Taste of Centerland Summer 2022 Grant Application ⋆ Buffalo Jewish Federation

Camp Information

Have you registered your child for JCC of Greater Buffalo's Camp Centerland yet?

Yes
No

Camper is not eligible yet.

Before completing your Taste of Centerland Grant application for summer 2020, please make sure you have already registered your camper for Camp Centerland for a minimum of two weeks for summer 2020.

How many weeks will your camper be attending Camp Centerland this summer?*

Camper is not eligible.

Your camper must attend Camp Centerland for a minimum of two weeks for summer 2020.

Has your camper previously attended Camp Centerland?

Yes
No

Camper may not be eligible.

Camper will only be eligible for a grant if camper will be attending for the first time for a minimum of two weeks.

What year and for how long?*

Has your camper previously attended another Jewish summer camp (day or overnight)?

Yes
No

Please let us know what camp and for how long:

Camper Information

Camper's Name*

First Last

Camper's Address*

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

Camper's Birthdate*

Does your camper identify as being Jewish?

Yes
No

What type of school does your camper currently attend?*

What is the name of the school that your camper currently attends?*

What grade will your camper enter after camp?*

Parent/Guardian 1 Information

Name*

First Last

Address*

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

Cell Phone*

Email*

Parent/Guardian 2 Information

Name

First Last

Address

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

Cell Phone

Email

Family Background

Please provide us with some basic demographic information about the camper’s family so we can better understand the population we are serving. Your answers will have no bearing on your grant application.

Which of these statements regarding religious background best describes your camper's family?*

Who in the camper’s family has previously attended a Jewish summer day camp—an experience that has significant Jewish content, an explicit Jewish mission, celebrates Shabbat, etc.? (check all that apply)*

One of the camper's parents/guardians
Both of the camper's parents/guardians
Camper's sibling(s)
No one

Who in the camper’s family has previously attended a non-sectarian summer day camp—a camp without any specifically Jewish content and where counselors do not adhere to any specific religious affiliation? (Check all that apply)*

One of the camper's parents/guardians
Both of the camper's parents/guardians
Camper's sibling(s)
No one

Is your family currently affiliated with a temple or synagogue?*

Other

Is your camper's family currently a member of the Jewish Community Center of Greater Buffalo?

Yes
No

Verification Statement*

I certify that all information in this application is accurate and complete.

Signature

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