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Summer Machane 5785 Wait list

"*" indicates required fields

Section 1: Applicant's Details

Camp applying for?*
You do not need to pay anything on this form. This is a form for the waiting list. Once your application has been received we will let you know if a space opens up.
Is this the applicant’s first time at Bnei Akiva Machane?*
Applicant's Name*
Gender*
DD slash MM slash YYYY

Parent/Guardian 1

Title*

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