New Student Camp Application Parent Name 1 * First Name Last Name Email * Phone * (###) ### #### Parent Name 2 * First Name Last Name Email Phone (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Your Child's Name * First Name Last Name Your Child's Birthday * MM DD YYYY Age * Child's Gender * How did you hear about us? * Is the child's mother Jewish by birth or by choice? * By Birth By Choice Is the child's father Jewish by birth or by choice? * By Birth By Choice Which camp sessions are you interested in? * Select all that apply: Session 1 June 4-27 Session 2 June 30-July 25 Which days per week? * Select all that apply: Monday Tuesday Wednesday Thursday Friday Which hours? * Select all that apply. If choosing "Full Day" that should be your only selection. Early care 8:00-9:00 Core Day 9:00-1:00 Enrichment 1:00-3:00 Extended Day 3:00-6:00 Full Day 8:00-6:00 Anything you'd like us to know: Thank you for submitting your New Student camp application. We will reach back out to you within 24-48 hours (or after the weekend/holiday) to confirm space and availability.