Weinstein 2022 Registration


Cell Phone





Date of Birth
Gender Identity
Pronouns
College/University
Graduation Year
Shirt Size
Dietary Restrictions

Program Track (Choose All That Apply)







Each participant will focus on one topic for a Yom Iyun, an intensive deep-dive. Please rank your preference.
 First Choice

Second Choice

Third Choice
Vaadot Preferences Vaad Zemirot & Seudah Shlishit
Vaad A Capella
Vaad Tefilah
Vaad Rikud
Vaad Peulat Erev
Which tfillot can you lead at Weinstein?
 Birkat Hamazon
D'var Torah
Maariv
Mincha
Shacharit
Torah Reading
Local Ramah Camp
Past Position(s) at Camp
What ages of campers have you worked with in the past? (Grade Entering)

 K-3
4
5
6
7
8
9
10
11
Tikvah
How will you be arriving to camp?
How will you be departing camp?


Upload Proof of COVID Vaccine



Emergency Contact 1 Name

Emergency Contact 1 Phone
Emergency Contact 1 Relationship





Emergency Contact 2 Name

Emergency Contact 2 Phone
Emergency Contact 2 Relationship