Wufoo
GFC Campership Application 2021
MARCH 2021 UPDATE: At this time Greene Family Camp has exhausted our campership funding for the year and your application will be added to our campership waitlist. Should additional funding become available, the campership committee will review applications on the waitlist in the order they were received and award camperships as able.
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URJ Greene Family Camp is pleased to offer partial, need-based financial support for Summer 2021.
A significant portion of the assistance we provide is made possible through the support of former campers, staff, parents and friends of GFC. We are extremely grateful for their generosity and commitment to making camp accessible for families throughout Texas and Oklahoma.
This year, you may apply for a campership between September 30 and November 30, 2020. Your application will be reviewed at the beginning of the month after it was received and you will be notified of any financial assistance shortly thereafter.
You are encouraged to apply before November 30th as we cannot guarantee that financial assistance will be available afterwards.
NOTE: This application cannot be saved, and thus must be completed in its entirety before submitting. This includes the Personal Narrative on page 2.
1
Camper & Parent Information
2
Financial Information & Narrative
3
Additional Funding & Campership Request
Camper Information
How many campers will you have at GFC?
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2
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4
Camper 1 Name
*
First
Last
Is Camper 1 registered for Summer 2021?
*
Yes
No
Is Camper 1 new or returning
*
New
Returning
Camper 1 Unit
*
Bonim (current 1st and 2nd graders)
Niviim (current 3rd and 4th graders)
Kohanim (current 5th graders)
Shoftim (current 6th graders)
Melachim (current 7th graders)
S'ganim (current 8th graders)
Kibbutz (current 9th graders)
Chalutzim (current 10th graders)
Avodah (current 11th graders)
Camper 2 Name
*
First
Last
Is Camper 2 registered for Summer 2021?
*
Yes
No
Is camper 2 new or returning
*
New
Returning
Camper 2 Unit
*
Bonim (current 1st and 2nd graders)
Niviim (current 3rd and 4th graders)
Kohanim (current 5th graders)
Shoftim (current 6th graders)
Melachim (current 7th graders)
S'ganim (current 8th graders)
Kibbutz (current 9th graders)
Chalutzim (current 10th graders)
Avodah (current 11th graders)
Camper 3 Name
*
First
Last
Is the Camper 3 registered for Summer 2021?
*
Yes
No
Is Camper 3 new or returning
*
New
Returning
Camper 3 Unit
*
Bonim (current 1st and 2nd graders)
Niviim (current 3rd and 4th graders)
Kohanim (current 5th graders)
Shoftim (current 6th graders)
Melachim (current 7th graders)
S'ganim (current 8th graders)
Kibbutz (current 9th graders)
Chalutzim (current 10th graders)
Avodah (current 11th graders)
Camper 4 Name
*
First
Last
Is Camper 4 new or returning
*
New
Returning
Is the Camper 4 registered for Summer 2021?
*
Yes
No
Camper 4 Unit
*
Bonim (current 1st and 2nd graders)
Niviim (current 3rd and 4th graders)
Kohanim (current 5th graders)
Shoftim (current 6th graders)
Melachim (current 7th graders)
S'ganim (current 8th graders)
Kibbutz (current 9th graders)
Chalutzim (current 10th graders)
Avodah (current 11th graders)
Parent/Guardian Information
Parent/Guardian 1:
*
First
Last
Relationship to camper(s)
*
Parent
Step-Parent
Guardian
Parent/Guardian 1 Email:
*
Parent/Guardian 1 Phone Number:
*
Marital Status
*
Single
Married
Separated
Divorced
Widowed
Parent/Guardian 2:
First
Last
Relationship to camper(s)
Parent
Step-parent
Guardian
Parent/Guardian 2 Email:
Parent/Guardian 2 Phone Number:
Marital Status
Single
Married
Separated
Divorced
Widowed
Congregation
*
Unaffiliated
Other
Austin - Cong. Beth Israel
Austin - Temple Beth Shalom
Beaumont - Temple Emanuel
Bryan - Congregation Beth Shalom
Cedar Park - Congregation Shir Ami
Colleyville - Congregation Beth Israel
Corpus Christi - Congregation Beth Israel
Dallas - Congregation Shearith Israel
Dallas - Temple Emanu-El
Dallas - Temple Shalom
Flower Mound - Congregation Kol Ami
Fort Worth - Beth-El Congregation
Galveston - Congregation B'nai Israel
Houston - Congregation Brith Shalom
Houston - Congregation Beth Israel
Houston - Congregation Beth Yeshurun
Houston - Congregation Emanu El
Houston - HCRJ
McAllen - Temple Emanuel
Missouri City - Congregation Beth El
OKC - Temple B'nai Israel
Plano - Anshai Torah
Plano - Adat Chaverim
San Antonio - Temple Beth-El
San Antonio - Temple Chai
Spring - CJCN
Tulsa - Temple Israel
Tyler - Congregation Beth El
Waco - Temple Rodef Sholom
Woodlands - Congregation Beth Shalom
Houston - Temple Sinai
Other Congregation
Please include name, city and state of congregation (i.e., Congregation Shir Ami, Odessa, TX)
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