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!

2025 Camp Dates: JUNE 23RD - JULY 4TH 2025
*Special July 4th activities!*

To register for Camp Gan Israel 2025, please fill out carefully.
**Early Bird Special** REGISTER BEFORE APRIL 1ST, 2025 AND SAVE $60 PER CAMPER!!
Tuition for the two week summer program is $450 per child.

**Your child may qualify for the David & Susan Samrick Youth/Camp Scholarship Fund, through the Jewish Federation of Grand Rapids. Applications will be available on the Jewish Federations website at www.jfgr.org or upon request. Your completed application must be received by March 15, 2025.**

When you press submit, this form will be sent to our administration office.
Note: Please use a separate form for more then 2 children.

Campers Name*

First Name Last Name

Hebrew Name

School info*

Grade Entering School Attending

Age*

Birth Date*

Month Day Year

Are there any allergies or medical situations that we should be aware of?*

YesNo

Please describe them and indicate special precautions or care needed:*

Note: Please use a separate form for each child.

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Additional child Note: Please use a separate form for more then 2 children.

Child #2

Campers Name*

First Name Last Name

Hebrew Name

School info*

Grade Entering School Attending

Age*

Birth Date*

Month Day Year

Are there any allergies or medical situations that we should be aware of?*

YesNo

Please describe them and indicate special precautions or care needed:*

Address*

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

Mother's Name

First Name Last Name

Cell Phone

Area Code Phone Number

E-mail Primary email

Is Mother Jewish?

YesNo

Farther's Name

First Name Last Name

Cell Phone

Area Code Phone Number

E-mail Primary email

Is Father Jewish?

YesNo

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How did you hear of us?

I would like to receive news and updates by email

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

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.

Camp T-Shirts will be available for pick up on the first day of camp!
Camp T-Shirts are $10 each.
Children will need to wear their shirts on trip days. Please select sizes and amounts of shirts you would like for you and or your children.

Children's X Small

Children's Small

Children's Medium

Children's Large

Adult Small

Adult Medium

Adult Large

Early Bird Price Registration 2025 2 weeks 9:00am-3:30pm