Camper Behavior Report

Name of Head Staff:(Required)

Email of Head Staff:(Required)

Date of Dialogue(Required)

Method of Communication(Required)

Camper's Name:(Required)

First Last

Counselor's or Rebbi's Name:(Required)

Brief Description of Issue:(Required)

Discussions with Parents:(Required)

My Recommendation is as Follows: (optional)

Absolutely do not accept him back next year.

We need to check how he did this year in school and then decide.