Parent/Guardian
First Name
Last Name
Email
Phone
Zip / Postal
I would like to add a second adult.
Parent/Guardian 2
First Name
Last Name
Email
Phone
How many children are interested in camp?"
Please select...
1
2
3
4+
Child 1
First Name
Last Name
Grade as of Fall 2022
Please select...
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Gender
Please select...
Male
Female
I would like to add more information about my child's gender identity.
Child 2
First Name
Last Name
Grade as of Fall 2022
Please select...
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Gender
Please select...
Male
Female
I would like to add more information about my child's gender identity.
Child 3
First Name
Last Name
Grade as of Fall 2022
Please select...
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Gender
Please select...
Male
Female
I would like to add more information about my child's gender identity.
Children 4+
Please enter information about additional children here:
I am interested in learning more about:
URJ 6 Points Sports Academy (Asheville, NC)
URJ 6 Points Creative Arts Academy (West Chester, PA)
URJ 6 Points Sci-Tech Academy East (Byfield, MA)
My region’s general camp
If you are a member of a Reform congregation, which one?
How did you hear about us?
Please select...
I heard from my congregation.
I heard from my federation.
Someone in my family is a URJ Camp Alum.
I heard from a current camper.
I heard at the URJ Biennial.
I heard at NFTY Convention.
I heard at a NFTY Regional Event.
I heard at a Camp Fair (not at a congregation).
I heard on social media.
I found this website by searching online.
None of these.
Sports Major of Interest
Basketball
Baseball
Soccer
Tennis
Swimming
Cheer & Dance
Golf
Gymnastics
Softball
Boy's Lacrosse
Girl's Lacrosse
Boy's Volleyball
Girl's Volleyball
Additional Comments
By submitting this form, you agree to receive information from URJ camps about summer programming.
reCAPTCHA helps prevent automated form spam.
The submit button will be disabled until you complete the CAPTCHA.
Read the URJ's
Privacy Statement & Terms of Use