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Summer 2020 Virtual Camp Registration

Mother/Guardian Information

Father/Guardian Information

*Family Information 
*We ask these questions in order to better understand and relate to each child.

Camper Information

Permission, Release & Waiver of Liability:  
By completing this enrollment form and entering my digital signature below, I as the parent or legal guardian of the above child(ren) hereby release Chabad of Lakeview from any and all liability arising from claims for injuries or damages that either individually or on behalf of my child might occur during participation in Camp Gan Israel activites.  I hereby give permission for my child to participate in all virtual camp activities.  By electronically signing my name below, I accept these terms and conditions.
Enter first & last name


Sat, September 19 2020 1 Tishrei 5781