Registration Summer 2023 – Camp Gan Israel

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Parent Name *

Email *

Amount of children attending camp

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Child 1 Name *

Child 1 Date Of Birth *

Child 1 Grade the camper is entering *

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Weeks child/children attending will be attending camp: *

Note:

If some children will be in camp for a different amount of time (Child A for Full Summer and Child B for Weeks 2 and 3) please add that note here.

Enrolled in FACTS

Address *

Address Line 1

Address Line 2

City

State

Zip Code

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Judaism Status

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Judaism Status

Emergency Contact *

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Any other medical information we should know

School Children Attend *

School Name *

Children Adopted *

Permissions, Waiver and Payment Check each box after reading the waiver.

In the event that neither parent nor the emergency person can be contacted, Camp Gan Israel has my permission to render any necessary first aid or to secure care by a physician to my child while attending camp.

I also hereby give permission for my child to be taken on all field trips or outings sponsored by Chabad of Southern Nevada and Camp Gan Israel in the mode of transportation that the camp arranges.

I understand that Gan Israel Day Camp is carrying limited liability insurance protecting the camp premises against physical damage and covering the camp staff against negligence. Nevertheless, I agree to accept complete responsibility for damages caused by my child and for injuries incurred, and agree to hold Chabad of Southern Nevada and Camp Gan Israel and its staff harmless and I hereby release said parties from all liability except in cases of gross negligence.

Please contact me regarding scholarships. Please note: There are a limited amount of scholarships available.

I understand that my registration is not complete until I submit this $100 non-refundable payment which will be credited towards the camp tuition.

Total

$0.00

Stripe Credit Card *