Camp Registration

Camp Gan Israel is a camp dedicated to enriching the lives of children from diverse Jewish backgrounds and affiliations through a stimulating camping experience. CGI is part of the largest and fastest growing network of day camps, enjoying a reputation as a pioneer in Jewish camping, with innovative ideas and creative activities, to both provide enjoyment and inspire children to try new and exciting things!

Child 1*

First NameLast Name

Birth Date*

MonthDayYear

Gender*

MaleFemale

Schools

Name of SchoolName of Hebrew School

Entering Grade

Weeks ($200 per week)

Week 1Week 2

Child 2

First NameLast Name

Birth Date

MonthDayYear

Gender

MaleFemale

Schools

Name of SchoolName of Hebrew School

Entering Grade

Weeks ($200 per week)

Week 1Week 2

If you have additional children please contact us.

Phone Number*

Area CodePhone Number

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mother's Name

First NameLast Name

Work Phone

Area CodePhone Number

Cell Phone

Area CodePhone Number

Payment

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

E-mailPrimary email

Farther's Name

First NameLast Name

Work Phone

Area CodePhone Number

Cell Phone

Area CodePhone Number

E-mailPrimary email

How did you hear of us?

Emergency Contact #1*

First NameLast Name

Phone Number*

Area CodePhone Number

Relationship*

Emergency Contact #2*

First NameLast Name

Phone Number*

Area CodePhone Number

Relationship*

Pediatrician

First NameLast Name

Phone Number

Area CodePhone Number

Insurance

Total

$0.00

Agreement*

I am signing up my child for camp. I give my child permission to attend all trips and receive medical care in the case of emergency, G-d forbid. I give Gan Israel permission to photograph and videotape my children and use the photos and videos (without their names) for whatever the camp sees fit. I hereby permit Camp Gan Israel to transport my child(ren) on camp provided transportation, and to obtain emergency medical care as the situation mandates. I agree that Camp Gan Israel, its administration and staff, will not be liable for any injury or health impairment that may occur. I hereby permit my child to participate in all activities of Camp Gan Israel - on site, off site and trips. I allow Camp Gan Israel to use my child’s photograph for all promotional purposes. I understand that my child may be dismissed during a camp day, due to illness, at the discretion of the camp, and I agree to abide by the director's decision. I understand that my deposit is non-refundable, and that full payment is due on or before July 13, 2020 The parent who signs this registration form represents that he/she has full authority to do so and will be responsible for payment of the camp fees.

Comments

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Camp Registration

1. Child/ren’s Information

2. Parents information

3. Emergency Information