Day Camp Program "*" indicates required fields Program Info:What dates will you be attending camp?*Location* Boys' Campus at Yeshiva in Hispin Girls' Campus at Midrasha in Hispin Personal Info:Participants Name* First Last Participants Gender* Male Female Participants Phone*Grade student will be entering in September*Entering 5th gradeEntering 6th gradeEntering 7th gradeEntering 8th gradeEntering 9th gradeEntering 10th gradeEntering 11th gradeEntering 12th gradeGraduated high schoolSize of t-shirt*2468101214OtherPlease Specify*Family Info:Family Email* Family Phone*Has a family member ever attended CampDror Previously?*YesNoI am responsible to get my child to the NBN Campus in Yerushalayim by 10 AM:* I will pick my child up at the end of the day at 20:30 My child will be going home with someone else. I grant permission for my child to travel by themself after being dismissed from the final activity. Notes:Health InformationMedications taken regularly? Medications taken regularly? Please specify*We will do our best to accommodate all food allergies. We will inform you if we cannot accommodate your requests.Allergies - food any other allergy* Gluten Free Vegetarian Vegan Dairy Free Nut free Sesame free Peanut free Other No food allergies Please specify*Medical Restrictions and or special needs? Medical Restrictions and or special needs? Please specify*Permissions:I permit my child to participate in all the activities during the Day of Dror.* I permit my child to participate in all the activities during the Day of Dror. I consent to the use of photos and/or videos of my child taken at the Day of Dror in different advertisements for the camp and their distribution.* I consent to the use of photos and/or videos of my child taken at the Day of Dror in different advertisements for the camp and their distribution. I consent to Yachad, NCSY, and other OU organizations using photos and/or videos of my child taken at Camp Dror in different advertisements about the camp and their distribution.* I consent to Yachad, NCSY, and other OU organizations using photos and/or videos of my child taken at Camp Dror in different advertisements about the camp and their distribution. Billing infoAddress* Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Facebook Twitter Mail
