Lavi Camper Registration
(* = Required Information)

Camper's First Name: *
Camper's Last Name: *
Home Phone: * Alt Phone:
Pickup Address: *
City: *
State: *
Zip Code: *
Borough or County: *
Cross Streets: Between and
Delivery Address (FROM camp back TO you) (only if different than above):
Delivery City:
Delivery State:
Delivery Zip Code:
Delivery Borough or County:
Delivery Cross Streets: Between and

Camp Session: *
Which Way: *
Camp:

Pieces of Luggage:

Explanations:
Oversized Duffel - Longer than 42"
Oversized Hard Trunk - Over 16" tall
Oversized Soft Trunk - Over 36"x14"x24"

Luggage: *

Additional Parcels:

Special Instructions to Driver: