Registration is Open!

Name: JGR Summer Retreat 2026
Start: 2026-06-24T13:00:00+00:00
End: 2026-07-20T15:30:00+00:00
Location: Jewish Greenbush Retreat

Use code EARLYBIRD100 to get $100 off when you register before February 2nd!

Scroll down for the registration form.

JGR Registration Form

"*" indicates required fields

URL

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Camper Info

Camper's Name*

First Last

Camper's Hebrew Name*

Photo of Camper

Max. file size: 50 MB.

Camper's Cell Phone (for keeping in touch with other campers)

Camper's Email (for keeping in touch with other campers)

Camper's Date of Birth*

Camper's School*

Grade entering*

Tshirt Size*

Traveling From

Contact Info

Home Phone*

Parent 1 Name*

First Last

Parent 1 Phone*

Parent 1 Email*

Parent 2 Name

First Last

Parent 2 Cell Phone

Parent 2 Email

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

References

How did you hear about the retreat?

What camp did you attend last year?

Reference Name*

Reference Phone Number*

Camp Experience

Please describe the camper and tell us anything that might be helpful to know about her.

How would you like to see your daughter grow through the retreat?

Camper's Hobbies

Allergies, dietary restrictions, medical issues, etc.

Comments or Suggestions

Payment

Payment Method*

Charge my card the full price: $3650 (if you have a coupon code you can enter it below)

Charge my card 4 installments of $912.50

I will mail a check to 12 Thompson Hill Rd, Rensselaer, NY 12144

I will Zelle the total amount to 518-727-6037

Registration Fee: $180*

Price:

Full Price

Price:

Installments

Price:

Coupon

Total

JGR Summer Retreat 2026

June 24 @ 1:00 pm - July 20 @ 3:30 pm

Registration is Open!

JGR Registration Form

Camper Info

Contact Info

References

Camp Experience

Payment

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