Camp Havdalah and Pool Party 11/16/2019

* How many adults will be coming? (including parents)

* Adult 1 First Name

* Adult 1 Last Name

* Adult 1 Cell Number

* Adult 1 Email

* What is your relationship to the child coming?

Adult 2 First Name

Adult 2 Last Name

Adult 2 Cell Number

Adult 2 Email

What is your relationship to the child coming?

Adult 3 First Name

Adult 3 Last Name

Adult 3 Cell Number

Adult 3 Email

What is your relationship to the child coming?

Adult 4 First Name

Adult 4 Last Name

Adult 4 Cell Number

Adult 4 Email

What is your relationship to the child coming?

* How many children will be coming?

* Child 1 First Name

* Child 1 Last Name

* What grade is your child in?

* Is Your Child Already Associated with a URJ Camp? Which One?

* Child 2 First Name

* Child 2 Last Name

* What grade is your child in?

* Is Your Child Already Associated with a URJ Camp? Which One?

* Child 3 First Name

* Child 3 Last Name

* What grade is your child in?

* Is Your Child Already Associated with a URJ Camp? Which One?

* Child 4 First Name

* Child 4 Last Name

* What grade is your child in?

* Is Your Child Already Associated with a URJ Camp? Which One?

Total Due

Fri, December 13 2019
15 Kislev 5780

Contact Us

If you have any questions, please contact:

Haley Breskin
e: hbreskin@cbebk.org

Fri, December 13 2019 15 Kislev 5780