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Camp Registration

First Name
Last Name
Date of Birth
Phone
Cell
Email
Passport Number
Full Name (as on passport)
Place of Birth
Address




Father



Mother



Current Yeshiva
Grade
Age
Previous Yeshiva(s)
Previous Camp(s)
Have you ever attended a sleep-away camp?
How did you find out about Camp Emes?

Can you swim?
Hobbies / Skills / Interests
Medical Instructions
Why do you want to come to camp in Eretz Yisrael?

Will you be joining us on our pre-camp trip to Poland?

Please provide at least two references
Reference #1


Reference #2


Reference #3

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