Camp Gan Israel Registration Form 2024

REGISTRATION FORM FOR SUMMER 2026

Dates June 29 - August 19

(Click Here to go to the home page of Camp Gan Israel)

This week: Big early bird savings include $500 off the total for the summer or $60 per week

Based on 3 Tier Pricing:

Tier 3 $550 per week: Elective options can be added individually
Tier 2 $650 per week: Includes most elective options
Tier 1 $850 per week: Includes all elective options
Child 1
Full Name
First Name Last Name
Birth Date

Month Day Year
School Info
Grade Entering School Attending
Any Allergies

NoYes - list all allergies below
Allergies
T-Shirt Size
Camp runs for 8 weeks from Monday, June 29 - Wednesday August 19

Last week is partial week and counted as one full week for pricing
If not joining full summer, they are prorated (based on 3 tier pricing for the amount of days in those weeks)
Dates Attending Check all that apply

Week 1 6/29 - 7/7Week 2: 7/6 - 7/10Week 3: 7/15 - 7/19Week 4: 7/22 - 7/26Week 5: 7/29 - 8/2Week 6: 8/5 - 8/9Week 7: 8/12 - 8/16Last Week: 8/17 - 8/19
Choose Your Tier / Tuition Rate

Tier 3: $550.00 weeklyTier 2: $650.00 weeklyTier 1: $750.00 weekly
Please click on the electives you would like to choose: (electives can be added or changed at anytime)
Tier 1 won't be charged additional for electives chosen
Tier 2 won't be charged additional for electives chosen (Bussing will be $75 instead of $115)
Tier 3 will be charged the prices listed
Additional Electives Options

Door to door busing $115.00/weekSwimming Lessons $40/weekLunch $ 40/week
Child 2
Full Name
First Name Last Name
Birth Date

Month Day Year
School Info
Grade Entering School Attending
Any Allergies

NoYes - list all allergies below
Allergies
T-Shirt Size
Dates Attending Check all that apply

Week 1: 7/1 - 7/5Week 2: 7/8 - 7/12Week 3: 7/15 - 7/19Week 4: 7/22 - 7/26Week 5: 7/29 - 8/2Week 6: 8/5 - 8/9Week 7: 8/12 - 8/16Last Week: 8/19 - 8/21
Choose Your Tier / Tuition Rate

Tier 3: $550.00 weeklyTier 2: $650.00 weeklyTier 1: $750.00 weekly
Please click on the electives you would like to choose (electives can be added or changed at anytime)
Tier 1 won't be charged additional for electives chosen
Tier 2 won't be charged additional for electives chosen (Bussing will be $75 instead of $115)
Tier 3 will be charged the prices listed
Additional electives Options

Door to door busing $115.00/weekSwimming Lessons $40/weekLunch $ 40/week
Child 3
Full Name
First Name Last Name
Birth Date

Month Day Year
School Info
Grade Entering School Attending
Any Allergies

NoYes - list all allergies below
Allergies
T-Shirt Size
Dates Attending Check all that apply

Week 1: 7/1 - 7/5Week 2: 7/8 - 7/12Week 3: 7/15 - 7/19Week 4: 7/22 - 7/26Week 5: 7/29 - 8/2Week 6: 8/5 - 8/9Week 7: 8/12 - 8/16Last Week: 8/19 - 8/21
Choose Your Tier / Tuition Rate

Tier 3: $550.00 weeklyTier 2: $650.00 weeklyTier 1: $750.00 weekly
Please click on the electives you would like to choose (electives can be added or changed at anytime)
Tier 1 won't be charged additional for electives chosen
Tier 2 won't be charged additional for electives chosen (Bussing will be $75 instead of $110)
Tier 3 will be charged the prices listed
Additional Electives Options

Door to door busing $115.00/weekSwimming Lessons $40/weekLunch $ 40/week
Mother's Info
Full Name
First Name Last Name
Cell Number

Area Code Phone Number
Home Number

Area Code Phone Number
E-mail
Mother Jewish

YesNo

Address

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

Father's info
Full Name
First Name Last Name
Cell Number

Area Code Phone Number
Home Number

Area Code Phone Number
E-mail
Father Jewish

YesNo

Address

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

Emergency Contact Information
Please provide 2 emergency contacts besides parents
Contact 1
First Name Last Name
Relationship to Child
Cell Number

Area Code Phone Number
E-mail
Contact 2
First Name Last Name
Relationship to Child
Cell Number

Area Code Phone Number
E-mail
Special Notes
First Year Camper(s) at CGI

NoYes
Additional savings off the total: (for all tiers)
*Save five percent with the siblings discount
*SAVE $500 FOR EACH CHILD REFERRED
Amount to charge: Minimum Deposit per child $500
Terms and Conditions*

I, the undersigned agree, understand and authorize the amount shown above to be charged to my credit card for the items shown on the referenced order. I understand these charges will appear on my credit card statement under my name and I accept full financial responsibility for payment of this order.
By entering your email you are accepting the terms above*
Payment Options:
If you have any questions, please call us at 631-213-7502. Thank you.

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