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 Name Last Name

Birth Date*

Month Day Year

Gender*

MaleFemale

T-shirt Size*

SmallMediumLarge

Schools

Name of School Name of Hebrew School

Entering Grade

Teir 1 ($375)

First WeekSecond Week

Teir 2 ($300.00)

First WeekSecond Week

Teir 3

First WeekSecond WeekI will contact Nechama for a financial assitance form. My child is not registered until payment plan is complete.

Child 2

First Name Last Name

Birth Date

Month Day Year

Gender

MaleFemale

T-shirt Size

SmallMediumLarge

Schools

Name of School Name of Hebrew School

Entering Grade

Teir 1 ($356.25)

Week 1Week 2

Teir 2 ($285.00)

Week 1Week 2

Teir 3

Week 1Week 2I will contact Nechama for a financial assitance form. My child is not registered until payment plan is complete.

If you have additional children please contact us.

Phone Number*

Area Code Phone Number

Address*

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

Mother's Name

First Name Last Name

Work Phone

Area Code Phone Number

Cell Phone

Area Code Phone Number

E-mail Primary email

Farther's Name

First Name Last Name

Work Phone

Area Code Phone Number

Cell Phone

Area Code Phone Number

E-mail Primary email

How did you hear of us?

Emergency Contact #1*

First Name Last Name

Phone Number*

Area Code Phone Number

Relationship*

Emergency Contact #2*

First Name Last Name

Phone Number*

Area Code Phone Number

Relationship*

Pediatrician

First Name Last Name

Phone Number

Area Code Phone Number

Insurance

Total

$0.00

Payment

Credit Card Paypal Check

Postal / Zip Code

Country

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 10, 2023 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

I would like to receive news and updates by email

Camp Registration

1. Child/ren’s Information

2. Parents information

3. Emergency Information