Register Online Please fill out the form below: Camper's Information Camper #1 Full Name* First Name Last Name Hebrew Name First Name Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Gender* MaleFemale School Attending* Entering Grade* Register an additional camper Camper #2 Full Name* First Name Last Name Hebrew Name First Name Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Gender* MaleFemale School Attending* Entering Grade* Register an additional camper Camper #3 Full Name* First Name Last Name Hebrew Name First Name Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Gender* MaleFemale School Attending* Entering Grade* General Information Previous Camps Attended* How did you hear about Camp Gan Israel?* What goals would you like to see your child/ren accomplish during camp?* Briefly describe your child/ren's personality* Child/ren's favorite activities* Parents' Information Parent's Status* MarriedWidowedDivorcedSeparated Home Phone* Home Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Father's Information Full Name* First Name Last Name Work Phone* Cell Phone* E-mail* Mother's Information Full Name* First Name Last Name Work Phone* Cell Phone* E-mail* Comments Emergency Contact Information Contact 1 Full Name* First Name Last Name Phone Number* Relationship to child* Contact 2 Full Name* First Name Last Name Phone Number* Relationship to child* Family Physician Full Name* First Name Last Name Phone Number* Are there any medical concerns that your child's counselor should be aware of?* Permission * I hereby give permission for my child to participate in all Camp Gan Israel activities and tripsI also hereby consent to the administration of Camp Gan Israel to take whatever medical measures they deem necessary for my child, in the event of a medical emergencyI also authorize Camp Gan Israel to have and use photographs, slides and videos of the person named on this application as needed for educational and public relations programs Parent/Guardian* Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Session Choice Fees ($100 off additional family member) Financial assistance may be available to your family. We encourage you to call us to discuss how we can help make camp affordable for you. Your inquiry will be kept confidential. Contact us for more details. I would like to purchase camp t-shirts ($15) Child Small $15 per t-shirt Child Medium $15 per t-shirt Child Large $15 per t-shirt Adult Small $15 per t-shirt Adult Medium $15 per t-shirt Adult Large $15 per t-shirt Camper #1 Which program are you registering for? CGI Solano Community Day Camp: June 23 - 27CGI Norcal Leadership - BOYS: June 30 - July 18CGI Norcal Leadership - GIRLS: Aug 10 - 24Kiddie Camp: June 30 - July 18 Child 1 Cost: $300 ($200 after "New Camper Discount") Boys Day Camp: Which weeks will you be joining? $360 per week Week 1: July 8 - 12Week 2: July 15 - 19Week 3: July 22- 26 Boys Overnight Camp: Which weeks will you be joining? $500 per week Week 1: July 8 - 12Week 2: July 15 - 19Week 3: July 22- 26 Girls Day Camp: Which weeks will you be joining? $360 per week Week 1: August 10 - 17Week 2: August 18- 24 Girls Overnight Camp: Which weeks will you be joining? $500 per week Week 1: August 11 - 16Week 2: August 18- 23 Kiddie Camp: Which weeks will you be joining? $500 per week Week 1: June 17 - 21Week 2: July 8 - 12Week 3: July 15 - 19Week 4: July 22- 26 Camper #2 Which program are you registering for? CGI Solano Community Day Camp: June 17 - 22CGI Norcal Leadership & Learning - BOYSCGI Norcal Leadership & Learning - GIRLSKiddie Camp: June 26 - July 14 Child #2 Cost: $300 ($125 after New Camper Scholarship) Boys Day Camp: Which weeks will you be joining? $360 per week Week 1: July 8 - 12Week 2: July 15 - 19Week 3: July 22- 26 Boys Overnight Camp: Which weeks will you be joining? $500 per week Week 1: July 8 - 12Week 2: July 15 - 19Week 3: July 22- 26 Girls Day Camp: Which weeks will you be joining? $360 per week Week 1: August 11 - 16Week 2: August 18- 23 Girls Overnight Camp: Which weeks will you be joining? $500 per week Week 1: August 11 - 16Week 2: August 18- 23 Kiddie Camp: Which weeks will you be joining? $500 per week Week 1: June 17 - 21Week 2: July 8 - 12Week 3: July 15 - 19Week 4: July 22- 26 Camper #3 Which program are you registering for? CGI Solano Community Day Camp: June 17 - 22CGI Norcal Leadership & Learning - BOYSCGI Norcal Leadership & Learning - GIRLSKiddie Camp: June 26 - July 14 Child #3 Cost: $300 ($125 after New Camper Scholarship) Boys Day Camp: Which weeks will you be joining? $360 per week Week 1: July 8 - 12Week 2: July 15 - 19Week 3: July 22- 26 Boys Overnight Camp: Which weeks will you be joining? $500 per week Week 1: July 8 - 12Week 2: July 15 - 19Week 3: July 22- 26 Girls Day Camp: Which weeks will you be joining? $360 per week Week 1: August 11 - 16Week 2: August 18- 23 Girls Overnight Camp: Which weeks will you be joining? $500 per week Week 1: August 11 - 16Week 2: August 18- 23 Kiddie Camp: Which weeks will you be joining? $500 per week Week 1: June 17 - 21Week 2: July 8 - 12Week 3: July 15 - 19Week 4: July 22- 26 Payment $100 off for 2nd family member $100 off for 3rd family member Total $0.00 $100 off for 2nd family member applied $100 off for 3rd family member applied Payment Credit Card Pay Later Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration YearPayment arrangements needs to be worked out before camp begins. A $50 deposit required to hold space.Billing Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Submit Should be Empty: This page uses TLS encryption to keep your data secure.