Registration summer 2023 now open!

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Registration

Registration Summer 2023 is Now Open

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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 *

Child 2 Name *

Child 2 Date Of Birth *

Child 2 Grade the camper is entering *

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Child 3 Name *

Child 3 Date Of Birth *

Child 3 Grade the camper is entering *

Child 4 Name *

Child 4 Date Of Birth *

Child 4 Grade the camper is entering *

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Child 5 Name *

Child 5 Date Of Birth *

Child 5 Grade the camper is entering *

Child 6 Name *

Child 6 Date Of Birth *

Child 6 Grade the camper is entering *

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Child 7 Name *

Child 7 Date Of Birth *

Child 7 Grade the camper is entering *

Child 8 Name *

Child 8 Date Of Birth *

Child 8 Grade the camper is entering *

Weeks child/children attending will be attending camp: *

Whole Summer June 26-July 28 - $1,350.00 / Per Child
Week 1: June 26 - June 30 - $300 / Per Child
Week 2: July 3 - July 7 - $300 / Per Child
Week 3: July 10 - July 14 - $300 / Per Child
Week 4: July 17 - July 21 - $300 / Per Child
Week 5: July 24 - July 29 - $300 / Per Child

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

My family is already enrolled in FACTS (through DTA school/tuition management)
My family is not enrolled in FACTS.

Address *

Address Line 1

Address Line 2

City

State

Zip Code

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Name of Father *

Father Cell Phone #

Father's Email *

Judaism Status

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Name of Mother *

Mother Cell Phone #

Mother's Email *

Judaism Status

Emergency Contact *

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List Any Allergies

List any Medications

Any other medical information we should know

School Children Attend *

Jewish Day School
Hebrew School
Other

School Name *

Children Adopted *

Yes
No

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 *

Card

Name on Card

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Registration summer 2023 now open!

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About Us
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Registration
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