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There are a few steps to applying for the Summer retreat:

1. Submit the electronic application below. (please make sure to read the terms of enrollment by clicking on 'Privacy Policy' below.

2. After you submit the electronic form you'll be taken to a page where you can click to pay the non-refundable $180.00 Application Fee.

3. We will contact you if you are accepted. Proceed by downloading these medical forms (Click here).

4. If you are requesting a scholarship, you may send the scholarship and medical forms and send payment after you have been awarded the scholarship.

5. Choose the creative club choices with your daughter and have her submit her preferences.

We look forward to meeting your daughter!

* Required fields
Name *
E-mail Address *
Girl's Name *
Girl's Hebrew Name
Date of Birth *
Hebrew date of birth:
Girl's Social Security #: *
Girl's E-mail address
Address *
City *
State *
Zipcode *
Summer Address (if different from above):
Home Phone Number *
School *
School Phone *
Grade finishing: *
Hebrew School or Bat Mitzvah Club
Rabbi/Club Leader's Name
Reference Name *
Reference Phone Number *
Father's First Name *
Father's Last Name *
Place of Business
Work Phone
Cell Phone *
E-mail *
(Needed for hospital insurance): Date of Birth *
Mother's First Name *
Mother's Last Name *
Place of Business
Work Phone
Cell Phone *
E-mail *
(Needed for hospital insurance): Date of Birth *
Which camp did you attend last year?
How did you hear about the retreat? *
T-shirt Size: *
Med. Insurance Co. Policy # *
My daughter will attend: *
Bunkmate Request(s) - must be same age
Please describe your child and tell us anything that might be helpful to know about her:
Applicant's Hobbies:
How would you like to see your child GROW at the Jewish Girls Retreat?
Your comments or program suggestions:
Does your child have any allergies or other medical conditions? *
If yes, please specify:
If other please specify:

I have read and agree to the Privacy Policy *

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