Have Contact Id

Your Information (Parent/Guardian)

First Name

Last Name

Phone

Zip Code

Which kind of camp are you interested in learning more about?

One specializing in creative arts (theatre, creative writing, dance, musical theatre, music, photography, visual arts).

One specializing in science and technology (robotics, video game design, programming & coding, python, digital media).

One specializing in sports (baseball, basketball, cheer & dance, softball, swimming, soccer, tennis, lacrosse, volleyball, gymnastics, golf).

Is there anything else that you would like us to know about your family?

Street Address

Please provide your street address!

Country

Street Address 1

Street Address 2

City

State

Camper Information

How many future campers are in your home?

Camper 1

First Name

Last Name

Grade as of Fall 2021:

Camper 2

First Name

Last Name

Grade as of Fall 2021:

Camper 3

First Name

Last Name

Grade as of Fall 2021:

Camper 4

First Name

Last Name

Grade as of Fall 2021:

Campers 5+

Please give information about any additional children here:

By submitting this form, you are agreeing to receive communications from the URJ and URJ Camps. You can manage your email preferences or view our privacy policy at any time.