Campers Application Form

Camp Gan Israel Registration

Summer 2025

Camp Dates: Monday, June 23rd thru Friday, July 18th
Camper Information
Camper Name
First Name Last Name

Address

Home Phone

Area Code Phone Number
Birth Date

Month Day Year
Hebrew Name
School
Grade entering in September
T-shirt Size
Parent Information
Mother's Name
Cell Number

Area Code Phone Number
E-mail
Father's Name
Cell Number

Area Code Phone Number
E-mail
Parent's Marital Status
Emergency Contact
Name
Relation to Camper
Cell Number

Area Code Phone Number
Dates & Rates

$80 per day or $350 per entire week

A limited amount of scholarships are available thanks to the Dr. Arnold Glaubman Scholarship Fund. Please email [email protected] for scholarship info.
I would like to send my child for:*

Week 1 - Monday, 6/23 - Friday, 6/27Week 2 - Monday, 6/30 - Friday, 7/4Week 3 - Monday 7/7 - Friday, 7/11Week 4 - Monday, 7/14 - Friday, 7/18Full Summer Season: Monday, 6/23 - Friday, 7/18
Total amount to be charged to my card:
Terms and Conditions*

I acknowledge that 50% of my tuition payment is non-refundable as the Registration Fee. The remaining 50% becomes non-refundable on May 1, 2025.
Should be Empty:

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