Archive

18 mos. - 10 yrs
Mon - Fri 9 a.m - 3 p.m.
Full month is $800. Each week separately is $215.
Refer a friend and get %10 off when they sign up!

18 mos - 4 yrs
Three days a week 9 a.m. - 12:30 p.m.
$150 per week.
Refer a friend and get %10 off when they sign up!

Mini Gan Izzy Only: *

Week 5 (July 23 - July 27) Week 6 (July 30 - Aug 3) Week 7 (Aug 6- Aug 10) Week 8 (Aug 13 - Aug 17)

Dates Attending *

Full Summer for upper Gan Israel (June 25 - July 20) Full Summer for Mini Gan (June 25 - Aug 17) Week 1 (June 25 - June 29) Week 2 (July 2 - July 6) Week 3 (July 9 - July 13) Week 4 (July 16 - July 20)

18 mos. - 12 yrs
Mon - Fri 9 a.m - 3 p.m.
Full month is $800. Each week separately is $215.
Second Sibling 5% discount

18 mos - 4 yrs
Three days a week 9 a.m. - 12:30 p.m.
$150 per week.
Early birds: $125 per week.

Dates Attending *

Mini Gan Izzy Only *

Week 5 (July 23 - July 27) Week 6 (July 30 - Aug 3) Week 7 (Aug 6 - Aug 10) Week 8 (Aug 13- Aug 17)

Mother/Guardian 1 info

Father/Guardian 2 info

Name Emergency Contact 1: *

First

Last

relationship *

Name Emergency Contact 2 *

First

Last

Relationship *

MEDICAL INFO

Phone Number *

Email *

Allergies to food or medication? Please list and explain possible reactions or type "none" *

Does/do your child/children take medications regurlarly? If so, what and when? Specify child please. *

Is/are your child/children current on their immunizations? *

Yes No

May we give your child Benadryl as needed? *

Yes No

May we give your child Tylenol as needed? *

Yes No

Does your child have any mental or social handicap or other issue that we should be aware of in caring for him or her? Please explain. If not, please enter "none". *

$150 is due upon registration.
($50 towards a non-refundable registration fee, and $100 deposit towards camp tuition per child)
The remaining balance may be processed in full now, or set up with a payment plan.

OR *

I will bring checks to office (camp registration will only be considered complete once checks have been received) I would like to apply for scholarship

Please fill out amount of your camp total that you
would like to charge today in addition to the $150/child:

If you are in need of financial assistance, please let us know here. We want to help! When can we call to chat and whom should we call? *

USD *

If full camp payment was not charged above, please set up a payment plan below. Please fill in the amount you would like to charge each month and which day of the month you would like the charge to be processed to your card.
Please note: Camp payment must be paid in full by July 14, 2017.

I hereby give permission for my child to be transported to and from camp, to and from field trips, and to participate in all camp activities. I understand that during the course of camp activities my child may be hurt. I accept the risk of possible injury and authorize any member of the Camp Gan Israel staff to render any necessary first aid. Furthermore, in an emergency case, I hereby authorize the Camp Gan Israel staff to have my child taken care by a physician or other medical personnel in any way for which the situation may call.

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