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First Name:*
Last Name:*
Wife Maiden Name:
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City:
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Preferred method of contact
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Years in Camp
Camper in Camp
Would you like to hear from this camper?
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Waiter
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Get Involved
(check all that apply)
I am available to drive occasionally.
I would be able to host a camper with a staff member for shabbos
I have some great ideas." Please contact me.
In my professional/personal career or business, I have a creative way to get involved
Please add me to alumni list and keep me up to date with chai events during the year
Comments:
When requested, my contact information can be released to other alumni.
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