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«BACK TO CAMP GAN IZZY
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!
Before proceeding be sure to visit Camp Rates
Please fill out carefully.
When you press submit, this form will be sent to our administration office.
Please look out for our letter of acceptance.
1. Child/ren’s Information
How many of your children are applying?*
Child 1*
First NameHebrew NameLast Name
Birth Date*child 1
MonthDayYear
Gender*child 1
MaleFemale
Sessions*child 1
Week 1Week 2Week 3Week 4
Child 2*
First NameHebrew NameLast Name
Birth Date*child 2
MonthDayYear
Gender*child 2
MaleFemale
Sessions*child 2
Week 1Week 2Week 3Week 4
Child 3*
First NameHebrew NameLast Name
Birth Date*child 3
MonthDayYear
Gender*child 3
MaleFemale
Sessions*child 3
Week 1Week 2Week 3Week 4
Child 4*
First NameHebrew NameLast Name
Birth Date*child 4
MonthDayYear
Gender*child 4
MaleFemale
Sessions*child 4
Week 1Week 2Week 3Week 4
If you have more than 4 children please contact us.
2. Parent information
Phone Number*
Area CodePhone Number

Address*

Mother's info
First NameHebrew NameLast Name
Work Phone
Area CodePhone Number
E-mailPrimary email
Cell Phone
Area CodePhone Number
Father's info
First NameHebrew NameLast Name
Work Phone
Area CodePhone Number
E-mail
Cell Phone
Area CodePhone Number
How did you hear of us?
Is child's natural mother jewish?*
YesNo
Is child's natural father jewish?*
YesNo
Have there been any conversions or adoptions*Grandparents included
Yes (Please specify)No
Comments
3. Emergency Information
Any allergies or concerns*
Yes - Please specifyNo
Allergy Info
Emergency Contact*
First NameLast Name
Phone Number*
Area CodePhone Number
Relationship*
Pediatrician & Insurance
First NameLast Name
Phone Number
Area CodePhone Number
Insurance
Policy #
4. Payment Information
Time of submission
MonthDayYear
at HourMinutes
$35 Non-refundable registration fee*
$35 - 1 Child$70 - 2 Children$105 - 3 Children$140 - 4 Children
$100 Non-refundable registration fee*Sorry, the lower $35 registration price expired June 1st
$100 - 1 Child$200 - 2 Children$300 - 3 Children$400 - 4 Children
Registration fee
$35 non-refundable registration fee for early bird submissions.
$100 non-refundable registration fee for non early bird - $50 of registration fee will be applied to camp tuition.
Tuition*Amount of tuition I want to pay now
$0
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.
Please send E-mail confirmation to*
General comments
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1. Child/ren’s Information