L'Chaim Camp Member information
Date
(required)
Parent Name
(required)
Registering Parent name
Parent Cell Phone
(required)
Registering Parent Cell Phone
Address 1
(required)
Address 2
City
(required)
Zip Code
(required)
Email address
(required)
Camp weeks Registration
Registered Weeks
(required)
Week 1 - 06/21 - 06/25
Week 2 - 06/28 -07/02
Week 3 - 07/05 - 07/09
Week 4 - 07/12 - 07/16
week 5 - 07/19 - 07/23
Week 6 - 07/26 - 07/30
Week 7 - 08/02 - 08/06
Week 8 - 08/09 - 08/13
Number of Kids
(required)
0
1
2
3
4
5
6
Number of kids being registered
Child(s) Information
Child 1 Name
(required)
Child 2 Name
(required)
Child 3 Name
(required)
Child 4 Name
(required)
Child 5 Name
(required)
Child 6 Name
(required)
Child 1 Age
(required)
Child 2 Age
(required)
Child 3 Age
(required)
Child 4 Age
(required)
Child 5 Age
(required)
Child 6 Age
(required)
Child 1 Comments
Child 2 Comments
Child 3 Comments
Child 4 Comments
Child 5 Comments
Child 6 Comments
Child 1 T-Shirt Size
Small
Medium
Large
X-Large
XX-Large
Child 2 T-Shirt Size
Small
Medium
Large
X-Large
XX-Large
Child 3 T-Shirt Size
Small
Medium
Large
X-Large
XX-Large
Child 4 T-Shirt Size
Small
Medium
Large
X-Large
XX-Large
Child 5 T-Shirt Size
Small
Medium
Large
X-Large
XX-Large
Child 6 T-Shirt Size
Small
Medium
Large
X-Large
XX-Large
Child 1 Gender
Male
Female
Child 2 Gender
Male
Female
Child 3 Gender
Male
Female
Child 4 Gender
Male
Female
Child 5 Gender
Male
Female
Child 6 Gender
Male
Female
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