Camp Moshava Family Camp Registration 2019
Welcome to the Habonim Dror Camp Moshava Family Camp Registration Form!! We are excited for you and your family to join us at Mosh this summer!

DATES
Family Camp will be held Friday, August 16, 2019 - Sunday, August 18, 2019 at Habonim Dror Camp Moshava, 615 Cherry Hill Road, Street, MD 21154.  

REGISTRATION
Registration is required and must be received by July 1, 2019. Registration is complete when we have received your completed application and deposit.

ACCOMMODATIONS
There are several options available! Families bring their own linens, towels and sleeping bags.
Bath houses with hot water are located in close proximity to the cabins.
1. Shared cabins with twin size single and bunk beds.
2. Single cabins may be available depending on registration numbers.
3. Tent camping  - pitch your own tent!

TUITION
The cost is $150/adult; $100/child; children under age 2 are free.  
A $100 deposit is required with the registration application.  The deposit is fully refundable until May 1, 2019. After May 1, 2019, all tuition paid minus the $100 deposit will be refunded if a family withdraws from the program. There will be no refunds after July 1, 2019. Full tuition payment is due by May 1, 2019. Any registration applications received after May 1st must be accompanied with payment in full. Registration will close on July 1, 2019.

Tuition includes accommodations, meals, programming and a camp t-shirt.

Questions? Email abby@campmosh.org.
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Email *
Parent 1: First and Last Name *
Parent 1: Pronoun *
Please tell us what pronouns you use.
Parent 1: Primary Phone Number *
Parent 1: Address *
Parent 1: Email *
Parent 1: T-shirt size (available sizes are Adult Small, Medium, Large, X-Large, 1XL, 2XL) *
Parent 2: First and Last Name
Parent 2: Pronouns
Parent 2: Primary Phone Number
Parent 2: Address (if different from above)
Parent 2: Email
Parent 2: T-shirt size
Child 1: First and Last Name *
Child 1: Pronouns *
Child 1: Date of Birth *
Child 1: Email (if applicable)
Child 1: T-shirt size (Available sizes are Youth X-Small, Small, Medium, Large) *
Child 2: First and Last Name
Child 2: Pronouns
Child 2: Date of Birth
Child 2: T-shirt size
Child 3: First and Last Name
Child 3: Pronouns
Child 3: Date of Birth
Child 3: T-shirt size
Emergency Contact 1: First and Last Name *
Please list the name of who we should contact in case of emergency.
Emergency Contact 1:  Phone Number (s) *
Please list one or two phone numbers.
Emergency Contact 2:  First and Last Name *
Emergency Contact 2:  Phone Number(s) *
Please indicate your housing preference for Family Camp. *
We will do our best to honor all requests.
If anyone in your family has food allergies or dietary restrictions, please list the person's name and dietary needs below.
All meals will be kosher. Vegetarian options will be available for meat meals.
How did you hear about Camp Moshava's Family Camp? *
Required
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