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Online Registration!

Please fill out the form below carefully. When you press submit, this form will be sent to our administration office.

Note: Please use a separate form for each child.

Camper/Parent Information
 
Name
 

First

Last Hebrew Name  
Address  

street

Apt.     
    City 

state


Zip 
 
Date of Birth
       
    Place of birth Language at home    
Contact Info
  Home Phone
Email
 
Father   Name occupation Employer 
     Work Tel  Cell  
 Mother    Name  Occupation  Employer
    Work Tel Cell
         
 
         
           
Emergency Contact Info
  Name
Phone Relationship  
Pediatrician
  Name
Phone  address  
    Medical Conditions / Alergies   
         
           
Select Child's Age Group
Ages 10-12
Ages 3-4  
Ages 4-9
Ages 2-3  
 
 
Please indicate number of sessions your child will attend camp:
 
     
IMPORTANT
All forms must be completed and submitted before your child begins camp.
I will be paying by: Check Mastercard Visa
I have read the camp brochure and application form and agree to the terms stated. I give my child permission to attend all trips, and receive medical care in the case of emergency.
   
  Date of Application:

 

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Ohr Avner Day Camp 60-05 Woodhaven Blvd Elmhurst, NY 11373 718-426-9369
A branch of the world's largest Jewish Camping network, Camp Gan Israel International

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