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Gan Chabad Camp 2022/5782
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Child’s Name
*
Your answer
Child's Hebrew Name:
Your answer
Child’s Birthday
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MM
/
DD
/
YYYY
Hebrew Birthday:
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Father’s Name
*
Your answer
Mother’s Name
*
Your answer
Address
*
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Father’s Phone Number
*
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Mother’s Phone Number
*
Your answer
Father’s Email
*
Your answer
Mother’s Email
*
Your answer
Emergency Contact 1 - Name, Phone number, Relation
*
Your answer
Emergency Contact 2 - Name, Phone Number, Relation
*
Your answer
Camp enrollment is available by week. Hours are 9am - 1pm. 3 (mwf) or 5 day option
*
Option 1
Week 2 (June 13-17): 3 days
Week 3 (June 20-24): 3 days
Week 4 (June 27-July1): 3 days
Week 1 (June 7-10): 5 days
Week 2 (June 13-17): 5 days
Week 3 (June 20-24): 5 days
Week 4 (June 27-July1): 5 days
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