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Camp Tikvah 2022 Registration Form
Please verify reCaptcha before submitting the form.
Camp Tikvah @ Camp Cavell
AUGUST 26-28, 2022
*
First Name
*
Last Name
*
Email Address
*
Phone Number
*
Submission Date
*
Address
*
City
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip Code
*CABINS ARE RUSTIC, BUT EACH CABIN ACCOMMODATES 10 PEOPLE AND HAS A BATHROOM WITH A SHOWER.
Tent camping or off-site accommodations are available. Persons sleeping in a tent or off-site pay full price for camp.
*Please contact rachel@shirtikvah.org if a medical condition warrants the need for a private cabin. You will be given first priority.
*
Cabin Assignment Requests
Private Cabin
Shared Cabin
Tent Camping
Off-Site Camping
Attending for the Day Only
Due to Covid restrictions cabin space will be limited are first come first serve.
Families who are comfortable sharing a cabin may do so.
Shared Cabin Names
If you checked "Shared cabin" please list the family or families that will be sharing the cabin.
Dietary/Allergies/Accessibility Needs
Please list any dietary needs.
Camper #1 Name
Age
T-Shirt Size
Youth S
Youth M
Youth L
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Camper #2 Name
Age
T-shirt Size
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
Camper #3 Name
Age
T-shirt Size
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
Camper #4 Name
Age
T-shirt Size
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
Camper #5 Name
Age
T-shirt Size
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
Camper #6 Name
Age
T-shirt Size
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
SHIR TIKVAH MEMBERS - Camper count for payment
# of Adults (18+)
0
1
2
3
4
5
6
SHIR TIKVAH MEMBERS $100 per camper
# of Teenagers (13-17)
0
1
2
3
4
5
6
SHIR TIKVAH MEMBERS $90 per camper
# of Kids (4-12)
0
1
2
3
4
5
6
SHIR TIKVAH MEMBERS $75 per camper
Day Rate (Saturday Only)
0
1
2
3
4
5
6
7
8
9
10
The rate $50 is per individual staying for Saturday "day" only.
Number of Children (Under 4)
0
1
2
3
4
5
6
Children under 4 years old attend camp for free.
THIS IS A SUGGESTED DONATION
$18 per camper
NON MEMBERS - Camper count for payment.
Number All Ages (Non Members All Ages)
0
1
2
3
4
5
6
NON MEMBERS
$100 per camper
Donations greatly appreciated.
Donation Amount
Please consider a donation to help with our Isola Family Camp Tikvah fund. With this fund we are able to help families attend Camp who may not otherwise be able. THANK YOU!
Please contact the CST office for camp scholarship information if needed. We want every family to have the opportunity to attend camp regardless of thier financial situation.
Thu, April 25 2024
17 Nisan 5784
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Thu, April 25 2024 17 Nisan 5784