Skip to main content
ABOUT
About Us
Leadership
Our Programs
Visitor Info
Contact
Educational
Critical Conversations
Jewish Learning Institute
Israel Advocacy
Weekly Torah Class
Alef Art Kids Club
Mini Camp
Cultural
Jewish Culture Festival
Jewnior Fest
Jewish Women's Circle
Public Menorah Displays
Summer Camp Fund
Judaica Gift Shop
Traditional
Shabbat Dinners
The Vineyard Shul
Kids Shabbat Dinners
Bar/Bat Mitzvah
Mezuzah Bank
Holidays
Purim
Community Seders
Lag Baomer
Shavuot
High Holidays
Sukkot
Chanukah
Events
Donate
Camp Registration Form
Please fill your information below
Primary Contact
First Name
*
Last Name
*
Phone
*
Email
*
Relationship to child(ren)
- None -
Father
Mother
Marital Status
- None -
Married
Separated
Divorced
Other
Address
Street Address
*
City
*
Postal Code
*
State/Province
*
Volunteering
I am willing to assist in CGI activities, please contact me
Share address of
- None -
Father
Camper 1
Camper 2
Camper 3
Secondary Contact
First Name
Last Name
Phone
Email
Relationship to child(ren)
- None -
Father
Mother
Volunteering
I am willing to assist in CGI activities, please contact me
How many children would you like to register?
1
2
3
Camper 1
First Name
*
Last Name
*
Birth Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Additional notable Information
Please let us know if there are any allergies or other important info we need to be aware of
Please select which weeks to register for:
*
Summer Camp 2025 - Week 1 (Jul 14-18)
Summer Camp 2025 - Week 2 (Jul 21-25)
Summer Camp 2025 - Week 3 (Jul 28-Aug 1)
Summer Camp 2025 - Week 4 (Aug 4-8)
Participant Fee
$
Camper 2
First Name
*
Last Name
*
Birth Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Additional notable Information
Please let us know if there are any allergies or other important info we need to be aware of
Please select which weeks to register for:
*
Summer Camp 2025 - Week 1 (Jul 14-18)
Summer Camp 2025 - Week 2 (Jul 21-25)
Summer Camp 2025 - Week 3 (Jul 28-Aug 1)
Summer Camp 2025 - Week 4 (Aug 4-8)
Participant Fee
$
Camper 3
First Name
*
Last Name
*
Birth Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Additional notable Information
Please let us know if there are any allergies or other important info we need to be aware of
Please select which weeks to register for:
*
Summer Camp 2025 - Week 1 (Jul 14-18)
Summer Camp 2025 - Week 2 (Jul 21-25)
Summer Camp 2025 - Week 3 (Jul 28-Aug 1)
Summer Camp 2025 - Week 4 (Aug 4-8)
Participant Fee
$
Emergency Information
Emergency Contact First Name
*
Emergency Contact Last Name
*
Emergency Contact Phone
*
Emergency Contact Relationship
*
Pediatrician Name
*
Pediatrician Phone
*
Payment Option
*
Check
Credit Card
Chabad on the Vineyard - Martha's Vineyard
info@vineyardchabad.org
|
P.O. Box 1086, 83 Causeway Road, Vineyard Haven, MA 02568
Powered by
ChabadSuite
log in
