Register - MyVillageChabad.com
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Register

  • To avoid possible errors via mobile device, we suggest completing and submitting this registration from a computer.

  • Camper Information

  • Child 1

  • Child 2

  • Child 3

  • Parent Information

  • Emergency Information

  • Physician or Medical Facility Information

  • To complete registration, please email a copy of your child's insurance card and health form to [email protected].

  • Parental Consent

  • Payment Information

  • In order to submit your registration, a $200 deposit per child is required, payable by credit card only to be charged with this registration. For the remaining balance, you can also pay by check or with Zelle.


    Please select your payment method below.


  • $0.00
  • Credit Card
    Billing Address
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