Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Current Grade {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Name Of Yeshiva {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Name Of Yeshiva {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Rebbi Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Rebbi Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Previous Yeshiva {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Previous Camps Attended {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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FAMILY INFORMATION
Fathers First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Mothers First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Father Occupation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Mother Occupation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Home Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Parents Marital Status {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Fathers Cell {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Mothers Cell {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Fathers E-mail {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Mothers E-mail {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Emergency Contact
Emergency Contact Name * {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Emergency Contact Relation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Emergency Contact Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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CAMP INFORMATION
Please allow 2-4 weeks for processing of application.
For questions please contact us at
Email
info@campteumimmesivta.com
Winter Address
3 Elderberry Ct
Lakewood NJ 08701
Rabbi Chaim Metzger - Director
718.344.8232
Rabbi Yakov Metzger - Director
718.344.8296
Tentative Dates:
July 12- August 4th | ג’ אב - כ“ו אב
Please Note: Dates will be confirmed as soon as we finalize our campus BE"H.
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Notes {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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