Is Test
Is Event Available
Please select...
YES
NO
Event Type
Please select...
Camp recruitment event
Other event/experience
Is Event Closed
Please select...
YES
NO
Main Account ID
Main Account Name
Please select...
URJ
RAC
RAC-CA
RAC-FL
RAC-IL
RAC-NJ
RAC-NY
RAC-OH
RAC-PA
RAC-TX
BLANK
RJ.ORG
RAC-MA
This event has already occurred.
This form link is invalid. Please inform the event organizer.
Please choose one of the following options.
I am a participant 18 years of age or older registering myself.
I am a legal guardian/custodial parent registering a child.
I am under 18 years of age.
We’re so glad you’d like to register for this experience. However, you need the permission of a parent or guardian in order to register. Please ask your parent or guardian to complete this registration for you.
Automated response email
Automated response email with line breaks fixed
Automated response email as plain text
Show Address
Please select...
YES
NO
Immediate Send Notification
Immediate Send Notification
Immediate
Email Subject
Immediate Send Email Body
Same-day Reminder Notification
Same-day Reminder Notification
Same-day Reminder Email Subject
Same-day Reminder Notification Email Body
24 Hour Reminder Notification
24 Hour Reminder Notification
24 Hour Reminder Email Subject
24 Hour Reminder Notification Email Body
24 Hour Follow Up Notification
24 Hour Follow Up Notification
24 Hour Follow Up Email Subject
24 Hour Follow Up Email Body
Fixed Next Day Notification
Fixed Next Day Notification
Fixed Next Day Email Subject
Fixed Next Day Notification
Body
Immediate response to the Campaign Owner
Immediate response to the Campaign Owner
Date
Date Time ET
Start Time
End Time
Timezone
ISO8601 Start DateTime
ISO8601 End DateTime
Event duration in minutes
Zoom Event URL
Child Participant
First Name
Last Name
Birth Date
Email
Mobile Phone
Nick Name or Other Name (Badge)
Parent / Guardian Info
Prefix / Title
Please select...
Rabbi
Cantor
Dr.
Ms.
Mr.
Mrs.
Mx.
The Union for Reform Judaism supports the Central Conference of American Rabbis’ and American Conference of Cantors’ standards in determining usage of the titles rabbi and/or cantor in the context of our Movement-wide conferences, publications, and social media platforms. Please choose these titles only if you meet the
guidelines
.
First Name
Last Name
Relationship to participant
Please select...
Parent
Step Parent
Grandparent
Aunt/Uncle
Guardian (Other)
Email
Mobile Phone
Street Address
State / Province
Please select...
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
City
Zip / Postal Code
Nick Name or Other Name (Badge)
Pronouns
Are you affiliated with a synagogue/congregation?
Please select...
Yes, a Reform congregation
Yes, but not a Reform congregation
No, I am not affiliated with a synagogue/congregation
Congregation
Start typing to search for your congregation. Many congregations have similar names so try typing the city where your congregation is located to find the right one.
Congregation ID
Add an additional Parent/Guardian
Additional Parent / Guardian Info
Prefix / Title
Please select...
Rabbi
Cantor
Dr.
Ms.
Mr.
Mrs.
Mx.
The Union for Reform Judaism supports the Central Conference of American Rabbis’ and American Conference of Cantors’ standards in determining usage of the titles rabbi and/or cantor in the context of our Movement-wide conferences, publications, and social media platforms. Please choose these titles only if you meet the
guidelines
.
First Name
Last Name
Relationship to participant
Please select...
Parent
Step Parent
Grandparent
Aunt/Uncle
Guardian (Other)
Email
Mobile Phone
Nick Name or Other Name (Badge)
Pronouns
By submitting this form, you agree to be bound by the terms of the
URJ Participant Terms and Conditions
, including the Participant Code of Conduct, recording release, and communications authorization. We encourage you to read these in their entirety before submitting the form.
By submitting this form, you agree that you and the participant are bound by the terms of the
URJ Participant Terms and Conditions
, including the Participant Code of Conduct, recording release, and communications authorization. We encourage you to read these in their entirety before submitting the form.
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