JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SHMA FAMILY CAMP EXPERIENCE
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Customer Name
*
Your answer
Cell Phone #
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Number People (including yourself)
*
Your answer
Please indicate the ages of all children in your party separated by a comma between children.
*
Your answer
I prefer the following length of experience
*
Choose
3 Day Weekend Experience (Must include Shabbos) 2 Nights
4 Night Experience - 5 Days (Must include Shabbos)
6 Night Experience - 7 Days Day Experience
5 Day Experience (Midweek - only available with meal plan subject to availability)
Check in Date (No Availability prior to 08/22/25)
*
MM
/
DD
/
YYYY
Check out Date (Last day of season is 09/01/25)
*
MM
/
DD
/
YYYY
Accommodations
*
Choose
3 Bedroom Premium (6 Beds)
3 Bedroom (6 Beds)
2 Bedroom (4 Beds)
Campus Bunk House (10 Beds includes 2 semi private rooms)
Pioneer Bunk House (10 Beds includes 1 semi private room)
Glamping (4 Tents per Family Unit)
Optional Daily Meal Plan
*
YES ($50.00 Per Day Per Person)
No
Required
I am interested in linen service(Service includes pillow. pillow case, banket, sheet, and top sheet) 2 towels and 2 hand towels ($40 per person).
*
Yes
No
Required
Golf Cart Rental based upon availability ($60.00 Per day 5 Day Minimum)
*
Yes
No
Required
Form of Payment
*
Check
Zelle
ACH
CC - Visa and Mastercard (additional 3.2% processing fee will apply)
Required
How did you hear about us?
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
Forms
reCAPTCHA
Privacy
Terms
This form was created inside of The Shma Camps.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report