Camp Gan Israel Registration Form 5779/2019
Gender *
Is the father Jewish: *
Is the mother Jewish? *
Have there been any conversions in the family? *
Allergies? *
Please check off which weeks of camp your child will be attending: Cost is $120/week, $430/all 4 weeks *
Will your child need extended care? Cost: Early Care: $25/week, After Care: $25/week *
If yes, please indicate when:
*Enrollment in Camp Gan Israel is not a confirmation of the camper's Jewish status.

Please note: A deposit of $100 must accompany each application. The remaining balance MUST be submitted before the beginning of camp. Additionally there is a 5% discount for registrations received before May 14.

Please choose your method of payment: *
Parent/guardian signature: *
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