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Camp Gan Israel Registration Form

Camper Information

Male Female





Schedules and Fees:

Regular Camp | Monday, July 30 - Friday, August 10 | Early Bird $280

Kiddie Camp | Monday, July 30 - Friday, August 10 | Early Bird $220

Method of Payment:

I will mail in a check for the full amount. Please make check payable to Chabad Youth.
I will pay by credit card.

Credit Card Payment:


T-shirt Size: Small Medium Large

Emergency Contact:


Health History and Special Instructions:

Please describe any medical conditions or behavioral issues that would be beneficial to know in caring for your child.

Please list any known allergies that your child has:

Parental Consent:

I hereby permit Camp Gan Israel to transport my child(ren) on camp provided transportation, and to obtain emergency medical care as the situation mandates. I agree that Camp Gan Israel, its administration and staff, will not be liable for any injury or health impairment that may occur. My child has permission to participate in any field trip or activity done with Camp Gan Israel.