CGI 2027

This form is currently closed.

Gan Israel Summer Camp 2027 Registration
Registration Options:
For Scholarship options, please complete the Scholarship Request form
Camp Hours: 9 AM-3:30 PM
For Ages 4-12
Daily Fee: $65 a day | Weekly Fee: $300
Sibling rate of 20% off

Lunch and snacks are provided
How Many Children are you Signing Up?*
Child 1:
Child #1 Attending:*

Full WeekMondayTuesdayWednesdayThursdayFriday
Child's Name:*
First Name Last Name
Hebrew Name:*
Gender:*

MaleFemale
Date of Birth:*

Month Day Year
Child's Age:*
Grade Entering:*
Please list any known allergies that your child has:
Please describe any medical conditions or behavioral issues that would be beneficial to know in caring for your child.
Child 2:
Child #2 Attending:

Full WeekMondayTuesdayWednesdayThursdayFriday
Child's Name:
First Name Last Name
Hebrew Name:
Gender:

MaleFemale
Date of Birth:

Month Day Year
Child's Age:
Grade Entering:
Please list any known allergies that your child has:
Please describe any medical conditions or behavioral issues that would be beneficial to know in caring for your child.
Child 3:
Child #3 Attending:

Full WeekMondayTuesdayWednesdayThursdayFriday
Child's Name:
First Name Last Name
Hebrew Name:
Gender:

MaleFemale
Date of Birth:

Month Day Year
Child's Age:
Grade Entering:
Please list any known allergies that your child has:
Please describe any medical conditions or behavioral issues that would be beneficial to know in caring for your child.
Child 4:
Child #4 Attending:

Full WeekMondayTuesdayWednesdayThursdayFriday
Child's Name:*
First Name Last Name
Hebrew Name:*
Gender:*

MaleFemale
Date of Birth:

Month Day Year
Child's Age:
Grade Entering:
Please list any known allergies that your child has:
Please describe any medical conditions or behavioral issues that would be beneficial to know in caring for your child:
Parent Information:
Fathers Full Name:*
First Name Last Name
E-mail:*
Phone Number:*
Mothers Full Name:*
First Name Last Name
E-mail:*
Phone Number:*
Emergency Contact:
Full Name:*
First Name Last Name
Phone Number:*

Address:*

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

Relationship to Child:*
Are the biological mother and maternal grandmother jewish?*

YesNo
If No, Please explain:
Have there been any conversions to Judaism in the family?*

YesNo
If Yes, Please explain:
Have there been any adoptions in the family?*

YesNo
If Yes, Please explain
Parental Consent:
*

I hereby permit Camp Gan Israel to transport my child(ren) on camp provided transportation, and to obtain emergency medical care as the situation mandates. I agree that Camp Gan Israel, its administration and staff, will not be liable for any injury or health impairment that may occur. My child has permission to participate in any field trip or activity done with Camp Gan Israel.
Payment Information:
Total

$0.00