Eizor Mosh Ken Fall 2018 Registration
PLEASE READ IMPORTANT INFORMATION BELOW:
Thank you for registering for the Eizor (region) Mosh Fall Ken 2018!

The Mosh Ken is a chapter of our Habonim Dror movement that functions year-round. Through our Ken activities, we offer educational and social events run by local Habonim Dror madrichimot (counselors), under the supervision of the Mosh Assistant Director, Executive Director and the leadership of the Eizor. The Ken activities are opportunities for a continued connection to Camp Mosh and to a community of friends.

*By filling this form out now, you will not need to fill out the same information (extensive contact information, insurance, permission, etc.) for other events.*

In order to participate in the Ken, you will need to have filled out this form prior to the first Ken activity you attend.

Feel free to contact the Mazkirut Eizor (Ken leadership) at eizor.moshava@gmail.com with any questions or concerns.

Information for older chanichimot: Rather than registering for the Ken, 9th-12th graders have the opportunity to join the Bonimot Tzedek program, a year-round social justice education program for high schoolers that develops leadership and community organizing skills. Tzedek participants will be able to go to Ken events, but will take part in their own process as well. For more information about the program and how it will function alongside the Ken, please feel free to contact Yael Horowitz, director of the Bonimot Tzedek program, at tzedek@campmosh.org. Register for Bonimot Tzedek here: https://tinyurl.com/moshtzedek

Camper First Name *
Your answer
Camper Last Name *
Your answer
Camper Gender *
Your answer
Camper Cell Phone Number *
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Camper House Phone Number *
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Camper Email *
Your answer
Preferred contact method *
Required
Camper Mailing Address *
Your answer
Camper's Shichvah (age group) in Summer 2018 *
Required
First and last name of additional camper/s
Your answer
Gender of additional camper/s
Your answer
Separate contact information for additional camper/s
Your answer
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