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!

Child 1*

First Name Middle Name Last Name

Birth Date*

Month Day Year

Gender*

MaleFemale

Sessions ($325 per week) Register before May 15 for Early Bird Discount! Just $275

Child 2

First Name Middle Name Last Name

Birth Date

Month Day Year

Gender

MaleFemale

Sessions ($325 per week) Register before May 15 for Early Bird Discount! Just $275

Child 3

First Name Middle Name Last Name

Birth Date

Month Day Year

Gender

MaleFemale

Sessions ($325 per week) Register before May 15 for Early Bird Discount! Just $275

If you have additional children please contact us.

Phone Number*

Area Code Phone Number

Address*

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

Mother's info*

First Name Last Name

Work Phone

Area Code Phone Number

E-mail* Primary email

Cell Phone*

Area Code Phone Number

Father's info*

First Name Last Name

Work Phone

Area Code Phone Number

E-mail*

Cell Phone*

Area Code Phone Number

How did you hear of us?

Emergency Contact*

First Name Last Name

Phone Number*

Area Code Phone Number

Relationship*

Pediatrician & Insurance

First Name Last Name

Phone Number

Area Code Phone Number

Insurance

Policy #

Allergies*

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

I would like to apply for subsidy

EARLY BIRD - $275 / WEEK !

1. Child/ren’s Information

2. Parent information

3. Emergency Information

Synagogue Services

Adult Education

Youth Programs

Holiday Celebrations

Women's Events

Community Services