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Step 2 of 3

Tell us about your camper!

Fill out the form below and choose your session. After that, you’re one step away from an amazing summer.

1Set up FACTS 2Fill out the form 3Pay the deposit

Camp registration form

One form for all your campers

"*" indicates required fields

One form for the whole family. Fill in a section for each camper, then your family details once at the bottom.

Returning campers: please use the unique registration link we emailed you. Need it resent? Email office@flchabad.com.

How many campers are you registering?*

A section appears below for each camper.

Camper 1

Choose your child's division*

Child should be the age below by 10/1/27

Which session will your child attend?*

Child's Last Name*

Child's Legal First Name*

Child's name to be called at school*

e.g. Mordy vs Mordechai

Hebrew Name in Hebrew*

e.g. עליזה חנה

Hebrew Last Name in Hebrew*

e.g. בּלקין

Child's Gender*

Child's Date of Birth*

Month

Day

Year

Please put due date for unborn child

Child's current age*

How old will your child be on June 30, 2027?*

Which school will your child attend in the fall 2027?*

Which grade will your child be entering in the fall of 2027?*

Does your child have any health or behavioral conditions that we should be aware of?*

Yes

Please provide any relevant information about their condition or services receiving

Camper 2

Choose your child's division*

Child should be the age below by 10/1/27

Which session will your child attend?*

Child's Last Name*

Child's Legal First Name*

Child's name to be called at school*

e.g. Mordy vs Mordechai

Hebrew Name in Hebrew*

e.g. עליזה חנה

Hebrew Last Name in Hebrew*

e.g. בּלקין

Child's Gender*

Child's Date of Birth*

Month

Day

Year

Please put due date for unborn child

Child's current age*

How old will your child be on June 30, 2027?*

Which school will your child attend in the fall 2027?*

Which grade will your child be entering in the fall of 2027?*

Does your child have any health or behavioral conditions that we should be aware of?*

Yes

Please provide any relevant information about their condition or services receiving

Camper 3

Choose your child's division*

Child should be the age below by 10/1/27

Which session will your child attend?*

Child's Last Name*

Child's Legal First Name*

Child's name to be called at school*

e.g. Mordy vs Mordechai

Hebrew Name in Hebrew*

e.g. עליזה חנה

Hebrew Last Name in Hebrew*

e.g. בּלקין

Child's Gender*

Child's Date of Birth*

Month

Day

Year

Please put due date for unborn child

Child's current age*

How old will your child be on June 30, 2027?*

Which school will your child attend in the fall 2027?*

Which grade will your child be entering in the fall of 2027?*

Does your child have any health or behavioral conditions that we should be aware of?*

Yes

Please provide any relevant information about their condition or services receiving

Camper 4

Choose your child's division*

Child should be the age below by 10/1/27

Which session will your child attend?*

Child's Last Name*

Child's Legal First Name*

Child's name to be called at school*

e.g. Mordy vs Mordechai

Hebrew Name in Hebrew*

e.g. עליזה חנה

Hebrew Last Name in Hebrew*

e.g. בּלקין

Child's Gender*

Child's Date of Birth*

Month

Day

Year

Please put due date for unborn child

Child's current age*

How old will your child be on June 30, 2027?*

Which school will your child attend in the fall 2027?*

Which grade will your child be entering in the fall of 2027?*

Does your child have any health or behavioral conditions that we should be aware of?*

Yes

Please provide any relevant information about their condition or services receiving

Camper 5

Choose your child's division*

Child should be the age below by 10/1/27

Which session will your child attend?*

Child's Last Name*

Child's Legal First Name*

Child's name to be called at school*

e.g. Mordy vs Mordechai

Hebrew Name in Hebrew*

e.g. עליזה חנה

Hebrew Last Name in Hebrew*

e.g. בּלקין

Child's Gender*

Child's Date of Birth*

Month

Day

Year

Please put due date for unborn child

Child's current age*

How old will your child be on June 30, 2027?*

Which school will your child attend in the fall 2027?*

Which grade will your child be entering in the fall of 2027?*

Does your child have any health or behavioral conditions that we should be aware of?*

Yes

Please provide any relevant information about their condition or services receiving

Camper 6

Choose your child's division*

Child should be the age below by 10/1/27

Which session will your child attend?*

Child's Last Name*

Child's Legal First Name*

Child's name to be called at school*

e.g. Mordy vs Mordechai

Hebrew Name in Hebrew*

e.g. עליזה חנה

Hebrew Last Name in Hebrew*

e.g. בּלקין

Child's Gender*

Child's Date of Birth*

Month

Day

Year

Please put due date for unborn child

Child's current age*

How old will your child be on June 30, 2027?*

Which school will your child attend in the fall 2027?*

Which grade will your child be entering in the fall of 2027?*

Does your child have any health or behavioral conditions that we should be aware of?*

Yes

Please provide any relevant information about their condition or services receiving

Family details

We only need this once for all your campers.

Email*

A copy of your responses will be emailed to this address.

Primary phone number*

Mother's Prefix*

Mrs

Other

Mother's First Name*

Mother's Last Name*

Mother's cellphone number*

Mother's email address*

Father's Prefix*

Rabbi

Other

Father's First Name*

Father's Last Name*

Father's cellphone number*

Father's email address*

Address*

Street Address City State ZIP Code

Phone

This field is for validation purposes and should be left unchanged.

Before you hit submit

Make sure you see a confirmation after submitting the form.
Returning campers: use the unique registration link we emailed you.
Need that link resent? Email office@flchabad.com.

Don’t forget FACTS

Your spot is secured only when both this form and a FACTS account are complete. If your child is currently at Anshei Lubavitch, you’re already set.

Go to FACTS →

Questions?

201.794.3770 office@flchabad.com

Camp Registration Form

Tell us about your camper!

Camp registration form

Camper 1

Camper 2

Camper 3

Camper 4

Camper 5

Camper 6

Family details