School and Camp Intake Form

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NEW FAMILY INTAKE FORM

ADULT 1 INFORMATION

* Adult 1 - First Name

* Adult 1 - Last Name

* Adult 1 - Email Address

* Adult 1 - Mobile Phone

* Adult 1 - Address

* Adult 1 - City

* Adult 1 - State

* Adult 1 - Zip Code

* Is there a second Adult on this account?

ADULT 2 INFORMATION

* Adult 2 - First Name

* Adult 2 - Last Name

* Adult 2 - Email Address

* Adult 2 - Mobile Phone

Does Adult 2 live at the same address as Adult 1?

* Adult 2 - Address

* Adult 2 - City

* Adult 2 - State

* Adult 2 - Zip Code

Please click the Submit button below. Once clicked, please follow instructions on the next page to finalize the setup of your account AND to register your child(ren).

Tue, October 7 2025 15 Tishrei 5786