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Camp Baiseinu
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Camper Application
Trip one July 2 - July 27
Trip two July 30 - August 24
Camp fee: $1875 - one trip, $3750 - both
TC Additional $100 per half
Registration is closed for now
To register for 7th grade sibling, go to Baiseinu.Org without credentials, enter as new camper
Family Information
Title
Father's First Name
Last Name
Mother's First Name
Mother's Maiden Name
Address
Zip
City
State
Email
Father's Occupation
Mother's Occupation
Phone
Second phone
Father's Cell
Mother's Cell
Emergency Contact
Emergency Number
Doctor
Doctor Number
Shul Affiliation
Children in family
Payment Information
A 3% surcharge will be applied to all credit card payments. All fields must be filled in.
Card Number
Expiration Date
Total Amount
Frequency
How Many Installments
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Camp Forms
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Camper Application
Trip one July 2 - July 27
Trip two July 30 - August 24
Camp fee is $1875 for half, Full is $3750
TC Additional $100 per half
Registration for July is closed
Registration at this time is open to 7th greadres ONLY. Remember - to complete your request, you must submit a $600 deposit (per half)
First Name
Legal Name
Last Name
Position in Family
Date of Birth
Ethnicity
Grade
School
Teacher
Teacher's Number
Season
Previous Camp
Non Discretionary Policy
Website Update...

This site is temporarily closed for renovation

Please excuse the mess

Camper Preferences for  
Bunk requests for July / First trip:
Bunk requests for August / Second trip:
Camp transportation
Bus to camp
Bus from camp
Bus to camp
Bus from camp