Explore ~ לך לך Application
Summer 2018 Participant Application Form. Each applicant will receive an interview in addition to this application. We will be in touch shortly after your completion of this application.
Email address *
Parent/Legal Guardian First and Last Name *
Enter the name of the Parent/Legal Guardian currently filling out this form.
Your answer
I am a legal guardian/custodial Parent *
Primary Address *
Street name and number, City, State, and Zip Code.
Your answer
Parent/Guardian Primary and Secondary Phone Numbers *
Please indicate: name, relation, type, and phone number. *Example: Primary - David Cohen, Father, Cell, 508-796-6290. Secondary - Sarah Silver, Mother, Home, 508-796-6291.
Your answer
Emergency Contact *
Please include name, relationship, and phone number.
Your answer
How did you hear about Explore ~ לך לך?
Camper First and Last Name *
Your answer
Camper's Gender *
Camper Phone Number and Email Address *
Your answer
Camper is now in *
Session Preference *
Monday - Sunday Sessions are located on the beautiful, kosher, and safe Isabella Freedman Retreat Center in Falls Village, CT. Session cost = $980. An optional Financial Aid application can be filled out at the end of the application.
Required
Synagogue Affiliation *
Are you affiliated to a particular synagogue? If so, which one?
Your answer
Jewish Practice *
Please check off the features of your child's Jewish practice. This will help us design each session to uniquely serve our campers.
Required
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