Camp Gan israel

Camp Gan Israel will run for three weeks 6/29-7/17, 10:00 am - 2:00 pm
Tuition: $160 Per Week or $420 for Three Weeks
Child's Full Name
First Name Last Name
Date of Birth

Month Day Year
2nd Child Full Name
First Name Last Name
Date of Birth

Month Day Year
Mother's Info
First Name Last Name Cell Phone
E-mail*
Father's Name
Name email address cell phone
Emergency Contact
Name cell phone number Relationship

Address

Pediatrician name number
Please indicate number of sessions your child will attend camp:

Session 1: June 29th - July 3rdSession 2: July 6th - July 10thSession 3: July 13th- July 17th
During camp we will take some pictures and videos. I hereby give permission to Camp Gan Israel to use pictures of my child / children on the website or in other marketing mediums.I hereby give permission to camp to give medical care in the case of emergency.We will try to keep the kids as safe and socially distanced as possible. I will not hold Camp/Chabad liable if my child becomes sick during camp with Covid-19 or any other illness.We will send Kosher, non-meat, lunch and snacks every day with our children
Payment: I will be paying via

Credit CardCheck
Credit Card Number
Exp. Date
CVV
Amount to charge card
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