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OORAH'S GIRL ZONE APPLICATION - 2008 Season

We will NOT process your application unless it is completed in full. If it is not applicable to you,
please write "None".

Family Information
Camper's Last Name Camper's First Name
Age    
Father's Last Name Father's First Name
Occupation Business Phone
Cell Phone    
Mother's Last Name Mother's First Name
Occupation Business Phone
Cell Phone    
Address Apt #
City State
Zip    
Home Phone Email Address
Emergency Contact Contact Number
Parent's Marital Status Married Separated Divorced Widowed
If Separated, widowed or divorced, who does your child stay with?                        
How many siblings? Ages
Schools they attend:
 
Camper Information
Date of Birth Country of Birth
Social Security # Preferred Name
Email Address Cell Phone
Grade you are in School Attending
Attended Since Hebrew Teacher
Previous Schools
Previous Camps
Other friends attending:
Special skills or interests:
How did you spend your last summer?
Why do you want to come to our camp?
Any Special Instructions for this Camper (allergies, medications):
How did you hear about us?    
List  two references of school Principal, Rabbi, Teacher, Counselor or Community Rabbi.
Name Daytime Phone Evening Phone Position
1.
2.
Status of Applicant Born Jewish Converted Not Jewish
Status of Father Born Jewish Converted Not Jewish
Status of Mother Born Jewish Converted Not Jewish
If converted, date of conversion Officiating Rabbi
Religious Status of Family (keep Kosher at home, keep Kosher out of home, keep Shabbat, keep Holidays, daily Prayer, Shabat Prayer, etc.)
Synagogue affiliated with Rabbi's Name
Rabbi's Phone    
 
Camp Dates of Summer 2008
June 27th - July 29th
 
Camp Fees
Girl Zone (Ages 9-14) Teen Zone (going into 10, 11, 12 Grades) Discover U (Ages 18-25
$1099 $1149 Visit: www.youdiscover.org
 
Payment Policy
A deposit of $200 is required at the time of registration. We accept check, credit card, or money orders. Money will be refunded if the camper is not accepted.
 
Credit Card Information
Credit Card Number Expiration Date
Security Code Name on Card
Applications received without a deposit for each camper will not be processed.
No refund of deposits for cancellations after May 1. Payment in full must be received by May 15.
For scholarship information please call us at 1.877.447.5966 ext. 461 or download the financial aid application.
For additional assistance, contact your local federation or visit the Foundation for Jewish Camping at jewishcamping.org
Parent's signature Date

 
 
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