Jewish Community Foundation

Register for Tikkun Olam Camp!

Participant Registration for Tikkun Olam Camp
Please Choose Session:
*First & Last Name:
Age:
*Your Phone Number:
Your Cell Phone Number:
*Your Email Address:
Address:
City/State/Zip:
Parent 1 Information:
*Name(s):
*Email Address(es):
*Home Phone Number(s):
Work Phone Number(s):
Cell Phone Number(s):
Parent 2 Information: (if different from above)
Name(s):
Email Address(es):
Home Phone Number(s):
Work Phone Number(s):
Cell Phone Number(s):
More About You:
Grade (entering fall 2008):
School (fall 2008):
Synagogue (if applicable):
How did you hear about Tikkun Olam Camp?
Why are you interested in attending Tikkun Olam Camp?
What do you think you could add to the group in terms of your personal qualities, experiences and/or skills?
Are there any limitations you have that might keep you from participating fully in Tikkun Olam Camp? Please explain.
Do you keep kosher? Please describe to what extent.
Is there anyone else we should contact that you think might be interested in participating? If so, please provide their name & phone number.
Comments & Notes:
We will contact you shortly to inform you of acceptance and to provide the schedule and other information. Please contact Marissa Garfield at 858.279.2740 or marissa@jcfsandiego.org with any questions.

Jewish Community Foundation
4950 Murphy Canyon Road, San Diego, CA 92123
telephone 858-279-2740 | fax 858-279-6105
�2007 Jewish Community Foundation. All Rights Reserved