Registration Please enter your details to register today. How many children are you registering?123Child 1 Name* First Last Hebrew NameDOB* Date Format: MM slash DD slash YYYY Age*School*Current GradeSecond ChildChild 2 Name* First Last Hebrew NameDOB* Date Format: MM slash DD slash YYYY Age*School*Current GradeThird ChildChild 3 Name* First Last Hebrew NameDOB* Date Format: MM slash DD slash YYYY Age*School*Current GradeParent InformationFather's Name* First Last Father's Cell*Father's Email* Mother's Name* First Last Mother's Cell*Mother's Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of?*YesNoWill you be requesting a scholarship? This should not deter any parents from requesting a scholarship. We ask this question for informational purposes.*YesNoPlease describe them and indicate special precautions or care needed.Upon submitting this form, you will be redirected to a payment page to submit a $150 non-refundable registration fee. This will be applied to your final camp tuition fee.We look forward to a fantastic summer camp season! Additional forms (medical, transportation…) will be required upon acceptance. If you’re requesting a scholarship, an email will be sent to you with available scholarship opportunities.