REGISTER NOW FOR CAMP GAN ISRAEL 2021!

The dates for our summer session are June 28-July 9.

Please fill out the form below carefully. When you press submit, this form will be sent to our administration office.


Register Online

Please fill out the form below:

Camper 1 Camper 2 Camper 3
Campers Full Name
 Campers Full Name
Campers Full Name
Hebrew Name
Hebrew Name
Hebrew Name
Date of Birth
Date of Birth
Date of Birth
Gender
Gender
Gender
School Attending
School Attending
School Attending
Entering Grade
Entering Grade
Entering Grade
General Information
Previous Camps Attended
How did you hear about Camp Gan Israel?
What goals would you like to see your child/ren accomplish during camp?
Briefly describe your child/ren's personality

Child/ren's favorite activities
Fees

Full Session: $490/Child
Weekly Session: $250/Child
            Sibling Discount: 5% off per additional sibling

My child will be attending:
         Week 1 (June 28 - July 2)
         Week 2 (July 5 - July 9)

If registered after June 1st, then the fee will be $275/week.

Daily Option: $60/Child. Must be registered at least a week in advance.
        Trips are not included in the daily fee.
For daily option, please specify which days:
Camp T-shirt
T-shirt. Camp fees include one camp t-shirt, mandatory to be worn on all trip days. Additional shirts are available at $15 ea.
Child Small Medium Large
Adult Small Medium Large
Total Amount, to be paid in full by June 15, 2021 
Parents' Information
Parents' Status Married Widowed Divorced Seperated
Home phone
Home Address
City
State
Zip
Father's full name
work phone
cell phone
email
Mother's full name
work phone
cell phone
email
Comments
Emergency Contact Information
Contact 1
Phone
Relationship to child
Contact 2
Phone
Relationship to child
Family Physician
Phone
Are there any medical concerns that your child's counselor should be aware of?
 
List all persons authorized to pick-up camper from campus.
 
Permission
I have read the camp's terms and conditions and agree to the terms and conditions stated.

Email me a record of this registration to:

Parent/Gaurdian Date


Payment Details
Registration is confirmed with a non-refundable registration fee of $30.
Payment is needed in full by the first day of camp.
Last Name   Total charge amount
First Name   Card Type
Address   Card Number
City   Exp. Date
State   CVV code 3 digits on back of card
Zip   Comments