Camp Registration Form 2025

Online Registration
experience the summer of your lifetime
Camp Gan Israel is a camp dedicated to enriching the lives of children from diverse Jewish backgrounds and affiliations through a stimulating camp 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 runs from 9am till 3:30pm. Please reach out to rabbi Eli if you require early/after care.
1. Child/ren’s Information
Child 1 Reg fee

75
Child 1*
First Name Middle Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
Weeks Child Will Be Attending* Includes Lunch & Trips

Week 1 June 23 - 27Week 2 June 30 - July 4Week 3 July 7 - 11Week 4 July 14 - 18
T-Shirt size*

smallmediumlargex-large
Adtl.T-Shirt $10 each

1234
Does your child have any allergies?*

YesNo
If yes please specify
I would like to sign up a second child

Yes
Child 2*
First Name Middle Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
Weeks* 10% Discount for 2nd child will be applied

Week 1 June 23 - 27Week 2 June 30 - July 4Week 3 July 7 - 11Week 4 July 14 - 18
T-Shirt size*

smallmediumlargex-large
Adtl.T-Shirt $10 each

1234
Does your child have any allergies?*

YesNo
If yes please specify
I would like to sign up a 3rd child

Yes
Child 3*
First Name Middle Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
Weeks* 10% Discount for 2nd child will be applied

Week 1 June 23 - 27Week 2 June 30 - July 4Week 3 July 7 - 11Week 4 July 14 - 18
T-Shirt size*

smallmediumlargex-large
Adtl.T-Shirt $10 each

1234
Does your child have any allergies?*

YesNo
If yes please specify
If you have additional children please contact us.
2. Parent information
Phone Number*

Area Code Phone Number

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mother's info
First Name Last Name
Work Phone

Area Code Phone Number
E-mail Primary email
Cell Phone

Area Code Phone Number
Mother is Jewish by*

BirthChoiceNot Jewish
Father's info
First Name Last Name
Work Phone

Area Code Phone Number
E-mail
Cell Phone

Area Code Phone Number
Father is Jewish by

BirthChoiceNot Jewish
How did you hear of us?
3. Emergency Information
Emergency Contact*
First Name Last Name
Phone Number*

Area Code Phone Number
Relationship*
Pediatrician & Insurance
First Name Last Name
Phone Number

Area Code Phone Number
Insurance
Policy #
4. Payment Information
A registration fee of $75 per child is due at this time.

Subsidized price is $275 per week. (Will not be available after April 6th)

Standard price is $325 per week.

Register for all 4 weeks and receive a $100 discount! (not available after May 15)
Please choose one*

$325 Standard price (actual)$275 Subsidized price (not available after April 6)
Please choose a payment option below for your camp tuition balance.

Full payment must be received by the camp office prior to the start of camp.

For financial assistance please fill out our Scholarship Form after submitting your application..

Feel free to contact Rabbi Eli (561-633-7025) with any questions.
Payment Options*

Registration fee at this time and charge remaining balance as soon as Camp Gan Israel finishes processing registration (usually within 48 hours)Registration fee at this time and the remaining balance to be charged to this card on May 15Registration fee at this time and split the remaining balance in 3 Payments over 3 monthsRegistration fee at this time and I will fill out the Scholarship Form for financial assistance
Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Agreement*

I am signing up my child for camp. I give my child permission to attend all trips and receive medical care in the case of emergency, G-d forbid. I give Gan Israel permission to photograph and videotape my children and use the photos and videos (without their names) for whatever the camp sees fit.
General comments
Should be Empty: