Camp JCA Shalom Alumni Form
We welcome you back to JCA, we're mighty glad you're here! 
Please tell us about yourself so we can build and nurture a thriving Camp JCA Shalom Alumni community. Additionally, we'd greatly appreciate you sharing this survey with other camp alumni in your personal networks. 
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First Name *
Last Name *
First and Last Name you went by while at camp (if different from the name you use currently)
Email Address *
Birthday (MM/DD/YYYY) *
Phone Number  *
Home Address (Number and Street) *
City *
State *
County *
Zip Code *
What years did you attend camp? Ballpark range is fine.
(Ex: 1975-1985,  2018-2024, etc.)

 *
Which JCA Shalom campuses have you attended as a camper and/or staff? Please select all that apply. *
Required
In what capacity did you attend Camp JCA Shalom? Please select all that apply. *
Required
What camp programs did you complete as a camper? Please select all that apply. *
Required
What was your last year at camp, and in what capacity? 
(Ex: 1993, CIT  ... 2023, Staff, etc.) 
Ballpark estimations are fine. 
 *
What is your preferred Social Media app for staying updated and connected with friends? *
What is your job or career field?  *
What is your favorite camp memory, or way in which camp shaped/impacted your life in a positive way? *
Please contact us with any questions or comments. Thank you!
Jackie@shalominstitute.com
Lisa@shalominstitute.com
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