Reservation Form

Click here to view the Registration Form.

Once printed and completed you can fax it back to us at 718 504-7919.
Alternatively you may call us at 718 778-7278 or 1888 567-0100 to make reservations.

NOTE: The Reservation Form is available in Adobe PDF format. To view PDF format you should have the Adobe Acrobat PDF Reader installed on your computer. If you do not have the Adobe Acrobat Reader, you can download it FREE from the Adobe web site by clicking here.

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Guest Information

First Name T *

Last Name *

Spouse Name *

Address *

City *

State *

Zip *

Phone (Main) *

Phone (secondary)

Phone (Work)

Fax

email *

Seder preferences

Rental Car

Referral source

Room 1

Room Description

Room Type

Choice of bedding

Number of guests

Roll-away Bed ($150)

Baby Crib

Refrigerator ($35)

Sofa Bed

Guest 1 - Room 1

First Name *

Last Name *

M/F

Birthdate

Under 18?

Yes

Age (under 18)

Reservation length

Email address *

Camp Category

Aliya

Chiyuvim

Hebrew Date

Nusach

Contributing Skills

Dining room seat

Special Diet

Special Diet Details

Special Occasion

First Name *

Last Name *

Reservation Length

Age

Camp Choice

First Name *

Last Name *

Reservation Length

Age

Camp Choice

First Name *

Last Name *

Reservation Length

Age

Camp Choice

This field should be left blank

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Guest Information

First Name T *

Last Name *

Spouse Name *

Address *

City *

State *

Zip *

Phone (Main) *

Phone (secondary)

Phone (Work)

Fax

email *

Seder preferences

Rental Car

Referral source

Room 1

Room Description

Room Type

Choice of bedding

Number of guests

Roll-away Bed ($150)

Baby Crib

Refrigerator ($35)

Sofa Bed

Guest 1 - Room 1

First Name *

Last Name *

M/F

Birthdate

Under 18?

Yes

Age (under 18)

Reservation length

Email address *

Camp Category

Aliya

Chiyuvim

Hebrew Date

Nusach

Contributing Skills

Dining room seat

Special Diet

Special Diet Details

Special Occasion

First Name *

Last Name *

Reservation Length

Age

Camp Choice

First Name *

Last Name *

Reservation Length

Age

Camp Choice

First Name *

Last Name *

Reservation Length

Age

Camp Choice

This field should be left blank

Please wait...