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Winter Camp Registration

  • Parent Information

  • Please reach out to [email protected] with any questions or concerns with this registration form.

  • Parent 1:

  • Parent 2:

  • FEES:

  • $45/day per child; $40/day per child for full week.

  • CAMPER INFORMATION:

  • Medical Questionaire

  • Emergency Contacts

  • Emergency Contact 2:

  • Permission

  • I herby give permission for my child to participate in all camp activities. In addition i give Camp Gan Israel permission (a) to render necessary first aid or to arrange care by medical personnel, if deemed neccesary; (b) To use photographs and videos and names of campers in printed material and websites associated with Camp Gan Israel; (c) I indemnify and hold harmless Camp Gan Israel from any liability or claim for any loss, injury, damage, or expense resulting or arising from my child's participation in camp activities; and (d) The camp administration reserves the right to reconsider the enrollment of any camper if we feel the child's needs or level of unctioning or behavior cannot be accommodated, or if the child's conducts limits his or her ability to participate in, or to benefit fully from, the programs and activities at Camp Gan Israel. 

  • Registration is confirmed with a minimum of $40 deposit per child. The balance is due by December 17th. 

    Until December 16th- 100% refund. December 17th-22nd 50% refund. During camp - 25% refund. 

    In all cases the deposit is non-refundable.  

  • Credit Card
  • Additional Camper Information

  • Camper 2:

  • Medical Questionaire

  • Camper 2 

  • Additional Camper Information

  • Camper 3

  • Medical Questionaire:

  • Please scroll back up to "payment options" to submit this form. 

  • Should be Empty:
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