Camp Givah Intake Form - Form - Temple Israel of Albany

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Camp Givah Intake Form

Please note this is for new Givah families only if your child/ren have already attended please email Rachael at tidirector@tialbany.org.

New families please fill out all fields found below. The Camp Givah Director will be in touch in the next 24 hours with an email that allows you to logon and register for camp.

* How many new children will be attending the Camp Givah this summer?

* Child 1 - First Name

* Child 1- Last Name

* Child 1 - Date of Birth

* Child 2 - First Name

* Child 2 - Last Name

* Child 2 - Date of Birth

* Child 3 - First Name

* Child 3 - Last Name

* Child 3 - Date of Birth

* Adult 1 - First Name

* Adult 1 - Last Name

* Adult 1 - Email

* Adult 1 - Cell Phone

* Is there a second adult on this account?

* Adult 2 - First Name

* Adult 2 - Last Name

* Adult 2 - Email

* Adult 2 - Cell Phone

Address

City

Zip

Fri, October 25 2024 23 Tishrei 5785

600 New Scotland Ave

Albany, NY 12208

(518) 438-7858

tidirector@tialbany.org

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