Who: All kids age 3 (out of diapers) to age 13
When: Monday July 10 – Friday July 14, 9:00 am to 2:00 p.m.
Where: B’nai Zion, 245 Southfield Road, Shreveport
What: Arts & crafts, water play, drama, music, a field trip and more!
Cost: $125 for Federation members, $160 for non-members (Payment can be submitted HERE or mailed to the Federation Office)

Not yet a member, or need to renew? Any Jewish person age 18 or over who has pledged a minimum of $25 can be a member. JOIN NOW!

Camper Information

If you have three or more campers to register, please submit this form more than once.

Name of First Camper *

First

Last

Date of Birth *

Click on the year to highlight it, then type in the year of birth. Toggle forward or back to get to the appropriate month, then click on the date.

Name of School *

Grade in the 2023-2024 School Year (starting August 2023) *

Medical Concerns or Dietary Restrictions

Campers will bring their own lunch Monday - Thursday. The Friday lunch and all other food items provided by camp will be vegetarian or with kosher meat, with no dairy present if meat is served.

T-shirt size *Youth X-SmallYouth SmallYouth MediumYouth LargeYouth X-LargeAdult SmallAdult MediumAdult LargeAdult X-Large

Name of Second Camper

First

Last

Date of Birth - 2nd camper

Click on the year to highlight it, then type in the year of birth. Toggle forward or back to get to the appropriate month, then click on the date.

Name of School - 2nd camper

Grade in the 23-24 School Year - 2nd camper

Medical Concerns or Dietary Restrictions - 2nd camper

Campers will bring their own lunch Monday - Thursday. The Friday lunch and all other food items provided by camp will be vegetarian or with kosher meat, with no dairy present if meat is served.

T-shirt size Youth X-SmallYouth SmallYouth MediumYouth LargeYouth X-LargeAdult SmallAdult MediumAdult LargeAdult X-Large

Parent/Guardian Information

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Phone *

Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Emergency Contact

Additional Parent/Guardian Name and/or Emergency Contact *

First

Last

Additional Parent/Guardian Name and/or Emergency Contact Phone *

I agree to the following: *

• I give permission for my child(ren) to take part in all activities, including field trips and water activities.
• I give permission for my child(ren) to take part in all activities with the exception(s) listed below in the "additional information" field.

Please let us know what to expect regarding payment: *I will pay online upon completion of this formI will deliver or mail a check to the Federation officeI need information about scholarships

Please share any additional information that will be helpful for camp staff to know:

Submit