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'So glad to be part of Camp Horei Maarav, cant wait till the next summer'

Camper 2000


Print out the form below and fax it to (323) 967-5000
for staff application, click here

Application Form - Summer 2009

Check Box for the grade entering next year:
r
7th Grade r 8th Grade r 9th Grade r 10th Grade

Name _______________________________________________________________

Address _____________________________________________________________

City ________________________________ State __________ Zip _____________

Phone____________________________ Fax ______________________________

Date of Birth________________________ Email ___________________________

Father's name ______________________ Occupation ______________________

Phone ________________________ Marital Status _________________________

Mother's name ______________________ Occupation ______________________

Father's Cell ______________________ Mother's Cell ______________________

Emergency Contact ______________________ Phone ______________________

School Presently Attending _____________________________________________

Rebbi's Name __________________________ Home Phone _________________

School attending next academic year ___________________________________

Previous Camps Attended - Summer '08 ____________________________
                                            Summer '07 ____________________________

For More Information Please write or call
Camp Horei Maarav
2012 Bagley Ave
Los Angeles Ca 90034
Tel: 310-837-3335
Fax: 323-967-5000

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