Camp Register Form

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!

Camp Rates:
1 week: $350
2 weeks: $700
3 weeks: $950
1. Child’s Information
Child *

First Name Middle Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
If your child has any allergies please list them here:
Camp Rates:*

One Week $350Two Weeks $700Three Weeks $950
Week(s) Attending:*

Week 1: June 26th - June 30thWeek 2: July 3rd - July 7thWeek 3: July 10th - July 14th
Child 2

First Name Middle Name Last Name
Child 2 Birth Date

Month Day Year
Child 2 Gender

MaleFemale
If your child has any allergies please list them here:
Camp Rates:*

One Week $350Two Weeks $700Three Weeks $950
Week(s) Attending:*

Week 1: June 26th - June 30thWeek 2: July 3rd - July 7thWeek 3: July 10th - July 14th
If you have additional children please contact us.
2. Parent information
Phone Number*

Area Code Phone Number

Address*

Payment

Credit Card Paypal Check

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.
General comments
Should be Empty:

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1. Child’s Information