Campaign ID

Camp ID

Congregation Preset?

Congregation ID

Preset Congregation

Camp Name

Automated response email

Event Information

Join Jacobs Camp for our first Zoom Parent Info Session of the season! Families will have the opportunity to hear from our Director, Anna Herman and learn about the impact of a summer at camp!

Date

Time

Time Zone

Your Information

First Name

Last Name

Email

Phone Number

Zip Code

If you belong to a Reform congregation, which one?

Would you like to add a second adult?

I would like to add a second adult.

Parent 2

First Name

Last Name

Email

How many future campers are in your home

Child 1

First Name

Last Name

Grade in 2020-2021

Child 2

First Name

Last Name

Grade in 2020-2021

Child 3

First Name

Last Name

Grade in 2020-2021

Sports Major of Interest

BasketballBaseballSoccerTennisSwimmingCheer & DanceGolfGymnasticsSoftballBoy's LacrosseGirl's LacrosseGirl's Volleyball

Please tell us anything else you want us to know about your family!

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