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Register

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*

Month Day Year
Gender*
School Attending*
Entering Grade*
Register an additional camper
Camper #2
Full Name*

First Name Last Name
Hebrew Name

First Name
Birth Date*

Month Day Year
Gender*
School Attending*
Entering Grade*
Register an additional camper
Camper #3
Full Name*

First Name Last Name
Hebrew Name

First Name
Birth Date*

Month Day Year
Gender*
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 Code	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

Month Day 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 17 - 22CGI Norcal Leadership - BOYS: July 7-26CGI Norcal Leadership - GIRLS: Aug 11-25Kiddie Camp: July 7- 26
Child 1 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 #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

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Postal / Zip Code

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Camper's Information

General Information

Parents' Information

Emergency Contact Information

Permission

Session Choice

Payment