Full Name* First Name Last Name Child 1:* Child 2: Child 3: Child 4: Child 5: Are the child/ren Jewish? Please explain (mother born Jewish, conversions in family etc.)* Total tuition due without discounts * (click here for rates): How much of the tuition can you pay? * Please explain why you cannot pay the full amount: * How much more would you need? * Please explain if you receive funds for camp from family and other sources: * If asked to volunteer, in what are area will you be able to do so? * I attest that all information submitted on this application form is true and accurate. I understand that with filling in my name, I acknowledge that misrepresentation or omissions of material fact are grounds for disqualification. Additionally, I will not share my scholarship amount with others. Full Name* First Name Last Name Phone Number* Area Code Phone Number E-mail* Thank you for applying. Though there are no guarantees, our hope is to have a enough resources to fund your application. Please be patient as we try to get there. Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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