Registration

Address

Gender
Full Name

First Name Last Name
Date of Birth

Month Day Year
School
Grade Entering
Child #2
Full Name

First Name Last Name
Hebrew Name
Gender
Date of Birth

Month Day Year
School
Grade Entering
Parent Information
Father

First Name Last Name
Mother

First Name Last Name
Home Phone

Area Code Phone Number
Father Cell

Area Code Phone Number
Mother Cell

Area Code Phone Number
Father E-mail
Mother E-mail
Emergency Contact
Full Name

First Name Last Name
Relationship to Camper
Phone Number

Area Code Phone Number
Enrollment Options / Tuition & Fees
Exclusive Open House Discount (Jan. 29, 2023):
One Week $275 Two Weeks $550 Three Weeks $825 Four Weeks $1100

Early Bird Rate (Feb.1- Mar.7) :
One Week $300 Two Weeks $600 Three Weeks $900 Four Weeks $1200

Regular Price:
One Week $325 Two Weeks $650 Three Weeks $975 Four Weeks $1,300ion
Sessions*

June 26 - June 30 July 3 - July 7 July 10 - July 14 July 17 - July 21
Extended Care

Early Care After Care
Notes

Payment* A deposit of 10% of the camp payment is required with registration.

Credit Card Check

Postal / Zip Code

Country

Total

$0.00
As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Camp Gan Israel to hospitalize or secure treatment for my/our child, I/we further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Camp Gan Israel personnel will try, but are not required, to communicate with me/us prior to such treatment.
I Agree to the Terms and Conditions Above
Please click here to fill out our health forms. Please fill out one form per camper.
I would like to receive news and updates by email
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Emergency Contact