| 1 | Camper 1: Last Name, First Name |
| Left Blank | 0 |
| User entered value | 36 |
| Average submission length in words (ex blanks) | 1.67 |
| 2 | Camper 1: Sex |
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| 3 | Camper 1: Date of Birth |
| Left Blank | 3 |
| User entered value | 34 |
| 4 | Camper 1: School |
| Left Blank | 23 |
| User entered value | 13 |
| Average submission length in words (ex blanks) | 2.00 |
| 5 | Camper 1: E-mail Address |
| Left Blank | 13 |
| User entered value | 23 |
| Average submission length in words (ex blanks) | 3.22 |
| 6 | Camper 1: Grade as of September 2010 |
| Left Blank | 24 |
| User entered value | 12 |
| Average submission length in words (ex blanks) | 0.42 |
| 7 | Camper 2: Last Name, First Name |
| Left Blank | 23 |
| User entered value | 13 |
| Average submission length in words (ex blanks) | 1.69 |
| 8 | Camper 2: Sex |
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| 9 | Camper 2: Date of Birth |
| Left Blank | 24 |
| User entered value | 13 |
| 10 | Camper 2: School |
| Left Blank | 30 |
| User entered value | 6 |
| Average submission length in words (ex blanks) | 1.33 |
| 11 | Camper 2: E-mail Address |
| Left Blank | 21 |
| User entered value | 15 |
| Average submission length in words (ex blanks) | 3.33 |
| 12 | Camper 2: Grade as of September 2010 |
| Left Blank | 31 |
| User entered value | 5 |
| Average submission length in words (ex blanks) | 0.80 |
| 13 | Camper Lives With |
| Both Parents | 21 |
| Other | 5 |
| Parent 1 | 8 |
| Parent 2 | 2 |
| 14 | Parent/Guardian 1 Name |
| Left Blank | 0 |
| User entered value | 36 |
| Average submission length in words (ex blanks) | 1.67 |
| 15 | Parent/Guardian 1 Address |
| Left Blank | 0 |
| User entered value | 36 |
| Average submission length in words (ex blanks) | 3.17 |
| 16 | Parent/Guardian 1 Home Phone Number |
| Left Blank | 24 |
| User entered value | 12 |
| Average submission length in words (ex blanks) | 0.75 |
| 17 | Parent/Guardian 1 Work Phone Number |
| Left Blank | 29 |
| User entered value | 7 |
| Average submission length in words (ex blanks) | 1.29 |
| 18 | Parent/Guardian 1 Cell Phone Number |
| Left Blank | 25 |
| User entered value | 11 |
| Average submission length in words (ex blanks) | 0.82 |
| 19 | Parent/Guardian 1 E-mail Address |
| Left Blank | 18 |
| User entered value | 18 |
| Average submission length in words (ex blanks) | 3.28 |
| 20 | Parent/Guardian 1 Occupation |
| Left Blank | 26 |
| User entered value | 10 |
| Average submission length in words (ex blanks) | 1.60 |
| 21 | Parent/Guardian 2 Name |
| Left Blank | 26 |
| User entered value | 10 |
| Average submission length in words (ex blanks) | 1.90 |
| 22 | Parent/Guardian 2 Address |
| Left Blank | 28 |
| User entered value | 8 |
| Average submission length in words (ex blanks) | 4.00 |
| 23 | Parent/Guardian 2 Home Phone Number |
| Left Blank | 31 |
| User entered value | 5 |
| Average submission length in words (ex blanks) | 1.60 |
| 24 | Parent/Guardian 2 Work Phone Number |
| Left Blank | 29 |
| User entered value | 7 |
| Average submission length in words (ex blanks) | 1.14 |
| 25 | Parent/Guardian 2 Cell Phone Number |
| Left Blank | 25 |
| User entered value | 11 |
| Average submission length in words (ex blanks) | 0.91 |
| 26 | Parent/Guardian 2 E-mail Address |
| Left Blank | 20 |
| User entered value | 16 |
| Average submission length in words (ex blanks) | 3.25 |
| 27 | Parent/Guardian 2 Occupation |
| Left Blank | 28 |
| User entered value | 8 |
| Average submission length in words (ex blanks) | 1.13 |
| 28 | Congregation |
| Left Blank | 26 |
| User entered value | 10 |
| Average submission length in words (ex blanks) | 2.50 |
| 29 | Congregation Affiliation |
| Conservative | 2 |
| Other | 6 |
| Reconstructionist | 9 |
| Reform | 2 |
| 30 | Special Needs |
| No | 12 |
| Yes | 2 |
| 31 | Special Needs - Additional Information |
| Left Blank | 33 |
| User entered value | 3 |
| Average submission length in words (ex blanks) | 19.67 |
| 32 | Permission |
| No | 2 |
| Yes | 13 |
| 33 | Registration |
| $1050 - Registration for JRF WEST Mini Camp Session August 17-August 23 | 5 |
| $1050 - Registration for JRF WEST Mini Camp Session August 17-August 23 (Registration Deadline May 7) | 1 |
| 34 | Scholarship Donation |
| Yes, I want to help make it possible for other campers to attend JRF WEST Mini Camp by making a voluntary tax deductible donation to the JRF WEST Mini Camp Scholarship Fund. | 2 |
| 35 | Scholarship Need |
| I need a scholarship to make it possible for my camper to attend JRF WEST Mini Camp. Please contact me with information about obtaining a scholarship. | 8 |
| 36 | Sharing Information |
| JRF WEST Mini Camp may share my family’s name, phone number, and e-mail address with other camper families for communication purposes only. Please indicate here if you prefer NOT to participate in this agreement | 4 |
| 37 | Deposit |
| Left Blank | 30 |
| User entered value | 6 |
| Average submission length in words (ex blanks) | 0.00 |
| 38 | I'd like to make a Scholarship Donation |
| Left Blank | 35 |
| User entered value | 1 |
| Average submission length in words (ex blanks) | 0.00 |
| 39 | Payment Type |
| I am mailing a check made payable to JRF WEST Mini Camp | 14 |
| I am mailing a money order to JRF | 1 |
| 40 | I AGREE |
| Yes | 27 |
