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Winter Camp 2017 Registration

Winter Camp 2017 Registration

  • PARENT INFORMATION

  • Parent 1:

  • Parent 2:

  • fees:

    $195 per child for the whole week (Early Bird Price until December 5)

    $220 per child for the whole week (Price after December 5)

    $45 per child per day

  • CAMPER INFORMATION

    Camper 1 : (to add additional campers scroll to bottom of form)

  • Medical questionaire

    Camper 1

  • EMERGENCY CONTACTS

  • Emergency Contact 1:

  • Emergency Contact 2:

  • PERMISSION

  • I hereby give permission for my child to participate in all camp activities. In addition I give Camp Gan Israel permission (a) To transport campers in connection with all camp activities; (b) To render necessary first aid or to arrange care by medical personnel, if deemed necessary; (c) To use photographs and videos and names of campers in printed material and websites associated with Camp Gan Israel; (d) I indemnify and hold harmless Camp Gan Israel from any liability or claim for any loss, injury, damage, or expense resulting or arising from my child’s participation in camp activities; and (e) The camp administration reserves the right to reconsider the enrollment of any camper if we feel the child’s needs or level of functioning or behavior cannot be accommodated, or if the child’s conduct limits his or her ability to participate in, or to benefit fully from, the programs and activities at Camp Gan Israel.

  • Pick a Date
  • $0.00
  • Registration is confirmed with minimum of $45 deposit per child. The Balance is due by December 17th. If you are not paying in full please indicate when you would like us to charge the additional amount. If you are paying by check, a credit card is still required to reserve a spot. The credit card will not be charged as long a check is received by the 17th.

  • Credit Card Information

  • additional CAMPER INFORMATION

    Camper 2

  • Medical questionaire

    Camper 2

  • additional CAMPER INFORMATION

    Camper 3

  • Medical questionaire

    Camper 3

  • Should be Empty:
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