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! Camp Rates & Fees Registration Fee: $50 (Non-refundable) This reserves your child's spot, and it goes toward summer camp tuition. All camp tuition will be charged by the first day of camp Camp Tuition (Includes 2 hot lunches per week): Regular Rate: $240 per week | $680 for the full summer Early Bird Discount (Register & pay deposit before March 30): $215 per week | $605 for the full summer Sibling Discount: 5% off tuition for the second child Extended Care Options: Pre-Care (8:30 AM - 9:00 AM): $25 per week After-Care (3:30 PM - 5:00 PM): $30 per week (No after-care on Fridays) Both Pre & After-Care: $50 per week Camp T-Shirt: $12 for the first shirt | $10 for each additional shirt Tuition Assistance: Financial assistance may be available to your family. Please submit THIS APPLICATION to discuss how we can help make camp affordable for you. Your inquiry will be kept confidential. 1. Child/ren’s Information Number of Children Attending* Child 1* First Name Middle Name Last Name Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Grade your child just finished:* Gender* MaleFemale T-Shirt Size* First camp shirt is $12 per child, please specify if an additional shirt is needed Youth Small (6-8)Youth Medium (8-10)Youth Large (10-12)Youth Extra large (12-14) Number of Additional Shirts (optional) $10/Shirt Child 2 First Name Middle Name Last Name Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Grade your child just finished: Gender MaleFemale T-Shirt Size First camp shirt is $12 per child, please specify if an additional shirt is needed Youth Small (6-8)Youth Medium (8-10)Youth Large (10-12)Youth Extra large (12-14) Number of Additional Shirts $10/Shirt Child 3 First Name Middle Name Last Name Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Grade your child just finished: Gender MaleFemale T-Shirt Size First camp shirt is $12 per child, please specify if an additional shirt is needed Youth Small (6-8)Youth Medium (8-10)Youth Large (10-12)Youth Extra large (12-14) Number of Additional Shirts $10/Shirt Child 4 First Name Middle Name Last Name Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Grade your child just finished: Gender MaleFemale T-Shirt Size First camp shirt is $12 per child, please specify if an additional shirt is needed Youth Small (6-8)Youth Medium (8-10)Youth Large (10-12)Youth Extra large (12-14) Number of Additional Shirts $10/Shirt If you have additional children please contact us. Child 1 Sessions attending* 9 am to 3:30 pm Week 1: June 3 - 7Week 2: June 10-14Week 3: June 23-27Full Session: June 9-27 Child 2 Sessions attending 9 am to 3:30 pm Week 1: June 3 - 7Week 2: June 10-14Week 3: June 23-27Full Session: June 9-27 Child 3 Sessions attending 9 am to 3:30 pm Week 1: June 3 - 7Week 2: June 10-14Week 3: June 23-27Full Session: June 9-27 Child 4 Sessions attending 9 am to 3:30 pm Week 1: June 3 - 7Week 2: June 10-14Week 3: June 23-27Full Session: June 9-27 Child 1 Early/After Care 8:30-9 am to 3:30-5:00 pm Full Session Early & AfterFull Session After CareFull Session Early CareWeek 1 Early CareWeek 2 Early CareWeek 3 Early CareWeek 1 After CareWeek 2 After CareWeek 3 After Care Child 2 Early/After Care 8:30-9 am to 3:30-5:00 pm Full Session Early & AfterFull Session After CareFull Session Early CareWeek 1 Early CareWeek 2 Early CareWeek 3 Early CareWeek 1 After CareWeek 2 After CareWeek 3 After Care Child 3 Early/After Care 8:30-9 am to 3:30-5:00 pm Full Session Early & AfterFull Session After CareFull Session Early CareWeek 1 Early CareWeek 2 Early CareWeek 3 Early CareWeek 1 After CareWeek 2 After CareWeek 3 After Care Child 4 Early/After Care 8:30-9 am to 3:30-5:00 pm Full Session Early & AfterFull Session After CareFull Session Early CareWeek 1 Early CareWeek 2 Early CareWeek 3 Early CareWeek 1 After CareWeek 2 After CareWeek 3 After Care 2. Parent information Home Phone* Area Code Phone Number Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Parent Filling the Form* First Name Last Name Cell Phone* Area Code Phone Number Work Phone Area Code Phone Number E-mail* Primary email Other Parent First Name Last Name Work Phone Area Code Phone Number E-mail Cell Phone Area Code Phone Number How did you hear of Camp Gan Israel? MailerEmailFacebookNewspaper AdInternet SearchAttended PreviouslyOther Explain Please 3. Emergency Information Emergency Contact (if Parents cannot be reached* First Name Last Name Phone Number* Area Code Phone Number Relationship* Pediatrician * First Name Last Name Dr. Office Phone Number Area Code Phone Number If this form is for multiple siblings and they have different Doctors, please specify over here. The child/ren may be picked up from camp by: Names Does your child(ren) have any medical condition or allergies* NoYes Please note the name of the child and any allergies or medical conditions we would need to know about your child/ren Please feel free to add anything else which you consider important to your child's success: (Fears, naps, difficulties, passion etc) Permission for emergency medical treatment* In case of any medical emergency whereby parents or legal guardians cannot be reached, I hereby authorize Camp Gan Israel to take appropiate medical action. If at any time the above information must be changed, I will notify the camp. Date and time this form was filled out Month Day Year at 123456789101112 Hour000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 MinutesAMPM 4. Payment Information Total (You can choose to pay the full tuition today, or $50 Registration per child) $0.00 I would like to pay today:Full amount$50.00 minimum$ Payment* If Paying just registration today, we will contact you to set up the rest of tuition payments. Credit Card Paypal Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration YearPaypal has been selected. Payment will take place on the next page. General comments Agreement:* I hereby permit my child(ren) to be transported with camp transportation and to obtain medical emergency care as the situation mandates. I allow Camp Gan Israel to use my child(ren)'s photographs and videos for promotional purposes. I understand that my deposit is non refundable and that refunds will not be made for incomplete attendance. The parent signing this registration form acknowledges that he/she has the full authority to so and is responsible for all camp fees. I further release and agree to indemnify and hold harmless Camp Gan Israel and its officers, counselors or assigns from any liability concerning our child’s involvement in CGI and further agree that the use of any premises during the CGI camp day is made at the risk of the registrant Should be Empty: Submit This page uses TLS encryption to keep your data secure.