1. Camper's Information
  2. *
  3. *
  4. Male Female
  5. *
  6. *
  7. *
  8. *
  9. *
  10. *
  12. Parent's Information
  13. *
  15. *
  16. *
  17. *
  18. *
  20. *
  21. *
  22. *
  23. Other Information
  24. Education
  27. Jewish Education
  32. Yes No
  34. Other Camp Experience
  37. In Case Of Emergency / Absence Notify
  38. *
  39. *
  40. *
  41. *
  42. *
  43. *
  44. *
  1. Personal And Confidential Information

  2. (To be completed by Parent or Guardian)

    To provide your camper with the most beneficial summer possible, this section must be completed in full.

  6. Yes No
  7. Yes No
  9. Yes No
  11. Divorced Seperated N/A
  12. Mother Father N/A
  13. Mother Father N/A
  14. Brothers Yes No
  15. Ages
  16. Sisters Yes No
  17. Ages
  18. Yes No
  22. Yes No
  23. Yes No