Camp Moshava Family Camp Registration 2018
Welcome to the Habonim Dror Camp Moshava Family Camp Registration Form!! We are excited for you and your family to join us at Mosh this summer!

ACCOMMODATIONS
Shared cabins with twin size single and bunk beds. Guests will need to bring their own linens, towels and sleeping bags.
Tent camping - families will bring their own tents, linens, towels and sleeping bags. We can provide mattresses if needed.
Bath houses with hot water are located in close proximity to the cabins.

DATES
Family Camp will be held Friday, August 17, 2018 - Sunday, August 19, 2018 at Habonim Dror Camp Moshava, 615 Cherry Hill Road, Street, MD 21154.

REGISTRATION
Registration is required and must be received by July 1, 2018. Registration is complete when we have received your completed application and deposit.

TUITION
The cost is $150/adult; $100/child; children under age 2 are free.
A $100 deposit is required with the registration application. The deposit is fully refundable until May 1, 2018. After May 1, 2018, all tuition paid minus the $100 deposit will be refunded if a family withdraws from the program. There will be no refunds after July 1, 2018. Full tuition payment is due by May 1, 2018. Any registration applications received after May 1st must be accompanied with payment in full. Registration will close on July 1, 2018.

Tuition includes accommodations, meals, programming and a camp t-shirt.

Questions? Email abby@campmosh.org.

Parent 1: First and Last Name *
Your answer
Parent 1: Pronoun *
Please tell us what your preferred pronouns are.
Parent 1: Primary Phone Number *
Your answer
Parent 1: Address *
Your answer
Parent 1: Email *
Your answer
Parent 1: T-shirt size *
Your answer
Parent 2: First and Last Name
Your answer
Parent 2: Pronouns
Parent 2: Primary Phone Number
Your answer
Parent 2: Address (if different from above)
Your answer
Parent 2: Email
Your answer
Parent 2: T-shirt size
Your answer
Child 1: First and Last Name *
Your answer
Child 1: Pronouns *
Child 1: Date of Birth *
Your answer
Child 1: Email (if applicable)
Your answer
Child 1: T-shirt size *
Your answer
Child 2: First and Last Name
Your answer
Child 2: Pronouns
Child 2: Date of Birth
Your answer
Child 2: T-shirt size
Your answer
Child 3: First and Last Name
Your answer
Child 3: Pronouns
Child 3: Date of Birth
Your answer
Child 3: T-shirt size
Your answer
Emergency Contact 1: First and Last Name *
Please list the name of who we should contact in case of emergency.
Your answer
Emergency Contact 1: Phone Number (s) *
Please list one or two phone numbers.
Your answer
Emergency Contact 2: First and Last Name *
Your answer
Emergency Contact 2: Phone Number(s) *
Your answer
Please indicate your housing preference for Family Camp. *
We will do our best to honor all requests.
If anyone in your family has food allergies or dietary restrictions, please list the person's name and dietary needs below.
All meals will be kosher. Vegetarian options will be available for meat meals.
Your answer
How did you hear about Camp Moshava's Family Camp? *
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