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Lech~Lecha לך לך Teen Treks Application 2022
Lech-Lecha לך-לך will be facilitating four, 6-day Teen Treks this coming summer.
We will be in touch shortly after the application's completion.
Upon acceptance, additional information including medical forms and a deposit will be requested.
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* Indicates required question
Email
*
Your email
Parent/Guardian Full Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Secondary Contact Name and Phone Number
Your answer
Camper First Name
*
Your answer
Camper Last Name
*
Your answer
Camper Gender
*
Female
Male
Other:
Date of Birth
*
Campers must be at least 13 years of age in order to participate.
Your answer
Camper Phone Number
*
Helping campers stay connected following our journey.
Your answer
Where do you live?
*
Your answer
Trek Choice
*
Which session would you like to attend?
Rocky Rollercoaster, June 21 - June 26, Southern Pennsylvania Appalachian Trail
Farming Week, August 9 - 14, Living Tree Alliance, VT
Catskills Scramble, Aug 23 - Aug 28, Catskill Mountains
Required
Reference
*
Please share the name, email address, and phone number of a reference for your teen. It could be a camp director, school teacher, synagogue Rabbi, etc.
Your answer
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