2020 CIT Summer 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 Campers (1st - 6th 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 Sessions*

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 Sessions*

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

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 CIT $502 CIT's $100

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

Total

$0.00 USD

Payment*Check, Cash, Cash app or Venmo pay at the door.


Camp Payments must be paid in full before camper begins 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 CIT Summer Registration Form

1. CIT's Information

2. Mother

Father

3. Emergency Information

4. Payment Information

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