Register

Camper Name(Required)

First Last

Address(Required)

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

Home Phone(Required)

Fathers Email(Required)

Mothers Email(Required)

Fathers Name(Required)

First

Fathers Cell Number(Required)

Mothers Name(Required)

First

Mothers Cell Number(Required)

School(Required)

Current Grade(Required)

T-Shirt Size(Required)

Rebbe's Name(Required)

Rebbe's Phone(Required)

Emergency Contact Information:

Name(Required)

Cell Number(Required)

Name(Required)

Cell Number(Required)

Camp Price

Early Bird (Until Jan. 1st): $1875

After Jan. 1st: $2125

By submitting your Credit Card below, we will charge you $500 ($250 for Early Bird) now and the remainder will be charged automatically over the next 5 months.

Deposit(Required)

Price:

Recurring(Required)

Credit Card

Register

Emergency Contact Information:

Camp Price

Ready to start?

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