Camp Registration

Sign your child up for a Jewish summer experience of a lifetime! Camp Gan Israel is designed to make your child’s summer vacation fun, stimulating and entertaining. The Camp Gan Israel experience is a unique combination of Jewish pride and fun. It is a camp dedicated to enriching the lives of children from diverse Jewish backgrounds and affiliations through a stimulating camp experience. CGI is part of the largest and fastest growing network of day camps, with innovative ideas and creative activities, to both provide enjoyment and inspire children to try new and exciting things!

2024 Camp Dates: JUNE 24TH - JULY 5TH 2024
*Special July 4th activities!*

To register for Camp Gan Israel 2024, please fill out carefully.
**Early Bird Special** REGISTER BEFORE MAY 1ST, 2024 AND SAVE $60 PER CAMPER!!
Tuition for the two week summer program is $450.

**Your child may qualify for the David & Susan Samrick Youth/Camp Scholarship Fund, through the Jewish Federation of Grand Rapids. Applications are available on the Jewish Federations website at www.jfgr.org or upon request. Your completed application must be received by March 15, 2024.**

When you press submit, this form will be sent to our administration office.
Note: Please use a separate form for each child.

Campers Name*

First Name Last Name

Hebrew Name

School*

Age*

Birth Date*

Month Day Year

List any allergies your child has*

Note: Please use a separate form for each child.

Phone Number*

Area Code Phone Number

Address*

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

Mother's Name

First Name Last Name

Work Phone

Area Code Phone Number

Cell Phone

Area Code Phone Number

E-mail Primary email

Farther's Name

First Name Last Name

Work Phone

Area Code Phone Number

Cell Phone

Area Code Phone Number

E-mail Primary email

How did you hear of us?

Emergency Contact*

First Name Last Name

Phone Number*

Area Code Phone Number

Relationship*

Pediatrician

First Name Last Name

Phone Number

Area Code Phone Number

Insurance

Early Bird Price Registration 2024 2 weeks 9:00am-3:30pm

Kiddy Camp: Ages 3-5 - Full SessionMain Division: Ages 6-10 - Full SessionPre-Teen Division: Ages 11-12 - Full Session

Standard Price Registration 2024 2 weeks 9:00am-3:30pm

Kiddy Camp: Ages 3-5 - Full SessionMain Division: Ages 6-10 - Full SessionPre-Teen Division: Ages 11-12 - Full Session

Total

$0.00

Agreement*

I am signing up my child for camp. In case of emergency I hereby give permission to Chabad of Western Michigan and Camp Gan Israel to get proper medical treatment for my child. I give my child permission to attend all trips. I give permission to photograph and videotape my children and use the photos and videos (without their names) for whatever the camp sees fit.

Comments

Payment

Credit Card Check

Postal / Zip Code

Country

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Camp Registration 2024

1. Child Information

2. Parents information

3. Emergency Information

4. Payment Information