ב"ה

Camp Registration

  • Ages: Rising Kindergarten through 5th grade

    Sessions are only purchased from Monday - Friday, we are not able to divide weeks.

  • 1. Child/ren’s Information

  • Child 1

  • Pick a Date
  • Medical Information Child 1:

  • Child 2

  • Pick a Date
  • Medical Information Child 2:

  • Child 3

  • Pick a Date
  • Medical Information Child 3:

  • Child 4

  • Pick a Date
  • Medical Information Child 4:

  • If you have additional children, please contact us.

  • 2. Parents Information

  • Mothers Info:

  • Fathers Info:

  • 3. Emergency Information

  • I hereby give consent to the administration of Camp Gan Israel to take whatever medical measures they deem necessary, at my expense, for my child in the event of a medical emergency. I understand that, when possible, every effort will be made to contact parent/guardian or emergency contact before Camp Gan Israel will undertake such a decision.

  • Pick a Date
  • 4. Payment Information

    A $50 non-refundable registration fee per child applies as part of this registration.
  • $0.00

  • Credit Card
    Billing Address
  • 5. Terms and Conditions

    • PARENTAL CONSENT:  I hereby give consent for my child to participate in all activities of Camp Gan Israel (CGI) both on and off site, trips, transportation to and from trips etc., unless I advise you otherwise in writing.

    • Limited Guardianship Approval: I hereby consent that CGI's directors - Rabbi Zalman & Mrs. Libby Groner be granted limited guardianship capabilities with regards to signing waivers on behalf of my child / children for trips specified in this year's camp schedule. (I do understand that I may still be asked to fill out waivers, as not all locations accept this consent) 

    • PAYMENT AND CANCELLATION:  Payment terms are a $50.00 non-refundable deposit per camper to accompany registration.  The balance is due by June 9, and is non-refundable after that date.

    • DISMISSAL OF CAMPER:  Parent fully understands and agrees that the Camp reserves the right to dismiss, in its sole discretion, any Camper whose condition, conduct, influence or behavior is deemed unsatisfactory or detrimental to the best interests of the Camp or fellow campers or who violates camp rules and regulations.  In the event of dismissal, tuition will be refunded on a prorated basis less the $50.00 registration deposit. 

    • INDEMNIFY & HOLD HARMLESS: I further release and agree to indemnify and hold harmless Camp Gan Israel (CGI) and its officers, servants or assignees from any liability concerning our child’s involvement in CGI and further agree that the use of any premises during the CGI camp day is made at the risk of the registrant.

    • I have read and agree to all of the terms and conditions in this Application Form. I am including a non-refundable $50 registration deposit per camper along with submission of this form.  I further agree to remit the full tuition and any other fees by June 9 as per the agreed timeline of my choice on this form. 

  • Pick a Date
  • Should be Empty:
Secure This page uses TLS encryption to keep your data secure.