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Children & Youth Summer Camp

Camp Registration

Camp Gan Israel Summer Camp

Child Registration
1. Child Information
Camper Name*
First Name Last Name
Hebrew Name
Date of Birth*

Month Day Year
Grade Entering as of August 2026*
Gender*

MaleFemale
What size T-shirt does he/she wear?* Every child that comes to CGI gets a custom made Camp T-shirt
Sessions

Week 1 June 29 - July 3 ($295)Week 2 July 6 - July 10 ($295)
If you are registering two or more children - select from the options below (instead of the options above.)
Week 1 with sibling discount ($265)Week 2 with sibling discount ($265)
Aftercare (3-4pm)

Week 1 ($30)Week 2 ($30)
If you are applying for more than one child please complete a separate form for each individual child.
2. Parent information
Mother's Name*
First Name Last Name
Phone Number*
Email*
Father's Name*
Phone Number*
Email*
3. Emergency Information
Medical / Allergy Info
Pediatrician
First Name Last Name
Phone Number
4. Payment Information
A minimum deposit of $100 is mandatory in order to submit your registration. Please select to either pay in full or pay the minimum deposit.
Total

$0.00

I would like to pay today:Full amount$100.00 minimum$

Payment*

Credit Card Paypal

Postal / Zip Code

Country

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.
Any Other Info
Should be Empty:

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