BJE Teens Who Care: Camper Registration Form

Choice of Session

Camper Information

















If enrolling more than one camper, please click "Add another response".



Parent/Guardian I Information








Parent/Guardian II Information








Emergency Contact Information








About Camper













Camper Activities





Payment Options

Please select the appropriate payment options.  You can either make payment by clicking on the PayPal option after submitting this form, or by mailing in a check to BJE/ Attn: Teens Who Care/ 6505 Wilshire Blvd, Suite 300/ Los Angeles/CA/ 90048.  If you would prefer to pay with a credit card over the phone, please call 323-761-8631.

For scholarship opportunities, please email gkaronsky@bjela.org or call 323-761-8631.




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