2020 Summer Camp Registration 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!

For C.I.T. (7th & 8Th Grade) Registration Please Click Here

Child 1*

First NameMiddle NameLast Name

Jewish/Hebrew Name:

Age*

Grade*Fall 2019

Birth Date*

MonthDayYear

Gender*

MaleFemale

Select Camp SessionsThis selection is for the entire week otherwise skip to "drop in" dates below.

Session 1 - June 22-26 - "Rock N Roll"Session 2 - June 29 - July 3 - "Waterplay USA"Session 3 - July 6 -10 "Wonders of Hashem"Session 4 - July 13 -17 "Game Time"Session 5 - July 20 -24 "Peace, Love & Summer"Session 6 - July 27 - 31 "Adventureland"

Early Care / After Care

Early Care 7-8:30 AMAfter Care 3:30-5:30 PM

Child 2

First NameMiddle NameLast Name

Jewish/Hebrew Name:

Age

GradeFall 2019

Birth Date

MonthDayYear

Gender

MaleFemale

Select Camp SessionsThis selection is for the entire week otherwise skip to "drop in" dates below.

Session 1 - June 22-26 - "Rock N Roll"Session 2 - June 29 - July 3 - "Waterplay USA"Session 3 - July 6 -10 "Wonders of Hashem"Session 4 - July 13 -17 "Game Time"Session 5 - July 20 -24 "Peace, Love & Summer"Session 6 - July 27 - 31 "Adventureland"

Early Care / After Care

Early Care 7-8:30 AMAfter Care 3:30-5:30 PM

Child 3

First NameMiddle NameLast Name

Jewish/Hebrew Name:

Age

Select Camp SessionsThis selection is for the entire week otherwise skip to "drop in" dates below.

Session 1 - June 22-26 - "Rock N Roll"Session 2 - June 29 - July 3 - "Waterplay USA"Session 3 - July 6 -10 "Wonders of Hashem"Session 4 - July 13 -17 "Game Time"Session 5 - July 20 -24 "Peace, Love & Summer"Session 6 - July 27 - 31 "Adventureland"

GradeFall 2019

Birth Date

MonthDayYear

Gender

MaleFemale

Early Care / After Care

Early Care 7-8:30 AMAfter Care 3:30-5:30 PM

If you have additional children please use the general comments section below.

IF YOU ARE LOOKING TO REGISTER PER DAY PLEASE CHOOSE "DROP IN" DATES BELOW OTHERWISE SKIP THIS SECTION."Drop in" option is $65/day.Please select the days you wish to "drop in" below:

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Mother's info*

First NameLast Name

Cell Phone*

Area CodePhone Number

Work

Area CodePhone Number

E-mail*Primary email

Occupation

Address*

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

Father's info*

First NameLast Name

Cell Phone*

Area CodePhone Number

E-mail

Occupation

Address(if different than above)

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

How did you hear of us?

Are the natural parent's of the child/ren Jewish?*

MotherFatherNeither

Did Mother convert to Judaism?

YesNo

Medical InformationAre there any medical conditions/allergies or pertinent information regarding your child, which we should be aware of?

Emergency Contact*other than parent

First NameLast Name

Phone Number*

Area CodePhone Number

Relationship*

Pediatrician & Insurance

First NameLast Name

Phone Number

Area CodePhone Number

Insurance

Policy #

Non-refundable registration fee*

1 Camper $502 Campers $1003 Campers $150

A non-refundable registration fee applies as part of this registration.

Total

$0.00 USD

Payment*Registration will not be secured until full payment is made..


Camp payments must be made before your child/ren's first day of camp.

Agreement*

I hereby permit my child/ren to participate in all camp activities and join in camp trips on and beyond camp properties. In case of emergency, I hereby authorize the CGI to have my child taken care of by a physician in any way the situation may call for. I hereby agree to pay the camp fees.

General comments

2020 Summer Camp Registration Form

1. Child/ren’s Information

2. Mother

Father

3. Emergency Information

4. Payment Information

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