URJ 6 Points West Specialty Camps Madua Crates: Find Out More!

URJ 6 Points West Specialty Camps Madua Crates: Find Out More!

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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

Grade as of Fall 2020

Gender

Child 2

First Name

Last Name

Grade as of Fall 2020

Gender

Child 3

First Name

Last Name

Grade as of Fall 2020

Gender

Children 4+

Please add information about any additional children here:

I am interested in learning more about:

URJ 6 Points Sci-Tech Academy West (Thousand Oaks, CA)URJ 6 Points Sports Academy (Asheville, NC)URJ 6 Points Creative Arts Academy (West Chester, PA)My region’s general camp

If you are a member of a Reform congregation, which one?

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