Camp Gan Yisrael Application

Camp Gan Yisrael Application
How many children will you send to camp?
1st Child's Name*
First Name Last Name
2nd Child's Name
First Name Last Name
3rd Child's Name
First Name Last Name
1st Child's Birthday

Month Day Year
2nd Child's Birthday

Month Day Year
3rd Child's Birthday

Month Day Year
1st Child's Gender

MaleFemale
2nd Child's Gender

MaleFemale
3rd Child's Gender

MaleFemale
1st T-Shirt Size
2nd T-Shirt Size
3rd T-Shirt Size
Father's Full Name
First Name Last Name
Father's Phone Number
Father's E-mail
Mother's Full Name
First Name Last Name
Mother's Phone Number
Mother's E-mail
Jewish Geography: Who's Jewish in the family?

MomDadMom's MomMom's DadDad's MomDad's Dad

Home Address

Allergies
Medical Considerations
Additional Emergency Number
Who is authorized to pick up your child besides their parents?
Is there anything else you'd like our staff to know to best support your child?
Click to edit
How many children will you be sending? Tuition is $250 per child.

$250.00$500.00$750.00

Payment*

Credit Card Paypal Cash

Postal / Zip Code

Country

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