$75 non-refundable registration fee per camper due with registration. The registration fee will be applied toward the total camp tuition. Please note: On the online registration, just the deposit is charged. The office will generate an invoice shortly, and send it to you. At that point, you can either complete payment by credit card or check.

Click here  for dates and rates.

We are excited to offer the  great deal below  for the 4th year!

FIRST WEEK SPECIAL!  JUST $25 FOR THE FIRST WEEK! Use promo code '25CAMPER'.* Limited availability, first come first serve basis.  Call 344.4900 or email  [email protected].

Thanks to Drs. Allan and Lora Alexander for generously underwriting this grant.

 We will send out an acceptance letter and invoice shortly after we receive your registration.

Camp T-shirts are available for purchase ($7 each) on the form below if desired. Tshirt orders must be received by June 1st.

 

Family Information
Family Name
        
Address
   Street
City
State
Zip
Contact Info
   Phone
Father's Email
Mother's Email
   
 
Mother
   Mother's Name
Hebrew Name Work Phone
Cell
 
Father
   Father's Name
Hebrew Name Work Phone
Cell
Emergency Contact Info
   Name
Phone
Relationship
 
 
   Name
Phone
Relationship
 
Pediatrician
   Name
Phone

Who can we thank for referring you?

 
           
Camper 1 Information
      
Name
   First Name
Middle Name
Gender
 
Date of Birth
    
Schools
   School
Entering Grade:
 
Quick Health Notes
   Medication
Allergies
   
 
   Health Issues, disabilities or special needs of child:

T-shirt size

   (A) implies adult sizes

Age group

   Explorers: Grades K - 1
Trailblazers: Grades 2 - 4
Pioneers: Grades 5 – 7

Sessions attending & Additional requirements

   Full Session
Week 1
Week 2
Week 3
Week 4

Yes, I will need Before Care 8:00-9:00 am

Yes, I will need After Care 3:30-5:00 pm

  
       
Camper 2 Information
      
Name
   First Name
Middle Name
Gender
 
Date of Birth
    
Schools
   School
Entering Grade:
 
Quick Health Notes
   Medication
Allergies
   
 
   Health Issues, disablities or special needs of child:

T-shirt size

   (A) implies adult sizes

Age group

   Explorers: Grades K - 1
Trailblazers: Grades 2 - 4
Pioneers: Grades 5 – 7

Sessions attending & Additional requirements

   Full Session
Week 1
Week 2
Week 3
Week 4

Yes, I will need Before Care 8:00-9:00 am

Yes, I will need After Care 3:30-5:00 pm

  
       
Camper 3 Information
      
Name
   First Name
Middle Name
Gender
 
Date of Birth
    
Schools
   School
Entering Grade:
 
Quick Health Notes
   Medication
Allergies
   
 
   Health Issues, disabilities or special needs of child:

T-shirt size

   (A) implies adult sizes

Age group

   Explorers: Grades K - 1
Trailblazers: Grades 2 - 4
Pioneers: Grades 5 – 7

Sessions attending & Additional requirements

   Full Session
Week 1
Week 2
Week 3
Week 4

Yes, I will need Before Care 8:00-9:00 am

Yes, I will need After Care 3:30-5:00 pm

  
     
IMPORTANT
•
 All forms must be completed and submitted before your child begins camp.
Name on Card
Card Number
Expiration
CVV Code

What's This?
I authorize Camp Gan Israel to charge my card registration fees in the amount of $
•
 I have read and agree to the terms and conditions. I authorize Camp Gan Israel, to have my child treated in case of emergency by a physician in the manner such person deems necessary. I further give permission for my child to attend and be transported on camp trips.
Please type your name here:
      Date of Application: Discount Code:
(*one per family, restrictions may apply)