Fall Seminar 2019 Registration
This form is the official registration for Habonim Dror Camp Gilboa's Fall Seminar, (November 8th-10th), at 8339 W 3rd St, Los Angeles, CA 90048.

The early bird kupa amount for the seminar is $125 for each camper if you register by Friday, October 4. After October 4, the kupa is $140. Travel will be reimbursed up to $200 and additional travel scholarships are available (flight details in travel section.)

If you need any more information or have any questions please contact one of these people:

Becca Lieberman: 949-892-8117, beccalieberman@gmail.com
Josh Bloom: 917-494-0101, josh@campgilboa.org
Dalit Shlapobersky: 323-371-3026, dalit@campgilboa.org
Camper Full Name *
Your answer
Camper Nickname (Preferred Name)
Your answer
Camper Current Grade *
Your answer
Camper Birthdate (MM/DD/YY) *
Your answer
Parent 1 Full Name *
Your answer
Parent 1 Cell Phone *
Your answer
Parent 1 E-mail *
Your answer
Parent 2 Full Name
Your answer
Parent 2 Cell Phone
Your answer
Parent 2 E-mail
Your answer
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