Register HERE! CGI 2019

Camp Gan Israel is a camp dedicated to enriching the lives of children from diverse Jewish backgrounds and affiliations through a stimulating camping experience. CGI is part of the largest and fastest growing network of day camps, enjoying a reputation as a pioneer in Jewish camping, with innovative ideas and creative activities, to both provide enjoyment and inspire children to try new and exciting things!

Ages: 6 years - 12 years old

Rates: $175 Per Week - $500 Full Summer | $450 Early Bird Discount if registered by April 15th

Child 1*

First NameMiddle NameLast Name

Gender*

MaleFemale

Birth Date*

MonthDayYear

Grade Entering*For the 2018-2019 school year

Select Your Week/s:*You pick and choose which weeks work for you!

Child 2

First NameMiddle NameLast Name

Gender

MaleFemale

Birth Date

MonthDayYear

Grade EnteringFor the 2018-2019 school year

Select Your Week/s:You pick and choose which weeks work for you!

Child 3

First NameMiddle NameLast Name

Gender

MaleFemale

Birth Date

MonthDayYear

Grade EnteringFor the 2018-2019 school year

Select Your Week/s:You pick and choose which weeks work for you!

If you have additional children please contact us.

Phone Number*

Area CodePhone Number

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mother's Info

First NameLast Name

Work Phone

Area CodePhone Number

E-mailPrimary email

Cell Phone

Area CodePhone Number

Father's Info

First NameLast Name

Work Phone

Area CodePhone Number

E-mail

Cell Phone

Area CodePhone Number

How did you hear of us?

Emergency Contact*

First NameLast Name

Phone Number*

Area CodePhone Number

Relationship*

Pediatrician & Insurance*

First NameLast Name

Phone Number*

Area CodePhone Number

Insurance

Policy #

A $35 non-refundable registration fee per child applies as part of this registration.

If you are paying by card a 3% processing fee will apply.

5% Sibling Discount for 2nd child registered and any additional children.

Please download and print the medical consent form for all children attending camp as well as the trip permission form for all Gan Izzy campers. These can be found under "PDF Registration Form" link.

Registration Fee$35 per child

$35

Total

$35.00

I would like to pay today: Full amount$35.00 minimum $

Payment

Credit Card Check

Postal / Zip Code

Country

Agreement*

I am signing up my child/ren for Camp Gan Israel (CGI). I give my child/ren permission to attend all trips and receive medical care in the case of emergency, G-d forbid. I permit CGI to drive my child/ren to and from trips. I permit CGI and Chabad of the East Valley to publish photos of my child/ren on the CGI/Chabad website, Facebook and Instagram pages, and in other promotional brochures and videos for the purpose of promoting CGI and Chabad.

Before/After Care RequestPlease submit the days/times that you will need extended care. We will be in touch to discuss pricing and availability.

Were you referred by someone?Write their name and they'll get a $100 discount!

1. Child/ren’s Information

2. Parent information

3. Emergency Information

4. Payment Information