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Registration



Boy Scouts 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
Middle
Last
Hebrew
Address
  Street City
State
Zip
Date of Birth
   
Contact Info
  Phone Email
 
Schools
  School Hebrew School Grade:
Child's Mother
  Mother's Name
Hebrew Name Work Phone Cell
Child's Father
  Father's Name
Hebrew Name Work Phone Cell
Emergency Contact Info
  Name
Phone
Relationship  
Pediatrician
  Name
Phone
   
IMPORTANT
   As the Parent or legal guardian of the above child, I enroll my above child in the Boy Scouts Troop #613, throughout the school year.
   Signature:                Date of Application:  

 

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Camp F.R.E.E. - Gan Israel • 347-850-0408 • 841 Ocean Parkway, Brooklyn, NY 11230
A branch of the world's largest Jewish Camping network, Camp Gan Israel International

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