Camp Gan Israel Staff Registration Application Applicant Information First Name Last Name Birthdate Phone Number Email Address Address Information Street Address City State ZIP Code Parent / Guardian Information Parent / Guardian First Name Parent / Guardian Last Name Parent / Guardian Phone Number Waiver & Release I understand that participation in Camp Gan Israel activities may involve certain risks. I hereby release and hold harmless Camp Gan Israel, Chabad, its staff, volunteers, and affiliates from responsibility or liability for any injury, illness, accident, loss, or damages that may occur during participation in camp activities or transportation related to camp programs. If the applicant is under 18 years old, this waiver must be acknowledged by a parent or legal guardian. I acknowledge and agree to the waiver above. Parent / Guardian Signature (if under 18) or Applicant Signature (if 18+) Submit Application This page uses 128 bit SSL encryption to keep your data secure.
