Camp Gan Israel Early Bird Registration Form 2027

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EARLY BIRD REGISTRATION FORM FOR SUMMER 2027

June 28-August 18

REGISTER TODAY TO SAVE YOUR SPOT:

SIGN UP EARLY BIRD AND SAVE $800 FOR THE SUMMER PER CHILD / $100 PER WEEK

Based on 4 Tier Pricing:

Tier 4 $575 per week: Elective options can be added individually (EARLY BIRD $475 WEEKLY)
Tier 3 $675 per week: Includes all elective besides door to door bussing (EARLY BIRD $575 WEEKLY)
Tier 2 $775 per week: Includes all elective options including bussing (EARLY BIRD $675 WEEKLY)
Tier 1 $875 per week: Includes twice a week of each elective options (or choose any elective up to three times per week, add in notes) (EARLY BIRD $775 WEEKLY)

Additional Savings Off The Total:
*Save five percent with the siblings discount
*Work part time for Camp Gan Israel and get large discounts
*Special Referral Discount - Save $500 for each family that you refer that signs up
*Special Referral Discount - Save $750 for each family that you refer that signs up before Aug 1st 2026 for camp 2027.

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 28th - Wednesday, August 18

No Camp July 4th. No Camp Tisha Bav August 12.

Last week is partial week and counted as one full week for pricing
(based on 3 tier pricing for the amount of days in those weeks)

Dates Attending Check all that apply

Choose Your Tier / Tuition Rate

Tier 4: $575.00 weeklyTier 3: $675.00 weeklyTier 2: $775.00 weeklyTier 1: $875.00 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
Tier 3 won't be charged additional for electives chosen (except Transportation)
Tier 4 will be charged the prices listed

Additional Electives Options

Door to door busing $125.00/weekSwimming Lessons $45/weekLunch $ 45/weekHorseback Riding Lessons $75/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

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
Tier 3 won't be charged additional for electives chosen (except Transportation)
Tier 4 will be charged the prices listed

Choose Your Tier / Tuition Rate

Tier 4: $575.00 weeklyTier 3: $675.00 weeklyTier 2: $775.00 weeklyTier 1: $875.00 weekly

Additional Electives Options

Door to door busing $125.00/weekSwimming Lessons $45/weekLunch $ 45/weekHorseback Riding Lessons $75/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

Additional Electives Options

Door to door busing $125.00/weekSwimming Lessons $45/weekLunch $ 45/weekHorseback Riding Lessons $75/week

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
Tier 3 won't be charged additional for electives chosen (except Transportation)
Tier 4 will be charged the prices listed

Choose Your Tier / Tuition Rate

Tier 4: $575.00 weeklyTier 3: $675.00 weeklyTier 2: $775.00 weeklyTier 1: $875.00 weekly

Mother's Info

Full Name

First Name Last Name

Cell Number

Area Code Phone Number

Mother Jewish

Home Number

Area Code Phone Number

E-mail

Address

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

Father's info

Full Name

First Name Last Name

Father Jewish

Cell Number

Area Code Phone Number

Home Number

Area Code Phone Number

E-mail

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

If you were referred to Camp Gan Israel by a friend, please type here their first and last name or business name

Promo Code - Optional

*Save five percent with the siblings discount

SPECIAL REFERRAL SAVINGS
SAVE $500 FOR EACH FAMILY REFERRED

Amount to charge: Minimum Deposit per child $750

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. Camp Gan Israel reserves the right to take pictures of campers and share it on our website and publications, unless specifically asked otherwise.

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.

Payment

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Credit Card eCheck Check or cash

Postal / Zip Code

Country

CVV

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