Summer Camp Detailed Registration Form

Greater Lansing Jewish Federation Summer Camp Stipend Application

Sleep-Away Camps
Camper Information
Camper 1: Name*

First NameLast Name
Camper 1: Camp Name*
Camper 1: Number of Weeks*
Camper 1: Dates Attending*
Camper 1: Total Cost*
Camper 2: Name

First NameLast Name
Camper 2: Camp Name
Camper 2: Number of Weeks
Camper 2: Dates Attending
Camper 2: Total Cost
Camper 3: Name

First NameLast Name
Camper 3: Camp Name
Camper 3: Number of Weeks
Camper 3: Dates Attending
Camper 3: Total Cost
Camper 4: Name

First NameLast Name
Camper 4: Camp Name
Camper 4: Number of Weeks
Camper 4: Dates Attending
Camper 4: Total Cost
Parent/Guardian Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number*
E-mail*
example@example.com
Please tell us anything else you would like us to know.
Greater Lansing Jewish Federation Sleep-Away Camp Stipend Policy

As the Jewish summer camp experience is critical to the development of active Jewish adults, the Federation is committed to supporting parents by offering stipends made possible by our generous donors.

We will allocate a maximum of $200 per week for up to three weeks of sleep-away camp.

The board will meet in April to decide allocations and inform you of its decisions.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date

MonthDayYear
Date
Signature

Clear
Should be Empty:

Greater Lansing Jewish Federation Summer Camp Stipend Application

Camper Information