Camper Profile Form


Please complete the form below to tell us about your camper.

Email*:
Camp*:
Session*:
CIT Full (June 19 - Aug 9)
Session 1 Full (June 21 - July 17)
Session 2 Full (July 20 - Aug 9)
Session 1 Short (June 21 - July 3)
Session 2 Short (July 5 - July 17)
Session 1 Rookie (July 20 - July 26)
Session 2 Rookie (July 27- Aug 2)
Camper First Name*:
Camper Last Name*:
Camper Nickname:
Grade Entering This Year*:
Date of Birth*:
What summer is this at
Airy/Louise for your camper*:
Age While at Camp:
Has your child ever slept away from home before?*
Was this at a family member's house or a friend's house?
Did you child have problems sleeping away from home?*
If yes, please explain.
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Does your child sleepwalk or talk in his/her sleep?*
If so, what do you do for this at home?
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Check if your champer has been to other camps:
If yes, type of Camp:
Was it a positive experience?
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Please elaborate if you wish:
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Medical/Diet Information Counselor Should be Aware of:
(Wears glasses, allergies, won't eat, can't eat, takes medicine - regularly / as needed and for what purpose, needs to wear hat / sunscreen always, etc.)
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If available, camp has my permission to apply sunscreen to my camper:
The best way to describe my camper's personality is:
(Outgoing, Shy, Quiet, Loud, A Leader,A Follower, Warm, Withdrawn, etc)
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My Camper makes friends:
My Camper is: about going to camp.
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Please use the following space to elaborate on the above sentence if you feel it needs additional explanation:
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I'd like to share the following to help you help my camper enjoy his/her summer to the maximum: (illness at home, may miss pet at home, recent family issues/losses, family situation - divorce / seperation, sibling concerns, family vacation plans, etc.)
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Camper Hobbies:
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Pets:
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Siblings/Friends at Camp:
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Favorite Food(s):
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Favorite TV Show(s):
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Favorite Entertainer/Sports Figure(s):
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What I'd really like to see as a result of my camper's stay at camp is:
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The main thing my camper would like to get out of this summer's experience is:
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If your camper has a bar or bat mitzvah date scheduled, please indicate the date and synagogue or other venue:
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Please feel free to use this space for any additional comments:
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$1,000 Tuition Incentive for Full Sessions

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