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Camp Gan Israel

fun forever!

ב"ה

Camp Registration

Camp Registration
Child Information:
Child's Name*

First Name Last Name
Gender*
Birth Date*

Month Day Year
School*
Grade*

Address*

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

Phone Number*

Area Code Phone Number
Mother Information:
Full Name*

First Name Last Name
Hebrew Name*
Cell Number*

Area Code Phone Number
E-mail*
Mother is:*
Mother is:*
Father Information:
Full Name*

First Name Last Name
Hebrew Name*
E-mail*
Cell Number*

Area Code Phone Number
Father is:*
Father is:*
Emergency Contact:
Full Name*

First Name Last Name
Phone Number*

Area Code Phone Number
Relationship*
Physician Information:
Full Name*

First Name Last Name
Phone Number*

Area Code Phone Number
Child Age Group:

Please select one
*

Younger Bunk Older Bunk C-Teen
Sessions - Summer 5783/2023

Camp will be July, 3 - July, 21
Please check all that apply*

Full Session July 3 - 7 July 10 - 14 July 17 - 21
All forms must be completed and submitted before your child begins camp.

Cost per week is: $150
Lunch can be provided for an additional $25 per week.

All trips and activities are included in camp tuition.

Scholarships are available. No child will be turned away due to lack of funds. To apply for a scholarship, please contact us at: [email protected]
Tuition With Lunch
Tuition Without Lunch
Total

$0.00

Payment

Credit Card Check

Postal / Zip Code

Country

I have read the camp brochure and application form and agree to the terms stated.

I give my child permission to attend all trips, and receive medical care in the case of emergency.
Electronic Signature*
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Camp Updates

Wishing you a happy summer!

This year's camp was a blast, check out the photo galleries!

Can't wait until summer 2023!