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Soloway JCC is a place of discovery and connection for people of all ages.

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21 Nadolny Sachs Private

Ottawa, Ontario K2A 1R9

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Hours

Sunday8:00 am – 6:00 pm
Monday – Thursday6:00 am – 9:00 pm
Friday6:00 am – 7:00 pm
Saturday*8:00 am – 4:00 pm

*No business is transacted at the SJCC on Saturdays

The Soloway JCC is a beneficiary agency of the Jewish Federation of Ottawa

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Camp Scholarship Form

• Scholarship Applications must include the most recent Revenue Canada Notice of Assessment for both parents. • All completed forms must be submitted by February 28, 2025. • Scholarship applicants are not guaranteed a spot in Summer Camp until a mutual agreement of camp fees is reached. • Scholarships will be awarded on a first-come first-served basis.

1.Camper Name

First Last

Birthdate

MM slash DD slash YYYY

Camp

Day Camp

Sports Camp

Specialty Camps*

C.I.T.

*If you chose Specialty Camps, please specify which Camp(s).

Day Camp

Please indicate which week(s) you would like your child to attend Day Camp.

Week 1: June 29 – July 3

Week 2: July 6 – July 10

Week 3: July 13 – 17

Week 4: July 20 – 24

Week 5: July 27 – 31

Week 6: August 4 – 7

Week 7: August 10-14

Week 8: August 17-21

Sports Camp

Please indicate which week(s) you would like your child to attend Sports Camp.

Week 1: June 29 – July 3

Week 2: July 6 – July 10

Week 3: July 13 – 17

Week 4: July 20 – 24

Week 5: July 27 – 31

Week 6: August 4 – 7

Week 7: August 10-14

2. Camper Name

First Last

Birthdate

MM slash DD slash YYYY

Camp

Day Camp

Sports Camp

Specialty Camps*

C.I.T.

*If you chose Specialty Camps, please specify which Camp(s).

Day Camp

Please indicate which week(s) you would like your child to attend Day Camp.

Week 1: June 29 – July 3

Week 2: July 6 – July 10

Week 3: July 13 – 17

Week 4: July 20 – 24

Week 5: July 27 – 31

Week 6: August 4 – 7

Week 7: August 10-14

Week 8: August 17-21

Sports Camp

Please indicate which week(s) you would like your child to attend Sports Camp.

Week 1: June 29 – July 3

Week 2: July 6 – July 10

Week 3: July 13 – 17

Week 4: July 20 – 24

Week 5: July 27 – 31

Week 6: August 4 – 7

Week 7: August 10-14

3. Camper Name

First Last

Birthdate

MM slash DD slash YYYY

Camp

Day Camp

Sports Camp

Specialty Camps*

C.I.T.

*If you chose Specialty Camps, please specify which Camp(s).

Day Camp

Please indicate which week(s) you would like your child to attend Day Camp.

Week 1: June 29 – July 3

Week 2: July 6 – July 10

Week 3: July 13 – 17

Week 4: July 20 – 24

Week 5: July 27 – 31

Week 6: August 4 – 7

Week 7: August 10-14

Week 8: August 17-21

Sports Camp

Please indicate which week(s) you would like your child to attend Sports Camp.

Week 1: June 29 – July 3

Week 2: July 6 – July 10

Week 3: July 13 – 17

Week 4: July 20 – 24

Week 5: July 27 – 31

Week 6: August 4 – 7

Week 7: August 10-14

4. Camper Name

First Last

Birthdate

MM slash DD slash YYYY

Camp

Day Camp

Sports Camp

Specialty Camps*

C.I.T.

*If you chose Specialty Camps, please specify which Camp(s).

Day Camp

Please indicate which week(s) you would like your child to attend Day Camp.

Week 1: June 29 – July 3

Week 2: July 6 – July 10

Week 3: July 13 – 17

Week 4: July 20 – 24

Week 5: July 27 – 31

Week 6: August 4 – 7

Week 7: August 10-14

Week 8: August 17-21

Sports Camp

Please indicate which week(s) you would like your child to attend Sports Camp.

Week 1: June 29 – July 3

Week 2: July 6 – July 10

Week 3: July 13 – 17

Week 4: July 20 – 24

Week 5: July 27 – 31

Week 6: August 4 – 7

Week 7: August 10-14

Parent 1 Name

First Last

Birthdate

MM slash DD slash YYYY

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Occupation

Employer

Annual Income

Parent 2 Name

First Last

Birthdate

MM slash DD slash YYYY

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Occupation

Employer

Annual Income

Number of people living in household

All children in family

First Last

Birthdate

MM slash DD slash YYYY

First Last

Birthdate

MM slash DD slash YYYY

First Last

Birthdate

MM slash DD slash YYYY

First Last

Birthdate

MM slash DD slash YYYY

If you own property:

Cost

$

Mortgage

If renting: monthly rent amount

Landlord's Name

First Last

Phone

Amount of Family Allowance Received

Other Household Income

Are you a Soloway JCC Member?

Yes

No

How much of the camp fee are you willing to pay (per child)?

Parent 1: Most recent Revenue Canada Notice of Assessment

Max. file size: 128 MB.

Parent 2: Most recent Revenue Canada Notice of Assessment

Max. file size: 128 MB.

Full legal name (serves as your digital signature)(Required)

Residence Phone

Business Phone

Other Comments

Pick Up Authorization

Please list people authorized to pick up your child/children at the end of camp day.

Email

This field is for validation purposes and should be left unchanged.

Camper(Required)

Camp/Group(Required)

Approved Adults for Pickup

Please list people authorized to pick up your child/children at the end of the camp day.

Approved Pickup Contact #1

First Last

Relationship to Child

Approved Pickup Contact #2

First Last

Relationship to Child

Approved Pickup Contact #3

First Last

Relationship to Child

Approved Pickup Contact #4

First Last

Relationship to Child

Parent Signature

If a person other than those listed here will be picking up your child please notify the camp office or your child’s counsellor prior to pick up.

Parent Name(Required)

Soloway JCC

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