Chai Hebrew School
Family Shul


Enroll now! for a experience that will last a lifetime...

Personal Information
* Camper's name 1 * Birthday
Camper's name 2 Birthday
Camper's name 3 Birthday
Father's name Father's Cell Phone
Mother's name Mother's Cell Phone
* Address: * City:
* State: * Postal Code:
* Home phone Email Address:


Emergency Information
Contact name 1 Contact phone
Contact name 2 Contact phone
Doctor's name Doctor's phone
Specific Health notes


Please check the information above and verify that all is correct.


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