Pick up request form - ChabadRochester.com

Pick up or drop off form
If you need to make arrangements to pick up or drop off your child during camp hours, please fill out this form as soon as possible so that we can be ready for you. For the Mini and Girls division please come to the Monroe Ave entrance, for the Boys division please come to the Winton Rd. entrance.

When you arrive please contact the appropriate division head
Mini GI - Morah Esther at 585-743-2923
Girls Division - Brina Korf at 773-273-1806
Boys Division - Rabbi Caro at 585-415-1572
Parent Name*

First Name Last Name
Parent Number*
Campers Name*
Campers Bunk
I would like to:*

Bring my child late to campPick up during camp till end of dayPick up and return
Pick up time

Month Day Year
at Hour Minutes
Drop off time

Month Day Year
at Hour Minutes
Comments
Should be Empty:

This page uses TLS encryption to keep your data secure.

Pick up or drop off form