Connect. Engage. Inspire.
Update your information to be sure to stay connected with Chai Lifeline and Camp Simcha Alumni events, projects, and programs.
First Name:*
Last Name:*
Maiden Name: (if applicable)
Home Address:
City:
State:
Zip:
Phone:
Cell Phone:
Email Address:*
Preferred method of contact
Phone Cell
Years in Camp
Camper in Camp
Would you like to hear from this camper? Yes No
Position
Specialty    Counselor    Waiter    Other
Marital Status:
Single Married
Spouse Name:
(include maiden name if applicable)
Number of Children:
Profession:
Employer:
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.
*required