* Required

Namerequired

Maiden name

Emailrequired

Phonerequired

Addressrequired

Cityrequired

Staterequired

Ziprequired

Country

Birthdate (mm/dd/yyyy)

Employer

Job Title

Years at camprequired

Leadership or Mitzvah year (if applicable)

Were you a staff member?

Yes No

If so, which years?

Are you married?

Yes No

What is your spouses name?

Is your spouse a WBT Camps alum?

Yes No

Do you have children?

If so, please tell us their names, gender, and ages so we can invite you and your family to age-appropriate events.

On a scale of 1-5, 5 being the most interested, how interested would you be in the following alumni initiatives and events?

Regional alumni events

Regional alumni Shabbat dinners

Virtual gatherings

Would you be interested in serving on a Camp Committee or Alumni Association sub-committee?

Yes No Maybe

What projects/programs/opportunities would you like to see the alumni association offer?

Are you interested in helping organize alumni gatherings and events?

Yes No Maybe

Where would you like to see alumni events take place?

Wilshire Boulevard Temple Camps’ Alumni Association is led by a dedicated committee of alumni of many different generations. If you would like to get involved with the Alumni Association, please email erica@wbtcamps.org.

Please provide an email address where we can send a link to your current form.

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