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?"

Child 1

First Name

Last Name

2024-2025 Grade

Gender

Child 2

First Name

Last Name

2024-2025 Grade

Gender

Child 3

First Name

Last Name

2024-2025 Grade

Gender

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?

Sports Major of Interest

BasketballBaseballSoccerTennisSwimmingCheer & DanceGolfGymnasticsSoftballBoy's LacrosseGirl's LacrosseBoy's VolleyballGirl's VolleyballFlag Football

Additional Comments

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