Camp Shaashuim Camper Application Summer 2025

Camp Shaashuim Camper Application Summer 2025

Official 2025 Camp Shaashuim Camper Application
Camper's First Name*
Please include first and middle (if applicable).
Camper's Last Name*
YesNo
Previous Camps Attended
How did you hear about Camp Shaashuim?

Camper's Yeshiva*
Camper's Current Grade:*
Camper's Rebbi*
Camper's Rebbi Telephone Number*
Please enter a valid phone number.Format: (000) 000-0000.

Camper's Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
City*
State*
Zipcode*
Camper's Date of Birth*

MonthDayYear
MarriedNot togetherMother is deceasedFather is deceased
Camper Lives With:*

Mother's Name*

TitleFirst NameLast Name
Mother's Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Mother's Email*

Confirmation Emailexample@example.com

Father's Name*

TitleFirst NameLast Name
Father's Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Father's Email*

Confirmation Emailexample@example.com
Should be Empty: