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Request Information

Request Information from Camp Mountain Chai Summer Camp

We hope you enjoyed touring our web site. If you are interested in learning more about Camp Mountain Chai, please complete the following form and click "Submit". We will mail you our full informational packet, including our camp videos.

E-mail Address: (required):
Child's First Name
or Nickname:
Child's Last Name:
Age: Current Grade: D.O.B.:
Parent's Name:
Home Address:
City, State and Zip:
Evening Phone:
Daytime Phone:
How do you know about Camp Mountain Chai?


What special interests does your child have? (optional)


Any questions? (optional)

Please type the code shown in the image:





When you're finished, please click this submit button once only.
We'll get back to you as soon as possible.






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