Register

$50 non-refundable registration fee per camper due with registration.
Family Information:
Family Name:*

Family Address:*

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

Phone Number:*

Area Code Phone Number
E-mail:*
Mother's Full Name:*
First Name Last Name
Mother's Hebrew Name:*
Mother's Phone Number:*

Area Code Phone Number
Father's Full Name:*
First Name Last Name
Father's Hebrew Name:*
Father's Phone Number:*

Area Code Phone Number
Emergency Contact Info:
Emergency Contact Name #1:*
First Name Last Name
Emergency Contact Phone Number #1:*

Area Code Phone Number
Relationship:*
Emergency Contact Name #2:*
First Name Last Name
Emergency Contact Phone Number #2:*

Area Code Phone Number
Relationship:*
Pediatrician Name:*
Prefix First Name Last Name
Pediatrician Phone Number:

Area Code Phone Number
Insurance Policy #:*
Camper Information:
Camper Name:*
Gender:*

MF
Date of Birth:*

Month Day Year
Hebrew Birthday:*
School:*
Entering Grade:*
Health Notes:
Medication:
Allergies:
Health Problems or Disabilities:
Sessions Attending:
Early Bird Price: $300/Week After March 31st: $350/Week
Please select all that apply:* $1800 for whole summer or $300 per week

Full summerWeek 1: June 29 - July 3, 2026Week 2: July 6 - 10, 2026Week 3: July 13 - 17, 2026Week 4: July 20 - 24, 2026Week 5: July 27 -31, 2026Week 6: August 3 - 6, 2026
Promo Code
Discount
Photos Please reach out via email if you do not wish for your child to be photographed.

I grant permission for Camp Gan Israel to photograph my child and use these images on its website or in publicly displayed promotional materials.
Scholarship:
We believe every child should have the opportunity to experience camp! If financial assistance would make camp possible for your family, please check below and we’ll be in touch with scholarship information.
Yes!

I would like to request a scholarship.
Payment Information:
IMPORTANT: All forms must be completed and submitted before your child begins camp.
I authorize Camp Gan Israel to charge my card non-refundable registration fees in the amount of:*

Registration Fee: $50
Total

$0.00

I would like to pay today:Full amount$50.00 minimum$

Payment:

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

I understand that the weekly fee of $300.00 is due each Monday. I agree to indemnify and hold harmless Gan Israel and its employees in case of injury, G‑d forbid. I give my child permission to participate in all activities and for medical treatment to be administered in case of emergency.*
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Family Information:

Emergency Contact Info:

Camper Information:

Health Notes:

Sessions Attending:

Scholarship:

Payment Information: