holder (18CP203)

Price $4 each

$ 4.00

Quantity:

Total $

Payment Section

Card Number*

Billing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Name on credit card*

First Name

Last Name

Email*

Signature*

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Use your mouse or finger to draw your signature above