Camperships Application

Application for Federation Campership for Jewish Summer Overnight Camp

Name of Camper

Home Address

Date of Birth

Congregation

Grade level

School Name

Parent Information

Name

Address

Phone Number

Would you like to add another parent's information?

Name of Camp

Camp Dates

Total Camp Costs

Please attach a receipt from the Jewish Camp that you have submitted to.

Proof of Payment

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Acknowledgement*

By checking this box, I attest that all information provided is true and complete to the best of my knowledge.