<!DOCTYPE HTML PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">

<html xmlns="http://www.w3.org/1999/xhtml" >
<head id="Head1">
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta http-equiv="Content-Language" content="en" />

<meta property="og:image" content="https://w2.chabad.org/media/images/1324/TTDQ13243684.jpg" itemprop="image" width="350" height="350" />
<meta property="og:image:width" content="350" />
<meta property="og:image:height" content="350" />
<meta name="keywords" content="Register," />
<meta name="title" content="Register - Chabad Jewish Center of Novato" />
<meta property="og:type" content="website" />
<meta name="scope-aids" content="1756389-1756397-2439927-3914118-3919780" />
<meta name="article-keywords" content="2185-16403-20429-6760-8495-21139-2170-2898" />
<meta name="scope-aid" content="1756389" />
<meta name="scope-aid" content="1756397" />
<meta name="scope-aid" content="2439927" />
<meta name="scope-aid" content="3914118" />
<meta name="scope-aid" content="3919780" />
<meta name="article-keyword" content="2185" />
<meta name="article-keyword" content="16403" />
<meta name="article-keyword" content="20429" />
<meta name="article-keyword" content="6760" />
<meta name="article-keyword" content="8495" />
<meta name="article-keyword" content="21139" />
<meta name="article-keyword" content="2170" />
<meta name="article-keyword" content="2898" />
<meta property="og:url" content="https://www.jewishnovato.com/templates/articlecco_cdo/aid/3919780/jewish/Register.htm" />
<meta property="twitter:card" content="summary_large_image" />
<meta property="twitter:site" content="@chabad" />
<meta property="og:title" content="Register - Chabad Jewish Center of Novato" /><link rel="canonical" href="https://www.jewishnovato.com/templates/articlecco_cdo/aid/3919780/jewish/Register.htm" />
<link rel="image_src" href="https://w2.chabad.org/media/images/1324/TTDQ13243684.jpg" />
<link rel="icon" type="image/png" href="https://www.jewishnovato.com/media/images/1108/NnLc11086561.png" />
<link rel="Stylesheet" href="/css/fonts/font-awesome/font-awesome-5.css?v=2D6ABDDB" id="kfont-awesome" type="text/css"/>
<link rel="Stylesheet" href="/css/DefaultGrid.css?v=A13D74E8" id="kgrid" type="text/css"/>
<link rel="Stylesheet" href="/css/Elements.css?v=3A4C63F4" id="k6" type="text/css"/>
<link rel="Stylesheet" href="/css/vendor/ds/tokens/sites.css?v=72A49647" id="ksites-ds-css" type="text/css"/>
<link rel="Stylesheet" href="/css/new/main.css?v=BB63DD50" id="k7" type="text/css"/>
<link rel="Stylesheet" href="/css/old/global.css?v=43DDBA77" id="k2898" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/templates/forms/formCss2.css?v=AB6A2925" id="kFormCss" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/templates/forms/themes/nova.css?v=87AD6957" id="kNova" type="text/css"/>
<link rel="Stylesheet" href="/css/bootstrap/grid.css?v=F4390F2B" id="kbootstrap4-grid" type="text/css"/>
<link rel="Stylesheet" href="/css/Library/reader-comments.css?v=8AB57D79" id="kCommentsStylesheet" type="text/css"/>
<link rel="Stylesheet" href="/css/inline/BookInfo.css?v=3D052243" id="kBookInfoCss" type="text/css"/>

<script>$q=[];$j=function(f){$q.push(f);}</script>
	
 
	
	<style type="text/css">
		body{margin:0;}
	</style>
	
	



<script>
	window.dataLayer = window.dataLayer || [];
	dataLayer.push({"event":"datalayer-initialized","page":{"numberOfComments":0,"publicationDate":"2018-01-22","primaryArticleId":3919780,"title":"","author":"","authorId":0,"contentLevel1":"My Site","contentLevel2":"YOUTH","contentLevel3":"Camp Gan Israel","contentLevel4":"Register ","siteName":"Chabad Jewish Center of Novato"},"time":{"upcomingHoliday":"Rosh Hashanah","daysToUpcomingHoliday":7,"hebrewDate":"5786-06-23"}});
		dataLayer.push({ 'articleHierarchy': '-1756389-1756397-2439927-3914118-3919780-', 'keywords': '-k2898-k2170-k21139-k8495-k6760-k20429-k16403-k2185-', 'k': '-1756389-1756397-2439927-3914118-3919780--k2898-k2170-k21139-k8495-k6760-k20429-k16403-k2185-' });
	
</script>
<script>

(function(c,h,a,b,a,d){c[a]=c[a]||[];c[a].push({'gtm.start':
new Date().getTime(),event:'gtm.js'});var f=h.getElementsByTagName(b)[0],
j=h.createElement(b);j.async=true;
j.src='https://w6.chabad.org/mitzvah-tank.js';f.parentNode.insertBefore(j,f);
})(window,document,0,'script','dataLayer');</script>

	<!-- Start of StatCounter Code -->
	<script type="text/javascript">
	var sc_project = 7620410;var sc_partition = 87;var sc_invisible = 1;var sc_remove_link=1;var sc_security = "0ea7b57d";var sc_https = 1;
	</script>
	<script type="text/javascript" src="https://secure.statcounter.com/counter/counter_xhtml.js" defer async></script>
	<noscript><img src="//c88.statcounter.com/counter.php?sc_project=7620410&amp;java=0&amp;security=0ea7b57d&amp;invisible=1" border="0" /> </noscript>
	<!-- End of StatCounter Code -->







<style>.mobile .cycle-directionNav.no_selection { display: block; }</style>
<script>
/* ====== SETTINGS ====== */
const docIds = ['7477233', '6552813', '6038074', '6043155', '4101461', '6619622', '6043187', '6043209', '4859693'];

if (docIds.some(id => document.location.href.indexOf(id) > -1)) {
    const style = document.createElement('style');
    style.innerHTML = `
        .cco_templateless_page #chabad_main_content {
            background: url('https://jewishdowntown.net/media/images/1330/eYGU13300115.png') !important;
            background-size: cover !important;
            background-position: bottom !important;
        }
        .footer, .footer a {
            background-color: #c74c18 !important;
            color: white !important;
        }

        /* --- CHABAD HEADER (desktop) --- */
        .chabad_header {
            background: url('https://jewishnovato.com/media/images/1379/wqim13791877.png') center center no-repeat #c74c18;
            background-size: contain;
            width: 100%;
            height: auto !important;
            aspect-ratio: 1366 / 450;
            overflow: hidden;
        }
        @supports not (aspect-ratio: 1 / 1) {
            .chabad_header { position: relative; }
            .chabad_header::before { content: ""; display: block; padding-top: 32.95%; }
        }

        .cco_templateless_page .chabad_header, .chabad_header {
            background-blend-mode: normal !important;
        }
        .chabad_header div { display: none !important; }

        /* --- Rest of your styles unchanged --- */
        div.chabad_left_column { background: transparent; }
        .large_banner, .sPromo-wrap { border: 2px solid #c74c18; }
        .large_banner .bannerCta button { background: #c74c18; border: 3px solid #c74c18; }
        .large_banner .big { color: #c74c18; font-weight: bold; }
        .large_banner .wrapper-message { margin-block: 1.5em !important; }
        .sPromo-wrap .caption { color: black !important; }
        .sPromo-wrap img { border: 0px !important; }
        .custom_message .message { color: black !important; }
        .custom_message .title { color: #c74c18 !important; }
        .custom_message .read-more_link a { color: #c74c18 !important; border: 3px solid #c74c18 !important; }
        .custom_message .read-more_link a:hover { background: #c74c18 !important; color: white !important; }
        .prepResource-title, .co_calendar_head div, .features_title { font-size: 25pt !important; color: #c74c18 !important; }
        .prep-title, .feature_caption a { color: #c74c18 !important; }
        .zmanim .zman-1, .zmanim .zman-2 { border-radius: 10px !important; background: #c74c18 !important; margin: 5px 0px !important; }
        #co_calendar div.co_calendar_body .item.item.first,
        #co_calendar div.co_calendar_body .item:nth-child(3),
        #co_calendar div.co_calendar_body .item:nth-child(6),
        #co_calendar div.co_calendar_body .item:nth-child(8) { background: #c74c18; }
        #co_calendar div.co_calendar_body .item:nth-child(2),
        #co_calendar div.co_calendar_body .item:nth-child(4),
        #co_calendar div.co_calendar_body .item:nth-child(5),
        #co_calendar div.co_calendar_body .item:nth-child(7) { background: #c74c18; }
        .footer, .footer a { background: #c74c18; color: white !important; }
        .cco_templateless_template a,
        .div#chabad_head .chabad_navigator_bar,
        #menu .item,
        #navigation,
        #menu a { background: #c74c18 !important; }
        #menu a { color: white !important; border: 0px !important; }
        .selected a { text-decoration: underline !important; }
        #menu .item { color: transparent !important; }
        .titleIcon img { width: 125px !important; display: none !important; }
        .co_calendar_head:before,
        .pesach-resources .titleIcon { display: none !important; }
        div#chabad_body_content { background: transparent !important; }
        .co_calendar_text { background-color: transparent !important; }

        .content-area-parent > .custom_message .title:before {
            content: '';
            background: url('https://jewishdowntown.net/media/images/1330/BAxo13300471.png');
            display: block;
            width: 75px;
            height: 75px;
            background-size: contain;
            filter: contrast(94%);
            margin: 0 auto;
        }
        .content-area-parent > .custom_message.appeal .title:before { display: none; }
        #co_calendar:before {
            content: '';
            background: url('https://jewishdowntown.net/media/images/1330/nlSu13300543.png');
            display: block;
            width: 75px;
            height: 75px;
            background-size: contain;
            filter: contrast(94%);
            margin: 0 auto;
        }
        .latest_features .features_title.titleIcon:before {
            content: '';
            background: url('https://jewishdowntown.net/media/images/1330/FeBW13300545.png');
            display: block;
            width: 75px;
            height: 75px;
            background-size: contain;
            filter: contrast(94%);
            margin: 0 auto;
        }

        /* --- Mobile fixes (fill width, remove gaps) --- */
        @media all and (max-width: 500px) {
            .chabad_header {
                background-size: cover !important; /* fill width, no gaps */
                background-repeat: no-repeat !important;
                background-position: center !important;
                aspect-ratio: unset !important;
                height: auto !important;
                overflow: visible !important;
                padding-top: 0 !important;
                margin-bottom: 0 !important;
                min-height: 0 !important;
            }
            .chabad_header::before {
                content: none !important;
                display: none !important;
                padding-top: 0 !important;
            }
            .headerTitle { display: none; }
            .body.section_root .bh { right: 25px !important; color: white !important; }
        }
    `;
    document.head.appendChild(style);
}
</script><title>
	Register - Chabad Jewish Center of Novato
</title></head>
<body class="lang_en dir_ltr cco_body form secure cco_templateless_page section_branch">
	
	
		<div width="100%" class="cco_templateless_template" style="z-index:100 !important;display:block !important;left:0px !important;top:0px !important;height:30px!important;width:100% !important;line-height:30px !important; position:relative !important; margin-bottom:0 !important; padding:0;text-indent: 25px;" align="Left"><a href="//www.JewishNovato.com" style="display:block!important;font-size:14px !important;">&laquo; Back to&nbsp;Chabad Jewish Center of Novato</a></div>
	
	<div class="cco_templatelates_content">
		
	<div class="co_content_container clearfix local_content" id="co_content_container">
		<div class="clearfix">
			<!-- BEGIN HEADER --><style type="text/css">

@charset "UTF-8";
@import url("https://fonts.googleapis.com/css?family=Work+Sans:400,700");
#co_video_container .co_body, .co_content_container {
  padding: 0; }

body #tabContentMain .co_menu_item, body.cco_body #tabContentMain .co_menu_item {
  border-bottom: 0; }

.co_menu_container #tabContentMain, .co_menu_container #tabContentPartner {
  border-bottom: 0; }

#fb-root {
  position: absolute; }

.text-xs-left {
  text-align: left; }

.text-xs-right {
  text-align: right; }

.text-xs-center {
  text-align: center; }

.text-xs-justify {
  text-align: justify; }

.vertical-align {
  display: -webkit-box;
  display: -ms-flexbox;
  display: flex;
  -webkit-box-align: center;
      -ms-flex-align: center;
          align-items: center; }

.vertical-align-xs {
  display: -webkit-box;
  display: -ms-flexbox;
  display: flex;
  -webkit-box-align: center;
      -ms-flex-align: center;
          align-items: center; }

.align-self-center {
  margin-left: auto;
  margin-right: auto; }

.align-self-center-xs {
  margin-left: auto;
  margin-right: auto; }

.no-align-self {
  margin-left: 0;
  margin-right: 0; }

.no-align-self-xs {
  margin-left: 0;
  margin-right: 0; }

@media (min-width: 768px) {
  .text-sm-left {
    text-align: left; }

  .text-sm-right {
    text-align: right; }

  .text-sm-center {
    text-align: center; }

  .text-sm-justify {
    text-align: justify; }

  .vertical-align-sm {
    display: -webkit-box;
    display: -ms-flexbox;
    display: flex;
    -webkit-box-align: center;
        -ms-flex-align: center;
            align-items: center; }

  .align-self-center-sm {
    margin-left: auto;
    margin-right: auto; }

  .no-align-self-sm {
    margin-left: 0;
    margin-right: 0; } }
@media (min-width: 992px) {
  .text-md-left {
    text-align: left; }

  .text-md-right {
    text-align: right; }

  .text-md-center {
    text-align: center; }

  .text-md-justify {
    text-align: justify; }

  .vertical-align-md {
    display: -webkit-box;
    display: -ms-flexbox;
    display: flex;
    -webkit-box-align: center;
        -ms-flex-align: center;
            align-items: center; }

  .align-self-center-md {
    margin-left: auto;
    margin-right: auto; }

  .no-align-self-md {
    margin-left: 0;
    margin-right: 0; } }
@media (min-width: 1200px) {
  .text-lg-left {
    text-align: left; }

  .text-lg-right {
    text-align: right; }

  .text-lg-center {
    text-align: center; }

  .text-lg-justify {
    text-align: justify; }

  .vertical-align-lg {
    display: -webkit-box;
    display: -ms-flexbox;
    display: flex;
    -webkit-box-align: center;
        -ms-flex-align: center;
            align-items: center; }

  .align-self-center-lg {
    margin-left: auto;
    margin-right: auto; }

  .no-align-self-lg {
    margin-left: 0;
    margin-right: 0; } }
/* No Gutters
.row.no-gutters {
  margin-right: 0;
  margin-left: 0;
}
.row.no-gutters &#x003E; [class^="col-"],
.row.no-gutters &#x003E; [class*=" col-"] {
  padding-right: 0;
  padding-left: 0;
}*/
body {
  background: none !important;
  overflow-x: hidden;
  max-width: 100vw; }

p, div {
  font-family: "Work Sans", sans-serif; }

.ct-container {
  margin-bottom: 0;
  font-family: "Work Sans", sans-serif; }
  .ct-container, .ct-container * {
    box-sizing: border-box; }
  .ct-container h3 {
    font-family: "Lora", sans-serif;
    text-transform: uppercase;
    font-size: 52px;
    font-weight: bold; }
  .ct-container h4, .ct-container .form-header {
    font-family: "Lora", sans-serif;
    text-transform: uppercase;
    font-size: 24px; }
  @media (max-width: 991px) {
    .ct-container .fs-sm-hide-break {
      display: block;
      font-size: 0; } }
  @media (max-width: 767px) {
    .ct-container .fs-xs-hide-break {
      display: block;
      font-size: 0; } }
  @media (max-width: 450px) {
    .ct-container .fs-xxs-hide-break {
      display: block;
      font-size: 0; } }

.ct-container .ct-content .form-submit-button, .ct-container .ct-content .form-submit-print, .ct-container .ct-content .form-submit-reset,
.ct-container .fs-btn {
  margin-top: 20px;
  background: #008759;
  border-radius: 0;
  border: 0;
  text-shadow: none;
  font-size: 1.4em;
  transition: all 300ms;
  border-radius: 0;
  padding: 0.4em 1.1em;
  text-transform: uppercase;
  color: #FFFFFF;
  font-weight: bold; }
  .ct-container .ct-content .form-submit-button .glyphicon, .ct-container .ct-content .form-submit-print .glyphicon, .ct-container .ct-content .form-submit-reset .glyphicon,
  .ct-container .fs-btn .glyphicon {
    font-size: 2rem; }
  .ct-container .ct-content .form-submit-button:hover, .ct-container .ct-content .form-submit-button:focus, .ct-container .ct-content .form-submit-button:active, .ct-container .ct-content .form-submit-print:hover, .ct-container .ct-content .form-submit-print:focus, .ct-container .ct-content .form-submit-print:active, .ct-container .ct-content .form-submit-reset:hover, .ct-container .ct-content .form-submit-reset:focus, .ct-container .ct-content .form-submit-reset:active,
  .ct-container .fs-btn:hover,
  .ct-container .fs-btn:focus,
  .ct-container .fs-btn:active {
    background: #005437;
    color: #FFFFFF; }

.ct-facebook-image {
  display: none; }

.ct-container {
  background: #1EA69C url("https://w2.chabad.org/media/images/1040/LTBN10403727.jpg");
  background-size: cover;
  background-position: center;
  padding-bottom: 1px;
  position: relative;
  z-index: 301;
  width: 100vw;
  overflow: hidden;
  margin-top: -30px; }
  .ct-container:before {
    background: url("https://w2.chabad.org/media/images/1040/roKJ10403733.png");
    background-size: contain;
    background-position: top left;
    background-repeat: no-repeat;
    position: absolute;
    top: 0;
    left: 0;
    width: 240px;
    height: 200px;
    content: " "; }
    @media (max-width: 1600px) {
      .ct-container:before {
        left: -20px;
        width: 200px; } }
    @media (max-width: 500px) {
      .ct-container:before {
        left: -100px; } }
  .ct-container:after {
    background: url("https://w2.chabad.org/media/images/1040/Jiph10403735.png");
    background-size: contain;
    background-position: top left;
    background-repeat: no-repeat;
    position: absolute;
    top: 0;
    right: 0;
    width: 180px;
    height: 160px;
    content: " "; }
    @media (max-width: 1130px) {
      .ct-container:after {
        top: -10px;
        width: 100px; } }
  .ct-container .ct-facebook {
    display: none; }

.ct-header-back {
  background-repeat: no-repeat;
  background-size: 100%;
  background-position: top center;
  position: absolute;
  top: 0px;
  width: 100%;
  overflow: hidden; }

.ct-header, .ct-header-back {
  height: 200px;
  z-index: 300; }

.ct-header {
  position: relative;
  z-index: 302;
  padding-top: 0px;
  padding-top: 21px; }
  .ct-header .ct-illustration-rocket {
    position: absolute;
    top: 5vw;
    right: 5%;
    max-width: 20%; }
    @media (max-width: 1500px) {
      .ct-header .ct-illustration-rocket {
        right: 2%;
        top: 7vw; } }
    @media (max-width: 1400px) {
      .ct-header .ct-illustration-rocket {
        top: 10vw; } }
    @media (max-width: 1130px) {
      .ct-header .ct-illustration-rocket {
        right: -2%;
        top: 12vw;
        max-width: 22%; } }
    @media (max-width: 800px) {
      .ct-header .ct-illustration-rocket {
        display: none; } }
  @media (min-width: 1131px) {
    .ct-header:after {
      content: 'ב"ה';
      color: #fff;
      opacity: 0.6;
      font-family: "Work Sans", sans-serif;
      font-size: 13px;
      position: absolute;
      top: 10px;
      right: 28px;
      display: inline-block; } }
  .ct-header .ct-header-inner {
    width: 90%;
    height: 100%;
    margin: 0 auto;
    max-width: 1120px;
    position: relative; }
    .ct-header .ct-header-inner .ct-logo-mobile {
      display: none; }
    @media (max-width: 1130px) {
      .ct-header .ct-header-inner .ct-logo-mobile {
        text-align: center;
        display: inline-block;
        position: absolute;
        left: 50%;
        -webkit-transform: translateX(-50%);
                transform: translateX(-50%); }
        .ct-header .ct-header-inner .ct-logo-mobile img {
          display: inline-block;
          width: 100px; } }

.ct-nav {
  right: 0;
  position: absolute;
  top: 50%;
  left: 50%;
  -webkit-transform: translate(-50%, -50%);
          transform: translate(-50%, -50%);
  width: 100%;
  text-align: center; }
  .ct-nav .ct-toggle-mobile-nav-label-inside-nav,
  .ct-nav .ct-toggle-mobile-nav-label-backoverlay,
  .ct-nav .ct-toggle-mobile-nav-label,
  .ct-nav .ct-toggle-mobile-nav {
    display: none; }
  .ct-nav .ct-nav-inner .chabad_menu_content .navi {
    padding: 0;
    margin: 0; }
    .ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent {
      float: none;
      margin: 0;
      padding: 0;
      list-style: none;
      display: inline-block;
      vertical-align: middle;
      font-size: 0;
      position: relative; }
      .ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent a.parent {
        color: #FFFFFF;
        font-family: "Work Sans", sans-serif;
        text-transform: uppercase;
        font-size: 16px;
        letter-spacing: 2px;
        padding: 15px 11px 20px;
        display: block;
        text-decoration: none; }
        .ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent a.parent:hover {
          text-decoration: none;
          color: #ffe89b; }
        .ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent a.parent.selected {
          color: #FFD135; }
        .ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent a.parent:focus {
          outline-color: #fff; }
      .ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent a.parent[href*="3914126"] {
        width: 165px;
        height: 165px;
        text-indent: -9999px;
        background: url("https://w2.chabad.org/media/images/1040/Naxd10403749.png");
        background-size: contain;
        background-position: center;
        margin-left: 20px;
        margin-right: 20px; }
        @media (max-width: 1130px) {
          .ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent a.parent[href*="3914126"] {
            display: none; } }
      .ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent .sub_menu {
        display: none;
        position: absolute;
        left: 50%;
        -webkit-transform: translateX(-50%);
                transform: translateX(-50%);
        min-width: 100%;
        background: #008759;
        padding-top: 3px;
        padding-bottom: 3px; }
        .ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent .sub_menu ul {
          padding-left: 0;
          width: 100%; }
        .ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent .sub_menu li a {
          font-size: 16px;
          min-width: 175px;
          display: inline-block;
          padding: 4px 15px 7px;
          text-decoration: none;
          color: #fff; }
      .ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent:hover .sub_menu {
        display: block; }
  @media (max-width: 1130px) {
    .ct-nav {
      position: absolute;
      -webkit-transform: none;
              transform: none;
      left: auto;
      top: 0px;
      right: 5px;
      display: inline-block;
      width: 50px;
      float: right; }
      .ct-nav .ct-nav-inner {
        text-align: left; }
        .ct-nav .ct-nav-inner .ct-toggle-mobile-nav-label-backoverlay {
          width: 100%;
          height: 100%;
          position: fixed;
          top: 0;
          left: 0;
          background: rgba(30, 166, 156, 0.9);
          display: none; }
        .ct-nav .ct-nav-inner .ct-toggle-mobile-nav-label {
          display: block;
          cursor: pointer;
          padding: 25px; }
          .ct-nav .ct-nav-inner .ct-toggle-mobile-nav-label:after {
            content: "\f0c9";
            font-family: "FontAwesome";
            font-size: 24px;
            color: #fff; }
        .ct-nav .ct-nav-inner .ct-toggle-mobile-nav-label-inside-nav {
          display: block;
          text-align: right;
          cursor: pointer;
          padding: 15px;
          float: right;
          margin-top: -10px;
          margin-right: -10px;
          margin-bottom: -10px;
          /*.mobile & {
            margin-right: 10px;
          }*/ }
          .ct-nav .ct-nav-inner .ct-toggle-mobile-nav-label-inside-nav:after {
            content: "\f00d";
            font-family: "FontAwesome";
            font-size: 24px;
            color: #fff; }
        .ct-nav .ct-nav-inner .ct-nav-links-holder {
          position: fixed;
          top: 0;
          right: -340px;
          /*.mobile & {
            right: -300px;
          }*/
          -webkit-overflow-scrolling: touch;
          background: #008759;
          padding: 10px;
          margin: 0;
          -webkit-transform: none;
                  transform: none;
          width: 300px;
          max-width: 90%;
          height: 100%;
          overflow: auto;
          transition: right 300ms;
          padding-bottom: 200px; }
          .ct-nav .ct-nav-inner .ct-nav-links-holder .navi .item.parent {
            width: 100%;
            margin: 0; }
            .ct-nav .ct-nav-inner .ct-nav-links-holder .navi .item.parent a.parent {
              color: #fff; }
              .ct-nav .ct-nav-inner .ct-nav-links-holder .navi .item.parent a.parent.selected {
                color: #FFD135; }
            .ct-nav .ct-nav-inner .ct-nav-links-holder .navi .item.parent .sub_menu {
              display: block;
              position: relative;
              margin-bottom: 12px;
              padding-top: 0;
              padding-bottom: 0; }
              .ct-nav .ct-nav-inner .ct-nav-links-holder .navi .item.parent .sub_menu li a {
                font-size: 13px;
                padding-left: 10px; }
        .ct-nav .ct-nav-inner .ct-toggle-mobile-nav:checked ~ {
          /*.mobile & .ct-nav-links-holder {
            right: 298px;
          }*/ }
          .ct-nav .ct-nav-inner .ct-toggle-mobile-nav:checked ~ .ct-toggle-mobile-nav-label-backoverlay {
            display: block; }
          .ct-nav .ct-nav-inner .ct-toggle-mobile-nav:checked ~ .ct-nav-links-holder {
            right: 0; } }

@media only screen and (min-width: 320px) {
  .ct-content .content .co_body {
    margin-left: 0;
    margin-right: 0; } }
.ct-content #content_page_full,
.ct-content #content_page {
  width: 90%;
  margin: 30px auto;
  padding: 70px 70px 70px;
  max-width: 940px;
  background: #fff;
  margin-bottom: 0px;
  padding-bottom: 500px; }
  @media (max-width: 700px) {
    .ct-content #content_page_full,
    .ct-content #content_page {
      padding: 30px 30px; } }
  @media (max-width: 1130px) {
    .ct-content #content_page_full,
    .ct-content #content_page {
      margin-top: -65px; } }
  @media (max-width: 700px) {
    .ct-content #content_page_full,
    .ct-content #content_page {
      padding-bottom: 70vw; } }
  @media (max-width: 500px) {
    .ct-content #content_page_full,
    .ct-content #content_page {
      padding-bottom: 100vw; } }
  .ct-content #content_page_full #cco_body,
  .ct-content #content_page #cco_body {
    min-height: 400px;
    position: relative;
    z-index: 1; }
  .ct-content #content_page_full .content,
  .ct-content #content_page .content {
    overflow: visible; }
  @media (max-width: 600px) {
    .ct-content #content_page_full,
    .ct-content #content_page {
      width: 100%; } }
.ct-content .form-header-group,
.ct-content .SCHeading_1 {
  font-size: 32px;
  font-family: "Work Sans", sans-serif;
  font-weight: bold;
  color: #008759; }
  .ct-content .form-header-group:first-child,
  .ct-content .SCHeading_1:first-child {
    margin-top: 0; }
.ct-content .form-header-group {
  font-size: 18px; }
.ct-content p {
  line-height: 140%;
  font-size: 15px; }
.ct-content img {
  max-width: 100%; }
.ct-content label {
  font-weight: normal; }
.ct-content .form-label-left label {
  font-weight: bold; }
.ct-content .form-header-group,
.ct-content .form-line {
  padding-left: 0;
  padding-right: 0;
  margin-left: 0;
  margin-right: 0;
  border: none; }
.ct-content .form-all .ct-page-header {
  margin-top: -15px;
  margin-left: -73px;
  margin-right: -73px;
  width: calc(100% + 146px);
  margin-bottom: 50px; }
  .mobile .ct-content .form-all .ct-page-header {
    margin-top: -22px; }
  @media (max-width: 700px) {
    .ct-content .form-all .ct-page-header {
      margin-left: -33px;
      margin-right: -33px;
      width: calc(100% + 66px);
      margin-bottom: 20px; } }
@media only screen and (max-device-width: 550px) and (max-width: 550px) {
  .ct-content .form-section, .ct-content .form-section-closed {
    margin: 0; } }
.ct-content .article_index .item {
  background: none; }
  .ct-content .article_index .item .inner {
    width: 100%; }
    .ct-content .article_index .item .inner .title, .ct-content .article_index .item .inner .title a {
      color: #008759; }

.ct-home {
  width: 100%;
  margin: 0px auto;
  text-align: center;
  max-width: 1100px;
  position: relative;
  z-index: 3; }
  @media (max-width: 1550px) {
    .ct-home {
      min-height: 0; } }
  @media (min-width: 1550px) {
    .ct-home {
      min-height: 45vw; } }
  @media (min-width: 1798px) {
    .ct-home {
      min-height: 814px; } }
@-webkit-keyframes popinanimation1 {
  0% {
    -webkit-transform: scale(0.7);
            transform: scale(0.7);
    opacity: 0; }
  100% {
    -webkit-transform: scale(1);
            transform: scale(1);
    opacity: 1; } }
@keyframes popinanimation1 {
  0% {
    -webkit-transform: scale(0.7);
            transform: scale(0.7);
    opacity: 0; }
  100% {
    -webkit-transform: scale(1);
            transform: scale(1);
    opacity: 1; } }
@-webkit-keyframes popinanimation2 {
  0%, 40% {
    -webkit-transform: scale(0.7);
            transform: scale(0.7);
    opacity: 0; }
  100% {
    -webkit-transform: scale(1);
            transform: scale(1);
    opacity: 1; } }
@keyframes popinanimation2 {
  0%, 40% {
    -webkit-transform: scale(0.7);
            transform: scale(0.7);
    opacity: 0; }
  100% {
    -webkit-transform: scale(1);
            transform: scale(1);
    opacity: 1; } }
@-webkit-keyframes popinanimation3 {
  0%, 50% {
    -webkit-transform: scale(0.7);
            transform: scale(0.7);
    opacity: 0; }
  100% {
    -webkit-transform: scale(1);
            transform: scale(1);
    opacity: 1; } }
@keyframes popinanimation3 {
  0%, 50% {
    -webkit-transform: scale(0.7);
            transform: scale(0.7);
    opacity: 0; }
  100% {
    -webkit-transform: scale(1);
            transform: scale(1);
    opacity: 1; } }
@-webkit-keyframes popinanimation4 {
  0%, 60% {
    -webkit-transform: scale(0.7);
            transform: scale(0.7);
    opacity: 0; }
  100% {
    -webkit-transform: scale(1);
            transform: scale(1);
    opacity: 1; } }
@keyframes popinanimation4 {
  0%, 60% {
    -webkit-transform: scale(0.7);
            transform: scale(0.7);
    opacity: 0; }
  100% {
    -webkit-transform: scale(1);
            transform: scale(1);
    opacity: 1; } }
  .ct-home .ct-home-content .ct-home-title {
    max-width: 85%;
    margin-top: 30px;
    -webkit-animation: popinanimation1 550ms;
            animation: popinanimation1 550ms;
    margin-bottom: 10px; }
    #co_content_container .ct-home .ct-home-content .ct-home-title {
      max-width: 85%; }
    @media (max-width: 1130px) {
      .ct-home .ct-home-content .ct-home-title {
        margin-top: -40px; } }
  .ct-home .ct-home-content .ct-home-text {
    -webkit-animation: popinanimation2 750ms;
            animation: popinanimation2 750ms;
    margin-bottom: 40px;
    max-width: 660px;
    width: 85%;
    margin: 0px auto 36px; }
    .ct-home .ct-home-content .ct-home-text, .ct-home .ct-home-content .ct-home-text p {
      color: #fff;
      font-size: 23px;
      font-family: "Work Sans", sans-serif;
      line-height: 130%; }
      @media (max-width: 650px) {
        .ct-home .ct-home-content .ct-home-text, .ct-home .ct-home-content .ct-home-text p {
          font-size: 20px; } }
    .ct-home .ct-home-content .ct-home-text p {
      margin: 0;
      padding: 0; }
  .ct-home .ct-home-content .ct-home-buttons p {
    display: inline-block;
    margin: 0;
    padding: 0; }
    @media (max-width: 650px) {
      .ct-home .ct-home-content .ct-home-buttons p {
        display: block;
        text-align: center; }
        .ct-home .ct-home-content .ct-home-buttons p a {
          display: inline-block;
          width: auto;
          min-width: 50%; } }
  .ct-home .ct-home-content .ct-home-buttons a {
    display: inline-block;
    margin: 0 10px 10px;
    color: #333;
    text-decoration: none;
    border: 2px solid;
    border-color: #F9D24E;
    background: #F9D24E;
    text-transform: uppercase;
    font-weight: bold;
    min-width: 180px;
    border-radius: 30px;
    padding: 10px 30px;
    font-size: 24px;
    transition: -webkit-transform 300ms;
    transition: transform 300ms;
    -webkit-transform: scale(0.98);
            transform: scale(0.98);
    -webkit-font-smoothing: antialiased;
    position: relative;
    -webkit-animation: popinanimation4 1300ms;
            animation: popinanimation4 1300ms; }
    .ct-home .ct-home-content .ct-home-buttons a:focus, .ct-home .ct-home-content .ct-home-buttons a:hover {
      -webkit-transform: scale(1.04);
              transform: scale(1.04); }
    .ct-home .ct-home-content .ct-home-buttons a:focus {
      outline-color: #fff; }
    .ct-home .ct-home-content .ct-home-buttons a:active {
      top: -1px; }
    @media (max-width: 650px) {
      .ct-home .ct-home-content .ct-home-buttons a {
        font-size: 20px;
        padding: 14px 27px;
        margin: 0 auto 10px;
        display: block;
        width: 50%; } }
  .ct-home .ct-home-content .ct-home-buttons a:first-child {
    background: none;
    color: #fff;
    border-color: #fff;
    -webkit-animation: popinanimation3 1100ms;
            animation: popinanimation3 1100ms; }
  .ct-home .ct-home-content .filled-button a, .ct-home .ct-home-content .filled-button a:first-child {
    border-color: #F9D24E;
    background: #F9D24E;
    color: #333; }
  @media (max-width: 1650px) {
    .ct-home .ct-home-content {
      margin-bottom: 50px; } }
  @media (max-width: 1550px) {
    .ct-home .ct-home-content {
      margin-bottom: 380px; } }
  @media (max-width: 1250px) {
    .ct-home .ct-home-content {
      margin-bottom: 400px; } }
  @media (max-width: 1000px) {
    .ct-home .ct-home-content {
      margin-bottom: 430px; } }
  @media (max-width: 850px) {
    .ct-home .ct-home-content {
      margin-bottom: 450px; } }
  @media (max-width: 700px) {
    .ct-home .ct-home-content {
      margin-bottom: 80vw; } }
  @media (max-width: 500px) {
    .ct-home .ct-home-content {
      margin-bottom: 110vw; } }

/*@mixin moveinfromright($name, $right, $bottom: 0) {
    @keyframes $name {
        from {margin-right: $right; margin-bottom: $bottom;}
            to {margin-right:  0; margin-bottom: 0;}
    }
}
@mixin moveinfromleft($name, $right, $bottom: 0) {
    @keyframes $name {
        from {margin-left: $right; margin-bottom: $bottom;}
            to {margin-left:  0; margin-bottom: 0;}
    }
}*/
.ct-footer-illustrations {
  position: absolute;
  bottom: -1px;
  width: 100%; }
  .ct-footer-illustrations img {
    position: absolute; }
  .ct-footer-illustrations .ct-footer-illustration-carousel {
    left: 0;
    bottom: 8vw;
    max-width: 36%; }
    @media (max-width: 1650px) {
      .ct-footer-illustrations .ct-footer-illustration-carousel {
        left: -3vw; } }
    @media (max-width: 1560px) {
      .ct-footer-illustrations .ct-footer-illustration-carousel {
        left: -7vw; } }
    @media (max-width: 1500px) {
      .ct-footer-illustrations .ct-footer-illustration-carousel {
        left: -12vw; } }
    @media (max-width: 1400px) {
      .ct-footer-illustrations .ct-footer-illustration-carousel {
        left: -13vw; } }
    @media (max-width: 1300px) {
      .ct-footer-illustrations .ct-footer-illustration-carousel {
        left: -17vw; } }
    @media (max-width: 700px) {
      .ct-footer-illustrations .ct-footer-illustration-carousel {
        max-width: 40%;
        bottom: 4vw;
        left: 0; } }
    @media (max-width: 500px) {
      .ct-footer-illustrations .ct-footer-illustration-carousel {
        max-width: 55%; } }
  .ct-footer-illustrations .ct-footer-illustration-shabbat {
    left: 11%;
    bottom: 0%;
    max-width: 30%; }
    @media (max-width: 1000px) {
      .ct-footer-illustrations .ct-footer-illustration-shabbat {
        left: 20%;
        bottom: 2%; } }
    @media (max-width: 700px) {
      .ct-footer-illustrations .ct-footer-illustration-shabbat {
        left: 32%;
        bottom: 2%; } }
    @media (max-width: 500px) {
      .ct-footer-illustrations .ct-footer-illustration-shabbat {
        display: none; } }
  .ct-footer-illustrations .ct-footer-illustration-hill-left {
    left: 0;
    bottom: 3%;
    max-width: 75%; }
    @media (max-width: 500px) {
      .ct-footer-illustrations .ct-footer-illustration-hill-left {
        bottom: 2vw; } }
  .ct-footer-illustrations .ct-footer-illustration-hill-right {
    right: 0;
    bottom: 2.2vw;
    max-width: 75%; }
    @media (max-width: 500px) {
      .ct-footer-illustrations .ct-footer-illustration-hill-right {
        bottom: 2vw; } }
  .ct-footer-illustrations .ct-footer-illustration-rock-small {
    right: 22%;
    bottom: 3%;
    max-width: 14%; }
    @media (max-width: 1000px) {
      .ct-footer-illustrations .ct-footer-illustration-rock-small {
        display: none; } }
  .ct-footer-illustrations .ct-footer-illustration-rock-large {
    right: 0%;
    bottom: 6vw;
    max-width: 18%; }
    @media (max-width: 1300px) {
      .ct-footer-illustrations .ct-footer-illustration-rock-large {
        display: none; } }
  .ct-footer-illustrations .ct-footer-illustration-soccer-boy {
    right: 6%;
    bottom: 16vw;
    max-width: 22%; }
    @media (max-width: 1600px) {
      .ct-footer-illustrations .ct-footer-illustration-soccer-boy {
        bottom: 20vw;
        right: 2%; } }
    @media (max-width: 1300px) {
      .ct-footer-illustrations .ct-footer-illustration-soccer-boy {
        bottom: 27vw; } }
    @media (max-width: 700px) {
      .ct-footer-illustrations .ct-footer-illustration-soccer-boy {
        bottom: 22vw;
        max-width: 30%;
        right: 2%; } }
    @media (max-width: 500px) {
      .ct-footer-illustrations .ct-footer-illustration-soccer-boy {
        max-width: 37%;
        bottom: 20vw; } }
  .ct-footer-illustrations .ct-footer-illustration-tennis-girl {
    right: 8%;
    bottom: 2%;
    max-width: 22%; }
    @media (max-width: 800px) {
      .ct-footer-illustrations .ct-footer-illustration-tennis-girl {
        display: none; } }
  .ct-footer-illustrations .ct-footer-illustration-swim {
    right: 32%;
    bottom: 3vw;
    max-width: 20%; }
    @media (max-width: 1500px) {
      .ct-footer-illustrations .ct-footer-illustration-swim {
        right: 42%; } }
    @media (max-width: 1100px) {
      .ct-footer-illustrations .ct-footer-illustration-swim {
        display: none; } }
  .ct-footer-illustrations .ct-footer-illustration-grass-small {
    right: 43%;
    bottom: 1.8vw;
    max-width: 10%; }
    @media (max-width: 1500px) {
      .ct-footer-illustrations .ct-footer-illustration-grass-small {
        right: 53%;
        bottom: 1.6vw; } }
    @media (max-width: 1100px) {
      .ct-footer-illustrations .ct-footer-illustration-grass-small {
        display: none; } }
  .ct-footer-illustrations .ct-footer-illustration-bottom-grass {
    left: 50%;
    bottom: 0px;
    width: 101%;
    min-width: 1500px;
    -webkit-transform: translatex(-50%);
            transform: translatex(-50%); }
    @media (max-width: 500px) {
      .ct-footer-illustrations .ct-footer-illustration-bottom-grass {
        min-width: 1000px; } }

.ct-footer {
  background: #008759;
  text-align: center;
  color: #ffffff;
  font-size: 12px;
  padding-top: 20px; }
  .ct-footer .ct-back-to {
    margin-bottom: 20px;
    font-size: 16px;
    display: block; }

#co_content_container .bottom_margin {
  margin-bottom: 0; }

#lightbox-wrapper {
  z-index: 99999; }
  #lightbox-wrapper #lightbox {
    background-color: rgba(0, 0, 0, 0.93); }

#BodyContainer, #BodyContainer .footer {
  width: 100%;
  text-align: center;
  overflow: hidden; }

#BodyContainer .footer {
  margin-left: 0;
  padding: 0 40px;
  background: #008759;
  color: #ffffff;
  position: relative;
  z-index: -1; }
  #BodyContainer .footer .site-by {
    display: none; }
  #BodyContainer .footer .cs-back-to {
    margin-bottom: 10px; }
  #BodyContainer .footer.g960 {
    float: none;
    width: 100%;
    display: block;
    padding-left: 0px;
    padding-right: 0px; }
  .mobile #BodyContainer .footer {
    float: left;
    overflow: hidden; }
  #BodyContainer .footer .poweredby {
    padding-top: 15px;
    padding-bottom: 18px;
    padding-left: 30px;
    padding-right: 30px; }
    #BodyContainer .footer .poweredby, #BodyContainer .footer .poweredby b {
      font-family: "Work Sans", sans-serif;
      font-weight: normal; }
    #BodyContainer .footer .poweredby b {
      font-size: 12px; }
  #BodyContainer .footer a {
    color: #ffffff;
    text-decoration: underline; }
    #BodyContainer .footer a:focus {
      outline-color: #fff; }
      
#cid_51.form-input .form-single-column {white-space: normal !important;}  
div#label_49:has(+ #cid_49 .other:not(.hide)) .label-message {
    display: none;
}  </style>


<meta name="viewport" content="width=device-width, initial-scale=1" />
<meta charset="utf-8" />
<script>
document.addEventListener("DOMContentLoaded", function() {
    const form = document.querySelector('form[id="3919780"]');
    if (!form) return; // Exit if the specific form is not found

    // Function to click the checkbox
    function clickCheckbox() {
        const checkbox = document.getElementById("input_68");
        if (checkbox) {
            if (!checkbox.checked) {
                checkbox.click(); // Use .click() to ensure event listeners are triggered
            }
        }
    }

    // Initially click the checkbox immediately on page load if it's not checked
    clickCheckbox();

    // Hide the checkbox field's parent element
    const checkboxParent = document.getElementById("div_offset_gift_68");
    if (checkboxParent) {
        checkboxParent.style.display = 'none';
    }

    // Add event listeners to payment method inputs
    const creditCardInput = document.getElementById("input_49_creditCard");
    const paypalInput = document.getElementById("input_49_paypal");

    [creditCardInput, paypalInput].forEach(function(input) {
        if (input) {
            input.addEventListener("click", clickCheckbox);
        }
    });
});
</script>
<div id="fb-root"></div>
<script>(function(d, s, id) {
      var js, fjs = d.getElementsByTagName(s)[0];
      if (d.getElementById(id)) return;
      js = d.createElement(s); js.id = id;
      js.src = 'https://connect.facebook.net/en_US/sdk.js#xfbml=1&version=v2.10&appId=1699705643642334';
      fjs.parentNode.insertBefore(js, fjs);
    }(document, 'script', 'facebook-jssdk'));</script>

<meta name="theme-color" content="#1EA49D" />
<div class="ct-container">
<img src="https://w2.chabad.org/media/images/1040/JCCD10403737.jpg" class="ct-facebook" />
<div class="ct-header-back"></div>
<div class="ct-header">
<img src="https://w2.chabad.org/media/images/1040/sLtx10403757.png" class="ct-illustration-rocket" />
<div class="ct-header-inner">
<div class="ct-logo-mobile ct-logo-shadow">


<a href="/3914126" class="ct-logo">
<img src="https://w2.chabad.org/media/images/1040/Naxd10403749.png" /></a></div>
<div class="ct-nav">
<div class="ct-nav-inner">
<input type="checkbox" class="ct-toggle-mobile-nav" id="ToggleMobileNav" />
<label for="ToggleMobileNav" class="ct-toggle-mobile-nav-label-backoverlay"></label>
<label for="ToggleMobileNav" class="ct-toggle-mobile-nav-label">  &#160; </label>
<div class="ct-nav-links-holder" id="menu-overlay">
<label for="ToggleMobileNav" class="ct-toggle-mobile-nav-label-inside-nav"></label>                          

<div id="navigation" class="chabad_navigator_bar">
<div class="chabad_menu_content">
<ul id="menu" class="navi">
<li class="item parent">
<a href="/article.asp?aid=3914118" class="parent">Home</a>
|
</li>
<li class="item parent">
<a href="/article.asp?aid=3914120" class="parent">Dates & Rates</a>
|
</li>
<li class="item parent selected">
<a href="/article.asp?aid=3919780" class="parent selected">Register </a>
|
</li>
<li class="item parent arrow">
<a href="/article.asp?aid=3920332" class="parent arrow">Parents</a>
<div class="sub_menu">
<ul>
<li class="item first">
<a href="/article.asp?aid=3934521">Parents</a>
</li>
<li class="item">
<a href="/article.asp?aid=4264836">Parent Handbook</a>
</li>
<li class="item">
<a href="/article.asp?aid=4265406">Testimonials</a>
</li>
<li class="item last">
<a href="/article.asp?aid=6908979">Camp Referral Program!</a>
</li>
</ul>
</div>
|
</li>
<li class="item parent">
<a href="/article.asp?aid=3914126" class="parent">Home/Logo</a>
|
</li>
<li class="item parent">
<a href="/article.asp?aid=3927959" class="parent">Calendar</a>
|
</li>
<li class="item parent arrow">
<a href="/article.asp?aid=6965633" class="parent arrow">Album</a>
<div class="sub_menu">
<ul>
<li class="item first">
<a href="/article.asp?aid=4063581">Photos</a>
</li>
<li class="item last">
<a href="/article.asp?aid=6965625">Videos</a>
</li>
</ul>
</div>
|
</li>
<li class="item parent arrow">
<a href="/article.asp?aid=3914119" class="parent arrow">About</a>
<div class="sub_menu">
<ul>
<li class="item first">
<a href="/article.asp?aid=3927377">Our Staff</a>
</li>
<li class="item">
<a href="/article.asp?aid=3927379">About Us</a>
</li>
<li class="item">
<a href="/article.asp?aid=3927384">FAQs</a>
</li>
<li class="item">
<a href="/article.asp?aid=3919799">Contact</a>
</li>
<li class="item last">
<a href="/article.asp?aid=5120763">Camp Scholarships</a>
</li>
</ul>
</div>
</li>

</ul>
</div>
</div>

</div>
</div>
</div>
</div>
</div>
<div class="ct-content-wrapper">
<div class="ct-content content_full_width">

<div detached="true" type="static" id="ContentArea" name="content_area" actions="edit,delete" class="chabad_left_column"><div id="content_page_full" class="content_page_full"><!-- END HEADER -->
			
			
			<div class="clearfix bh mobile-only align_right">ב"ה</div>
			
				<div class="master-content-wrapper " >
					

<header class="article-header cf ">
	
	
			<h1 class="article-header__title js-article-title js-page-title">Register </h1>
		
			<div>
				
			</div>
		
</header>
				</div>
			
			<div class="body_wrapper clearfix co_body">
				<div class="" id="co_body_container">
					
					<div id="ContentBody">
						
						
							<div class="content-area-parent no_margin">
								
	<div id="cco_body">
		<div class="content  no_margin no_overflow" id="co_content_container">
			
			
	

	<article class="content js-content" >
	

<div id="formContainer"><script type="text/javascript">var defaultCurrency = { value: 'USD', symbol: '$'};
$j(function(){
window.multiplier = 0;
window.formJson = Object.extend([{"form_height":514,"64_text":"\u003cp\u003e\u003cspan style=\"font-size: 20px;\"\u003eWe are thrilled to have you join Camp Gan Israel of Marin summer 2026!\u003c/span\u003e\u003c/p\u003e\n\n\u003cp\u003e\u003cspan style=\"font-size: 20px;\"\u003eWeek 1: June 22\u0026nbsp;- June 26\u003cbr\u003e\nWeek 2: June 29\u0026nbsp;- July 3\u003cbr\u003e\nWeek 3: July 6\u0026nbsp;- July 10\u003cbr\u003e\nWeek 4: July 13\u0026nbsp;- July 17\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\n\u003cp\u003e\u003cspan style=\"font-size: 20px;\"\u003eCamp Hours are 9:00 - 3:00\u0026nbsp;\u003c/span\u003e(After care is available from 3:15-4:30)\u003c/p\u003e\n\n\u003cp\u003e\u003cspan style=\"font-size: 20px;\"\u003eJoin for all 4\u0026nbsp;weeks and receive a $50 discount!\u003c/span\u003e\u003c/p\u003e\n","64_name":"doubleclickTo64","64_qid":64,"64_type":"control_text","64_order":1,"9_text":"1. Child/ren’s Information","9_subHeader":"","9_headerType":"Default","9_name":"clickTo","9_qid":9,"9_type":"control_head","9_order":2,"80_text":"Number of children being registered:","80_message":"","80_labelAlign":"Auto","80_required":"Yes","80_size":5,"80_maxsize":"","80_minValue":"","80_maxValue":"3","80_defaultValue":"1","80_subLabel":"","80_hint":"ex: 2","80_description":"","80_readonly":"No","80_pricePerItem":0,"80_name":"number","80_qid":80,"80_type":"control_number","80_order":3,"3_text":"Child 1","3_message":"","3_labelAlign":"Top","3_required":"Yes","3_prefix":"No","3_suffix":"No","3_middle":"No","3_description":"","3_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"3_readonly":"No","3_name":"child1","3_qid":3,"3_type":"control_fullname","3_order":4,"3_shrink":"Yes","27_text":"Birth Date","27_message":"","27_labelAlign":"Top","27_required":"Yes","27_format":"mmddyyyy","27_yearFrom":"","27_yearTo":"","27_months":[[],[],[],[],[],[],[],[],[],[],[],[]],"27_description":"","27_sublabels":{"month":"Month","day":"Day","year":"Year"},"27_name":"birthDate27","27_qid":27,"27_type":"control_birthdate","27_order":5,"27_shrink":"Yes","19_text":"Gender","19_message":"","19_labelAlign":"Top","19_required":"Yes","19_options":"Male|Female","19_special":"None","19_allowOther":"No","19_otherText":"Other","19_calculateOther":"No","19_selected":"","19_spreadCols":"1","19_description":"","19_name":"gender","19_qid":19,"19_type":"control_radio","19_order":6,"19_shrink":"Yes","81_text":"Current grade of child?","81_message":"","81_labelAlign":"Auto","81_required":"Yes","81_size":20,"81_validation":"None","81_maxsize":"","81_inputTextMask":"","81_defaultValue":"","81_subLabel":"","81_hint":" ","81_description":"","81_readonly":"No","81_name":"input81","81_qid":81,"81_type":"control_textbox","81_order":7,"73_text":"Sessions:","73_message":"","73_labelAlign":"Auto","73_required":"Yes","73_options":"Week 1|Week 2|Week 3|Week 4|All four weeks","73_special":"None","73_allowOther":"No","73_otherText":"Other","73_calculateOther":"No","73_spreadCols":"1","73_selected":"","73_minSelection":"","73_maxSelection":"","73_description":"","73_name":"input73","73_qid":73,"73_type":"control_checkbox","73_order":8,"73_pricing":"429|429|429|429|1666","15_text":"Child 2","15_message":"","15_labelAlign":"Top","15_required":"Yes","15_prefix":"No","15_suffix":"No","15_middle":"No","15_description":"","15_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"15_readonly":"No","15_name":"child2","15_qid":15,"15_type":"control_fullname","15_order":9,"15_shrink":"Yes","28_text":"Birth Date","28_message":"","28_labelAlign":"Top","28_required":"Yes","28_format":"mmddyyyy","28_yearFrom":"","28_yearTo":"","28_months":[[],[],[],[],[],[],[],[],[],[],[],[]],"28_description":"","28_sublabels":{"month":"Month","day":"Day","year":"Year"},"28_name":"birthDate28","28_qid":28,"28_type":"control_birthdate","28_order":10,"28_shrink":"Yes","20_text":"Gender","20_message":"","20_labelAlign":"Top","20_required":"Yes","20_options":"Male|Female","20_special":"None","20_allowOther":"No","20_otherText":"Other","20_calculateOther":"No","20_selected":"","20_spreadCols":"1","20_description":"","20_name":"gender20","20_qid":20,"20_type":"control_radio","20_order":11,"20_shrink":"Yes","82_text":"Current grade of child?","82_message":"","82_labelAlign":"Auto","82_required":"Yes","82_size":20,"82_validation":"None","82_maxsize":"","82_inputTextMask":"","82_defaultValue":"","82_subLabel":"","82_hint":" ","82_description":"","82_readonly":"No","82_name":"input82","82_qid":82,"82_type":"control_textbox","82_order":12,"74_text":"Sessions:","74_message":"","74_labelAlign":"Auto","74_required":"Yes","74_options":"Week 1|Week 2|Week 3|Week 4|All four weeks","74_special":"None","74_allowOther":"No","74_otherText":"Other","74_calculateOther":"No","74_spreadCols":"1","74_selected":"","74_minSelection":"","74_maxSelection":"","74_description":"","74_name":"input74","74_qid":74,"74_type":"control_checkbox","74_order":13,"74_pricing":"429|429|429|429|1666","79_text":"Child 3","79_message":"","79_labelAlign":"Top","79_required":"Yes","79_prefix":"No","79_suffix":"No","79_middle":"No","79_description":"","79_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"79_readonly":"No","79_name":"child79","79_qid":79,"79_type":"control_fullname","79_order":14,"79_shrink":"Yes","78_text":"Birth Date","78_message":"","78_labelAlign":"Top","78_required":"Yes","78_format":"mmddyyyy","78_yearFrom":"","78_yearTo":"","78_months":[[],[],[],[],[],[],[],[],[],[],[],[]],"78_description":"","78_sublabels":{"month":"Month","day":"Day","year":"Year"},"78_name":"birthDate78","78_qid":78,"78_type":"control_birthdate","78_order":15,"78_shrink":"Yes","77_text":"Gender","77_message":"","77_labelAlign":"Top","77_required":"Yes","77_options":"Male|Female","77_special":"None","77_allowOther":"No","77_otherText":"Other","77_calculateOther":"No","77_selected":"","77_spreadCols":"1","77_description":"","77_name":"gender77","77_qid":77,"77_type":"control_radio","77_order":16,"77_shrink":"Yes","83_text":"Current grade of child?","83_message":"","83_labelAlign":"Auto","83_required":"Yes","83_size":20,"83_validation":"None","83_maxsize":"","83_inputTextMask":"","83_defaultValue":"","83_subLabel":"","83_hint":" ","83_description":"","83_readonly":"No","83_name":"input83","83_qid":83,"83_type":"control_textbox","83_order":17,"76_text":"Sessions:","76_message":"","76_labelAlign":"Auto","76_required":"Yes","76_options":"Week 1|Week 2|Week 3|Week 4|All four weeks","76_special":"None","76_allowOther":"No","76_otherText":"Other","76_calculateOther":"No","76_spreadCols":"1","76_selected":"","76_minSelection":"","76_maxSelection":"","76_description":"","76_name":"input76","76_qid":76,"76_type":"control_checkbox","76_order":18,"76_pricing":"429|429|429|429|1666","25_text":"2. Parent information","25_subHeader":"","25_headerType":"Default","25_name":"clickTo25","25_qid":25,"25_type":"control_head","25_order":19,"23_text":"Mother\u0027s info","23_message":"","23_labelAlign":"Top","23_required":"No","23_prefix":"No","23_suffix":"No","23_middle":"No","23_description":"","23_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"23_readonly":"No","23_name":"mothersInfo","23_qid":23,"23_type":"control_fullname","23_order":20,"23_shrink":"Yes","36_text":"Cell Phone","36_message":"","36_labelAlign":"Top","36_required":"No","36_validation":"Numeric","36_countryCode":"No","36_inputMask":"disable","36_inputMaskValue":"(###) ###-####","36_description":"","36_sublabels":{"country":"Country Code","area":"Area Code","phone":"Phone Number","full":"Phone Number"},"36_readonly":"No","36_name":"cellPhone36","36_qid":36,"36_type":"control_phone","36_order":21,"36_shrink":"Yes","4_receivesReceipts":"Yes","4_text":"E-mail","4_message":"Primary email","4_labelAlign":"Top","4_required":"No","4_size":30,"4_validation":"Email","4_maxsize":"","4_defaultValue":"","4_subLabel":"","4_hint":"ex: myname@example.com","4_description":"","4_confirmation":"No","4_confirmationHint":"Confirm Email","4_readonly":"No","4_name":"email4","4_qid":4,"4_type":"control_email","4_order":22,"4_shrink":"Yes","32_text":"Father\u0027s info","32_message":"","32_labelAlign":"Top","32_required":"No","32_prefix":"No","32_suffix":"No","32_middle":"No","32_description":"","32_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"32_readonly":"No","32_name":"fathersInfo","32_qid":32,"32_type":"control_fullname","32_order":23,"32_shrink":"Yes","35_receivesReceipts":"No","35_text":"E-mail","35_message":"","35_labelAlign":"Top","35_required":"No","35_size":30,"35_validation":"Email","35_maxsize":"","35_defaultValue":"","35_subLabel":"","35_hint":"ex: myname@example.com","35_description":"","35_confirmation":"No","35_confirmationHint":"Confirm Email","35_readonly":"No","35_name":"email35","35_qid":35,"35_type":"control_email","35_order":24,"35_shrink":"Yes","31_text":"Cell Phone","31_message":"","31_labelAlign":"Top","31_required":"No","31_validation":"Numeric","31_countryCode":"No","31_inputMask":"disable","31_inputMaskValue":"(###) ###-####","31_description":"","31_sublabels":{"country":"Country Code","area":"Area Code","phone":"Phone Number","full":"Phone Number"},"31_readonly":"No","31_name":"cellPhone","31_qid":31,"31_type":"control_phone","31_order":25,"31_shrink":"Yes","37_text":"3. Emergency Information","37_subHeader":"","37_headerType":"Default","37_name":"clickTo37","37_qid":37,"37_type":"control_head","37_order":26,"38_text":"Emergency Contact","38_message":"","38_labelAlign":"Top","38_required":"No","38_prefix":"No","38_suffix":"No","38_middle":"No","38_description":"","38_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"38_readonly":"No","38_name":"emergencyContact","38_qid":38,"38_type":"control_fullname","38_order":27,"38_shrink":"Yes","39_text":"Phone Number","39_message":"","39_labelAlign":"Top","39_required":"No","39_validation":"Numeric","39_countryCode":"No","39_inputMask":"disable","39_inputMaskValue":"(###) ###-####","39_description":"","39_sublabels":{"country":"Country Code","area":"Area Code","phone":"Phone Number","full":"Phone Number"},"39_readonly":"No","39_name":"phoneNumber39","39_qid":39,"39_type":"control_phone","39_order":28,"39_shrink":"Yes","40_text":"Relationship","40_message":"","40_labelAlign":"Auto","40_required":"No","40_size":20,"40_validation":"None","40_maxsize":"","40_inputTextMask":"","40_defaultValue":"","40_subLabel":"","40_hint":" ","40_description":"","40_readonly":"No","40_name":"relationship","40_qid":40,"40_type":"control_textbox","40_order":29,"41_text":"Pediatrician \u0026amp; Insurance","41_message":"","41_labelAlign":"Top","41_required":"No","41_prefix":"No","41_suffix":"No","41_middle":"No","41_description":"","41_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"41_readonly":"No","41_name":"pediatricianamp","41_qid":41,"41_type":"control_fullname","41_order":30,"41_shrink":"Yes","42_text":"Phone Number","42_message":"","42_labelAlign":"Top","42_required":"No","42_validation":"Numeric","42_countryCode":"No","42_inputMask":"disable","42_inputMaskValue":"(###) ###-####","42_description":"","42_sublabels":{"country":"Country Code","area":"Area Code","phone":"Phone Number","full":"Phone Number"},"42_readonly":"No","42_name":"phoneNumber42","42_qid":42,"42_type":"control_phone","42_order":31,"42_shrink":"Yes","43_text":"Insurance","43_message":"","43_labelAlign":"Top","43_required":"No","43_size":20,"43_validation":"None","43_maxsize":"","43_inputTextMask":"","43_defaultValue":"","43_subLabel":"","43_hint":" ","43_description":"","43_readonly":"No","43_name":"insurance","43_qid":43,"43_type":"control_textbox","43_order":32,"43_shrink":"Yes","44_text":" Policy #","44_message":"","44_labelAlign":"Top","44_required":"No","44_size":20,"44_validation":"None","44_maxsize":"","44_inputTextMask":"","44_defaultValue":"","44_subLabel":"","44_hint":" ","44_description":"","44_readonly":"No","44_name":"Policy","44_qid":44,"44_type":"control_textbox","44_order":33,"44_shrink":"Yes","52_text":"4. Payment Information","52_subHeader":"","52_headerType":"Default","52_name":"clickTo52","52_qid":52,"52_type":"control_head","52_order":34,"84_text":"Late Fee","84_message":"","84_labelAlign":"Auto","84_required":"No","84_size":5,"84_maxsize":"","84_minValue":"","84_maxValue":"","84_defaultValue":"50","84_subLabel":"","84_hint":"ex: 23","84_description":"","84_readonly":"No","84_pricePerItem":1,"84_name":"number84","84_qid":84,"84_type":"control_number","84_order":35,"84_hidden":"Yes","68_labelAlign":"Auto","68_text":"Total","68_partialPayEnabled":"No","68_partialPayType":"dollar","68_partialPayMinimum":0,"68_required":"No","68_offsetGiftEnabled":"Yes","68_offsetGift":3,"68_name":"total","68_qid":68,"68_type":"control_totalamount","68_order":36,"85_text":"\u003cp\u003e\u003cstrong\u003e\u003cspan style=\"font-size:16px;\"\u003eA $50 late fee has been added to your total.\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n","85_name":"doubleclickTo","85_qid":85,"85_type":"control_text","85_order":37,"49_text":"Payment","49_message":"a 3% surcharge is added when paying by Credit card or paypal","49_labelAlign":"Auto","49_required":"Yes","49_duplicatable":false,"49_selectedCountry":"United States","49_description":"","49_sublabels":{"cc_firstName":"First Name","cc_lastName":"Last Name","cc_type":"Credit Card Type","cc_number":"Credit Card Number","cc_ccv":"Security Code","cc_nameOnCard":"Name on Card","cc_IdNumber":"Israel Identity Number","cc_exp_month":"Expiration Month","cc_exp_year":"Expiration Year","eCheck_bankName":"Bank Name","eCheck_routingNumber":"Routing Number","eCheck_accountNumber":"Account Number","eCheck_accountType":"Account Type","addr_line1":"Street Address","addr_line2":"Street Address Line 2","city":"City","state":"State / Province","postal":"Postal / Zip Code","country":"Country"},"49_name":"payment49","49_qid":49,"49_type":"control_payform","49_order":38,"49_options":{"currency":"default","creditCard":{"value":"Credit Card","enabled":true,"fields":[{"name":"ccv","value":"CCV","enabled":true},{"name":"nameOnCard","value":"Name on Card","enabled":true},{"name":"billingAddress","value":"Billing Address","enabled":false}],"processorIndex":4,"type":[{"name":"Visa","value":"Visa","enabled":true},{"name":"Mastercard","value":"MasterCard","enabled":true},{"name":"Amex","value":"American Express","enabled":true},{"name":"Discover","value":"Discover","enabled":true}],"payMe":false},"paypal":{"value":"Paypal","enabled":true,"processorIndex":1},"eCheck":{"value":"eCheck","enabled":false},"other":{"value":"Other","enabled":true,"message":"Please make checks payable to Chabad of Novato and mail to 695 Delong Ave Suite 101 Novato, CA 94945\u003cbr /\u003e\u003cbr /\u003eYou can venmo to @jewishNovato or zelle to rabbi@Jewishnovato.com.\u003cbr /\u003e\u003cbr /\u003eMoney needs to be received to secure your spot. ","altText":"Check/Cash/Venmo/Zelle"}},"51_text":"Agreement","51_message":"","51_labelAlign":"Auto","51_required":"Yes","51_options":"I am signing up my child for camp. I give my child permission to attend all trips and receive medical care in the case of emergency, G-d forbid.   I give Gan Israel permission to photograph and videotape my children and use the photos and videos (without their names) for newsletters.","51_special":"None","51_allowOther":"No","51_otherText":"Other","51_calculateOther":"No","51_spreadCols":"1","51_selected":"","51_minSelection":"","51_maxSelection":"","51_description":"","51_name":"agreement","51_qid":51,"51_type":"control_checkbox","51_order":39,"51_shrink":"No","66_text":"General comments - please include any allergies","66_message":"","66_labelAlign":"Auto","66_required":"No","66_cols":"40","66_rows":6,"66_validation":"None","66_entryLimit":"None-0","66_maxsize":"","66_defaultValue":"","66_subLabel":"","66_hint":"","66_description":"","66_readonly":"No","66_wysiwyg":"Disable","66_name":"generalComments66","66_qid":66,"66_type":"control_textarea","66_order":40,"form_title":"I would like to Donate","form_pagetitle":"Form","form_styles":"nova","form_font":"","form_fontsize":"14","form_fontcolor":"","form_optioncolor":"","form_lineSpacing":"12","form_background":"","form_formWidth":"765","form_labelWidth":"150","form_alignment":"Left","form_thankurl":"","form_thanktext":"","form_highlightLine":"Enabled","form_activeRedirect":"default","form_sendpostdata":"No","form_unique":"None","form_uniqueField":"\u003cField Id\u003e","form_status":"Enabled","form_injectCSS":"","form_hideMailEmptyFields":"disable","form_showProgressBar":"disable","form_formStrings":[{"alphabetic":"This field can only contain letters","alphanumeric":"This field can only contain letters and numbers.","confirmClearForm":"Are you sure you want to clear the form?","confirmEmail":"E-mail does not match","email":"Enter a valid e-mail address","generalError":"There are errors on the form. Please fix them before continuing.","generalPageError":"There are errors on this page. Please fix them before continuing.","gradingScoreError":"Score total should only be less than or equal to","incompleteFields":"There are incomplete required fields. Please complete them.","inputCarretErrorA":"Input should not be less than the minimum value:","inputCarretErrorB":"Input should not be greater than the maximum value:","lessThan":"Your score should be less than or equal to","maxDigitsError":"The maximum digits allowed is","maxSelectionsError":"The maximum number of selections allowed is","minSelectionsError":"The minimum required number of selections is","multipleFileUploads_emptyError":"{file} is empty, please select files again without it.","multipleFileUploads_minSizeError":"{file} is too small, minimum file size is {minSizeLimit}.","multipleFileUploads_onLeave":"The files are being uploaded, if you leave now the upload will be cancelled.","multipleFileUploads_sizeError":"{file} is too large, maximum file size is {sizeLimit}.","multipleFileUploads_typeError":"{file} has invalid extension. Only {extensions} are allowed.","numeric":"This field can only contain numeric values","pastDatesDisallowed":"Date must not be in the past.","pleaseWait":"Please wait...","required":"This field is required.","requireEveryRow":"Every row is required.","requireOne":"At least one field required.","submissionLimit":"Sorry! Only one entry is allowed.  Multiple submissions are disabled for this form.","uploadExtensions":"You can only upload following files:","uploadFilesize":"File size cannot be bigger than:"}],"form_limitSubmission":"No Limit","form_expireDate":"No Limit","form_messageOfLimitedForm":"This form is currently unavailable!","form_emails":[],"form_language":"","form_sendEmail":"Yes","form_style":"Default","form_theme":"nova","form_id":3919780,"form_formStringsChanged":"yes","form_slug":3919780,"form_stopHighlight":"Yes","form_optinDisabled":"true","form_conditions":[{"type":"field","link":"Any","terms":[{"field":"80","operator":"greaterThan","value":"1"}],"actions":[{"field":"15","visibility":"Show"},{"field":"28","visibility":"Show"},{"field":"20","visibility":"Show"},{"field":"74","visibility":"Show"},{"field":"82","visibility":"Show"}]},{"type":"field","link":"Any","terms":[{"field":"80","operator":"greaterThan","value":"2"}],"actions":[{"field":"79","visibility":"Show"},{"field":"78","visibility":"Show"},{"field":"77","visibility":"Show"},{"field":"76","visibility":"Show"},{"field":"83","visibility":"Show"}]},{"type":"field","link":"Any","terms":[{"field":"80","operator":"isFilled","value":false}],"actions":[{"field":"84","visibility":"Show"},{"field":"85","visibility":"Show"}]}],"86_name":"submit","86_type":"control_button","86_qid":86,"86_order":41,"86_text":"Submit","86_buttonAlign":"Auto","86_clear":"No","86_print":"No"}][0] || {}, window.formJson || {});
window.isSecureForm = true
});

			if (typeof(Userform) ==='undefined')
			{
				Userform={init:function(args){
					$j(function(){
						Userform.init.apply(Userform, [args]);
					})
				},
				setConditions:function(args){
					$j(function(){
						Userform.setConditions.apply(Userform, [args]);
					})
				}};
			}
</script><script type="text/javascript">
   Userform.setConditions([{"type":"field","link":"Any","terms":[{"field":"80","operator":"greaterThan","value":"1"}],"actions":[{"field":"15","visibility":"Show"},{"field":"28","visibility":"Show"},{"field":"20","visibility":"Show"},{"field":"74","visibility":"Show"},{"field":"82","visibility":"Show"}]},{"type":"field","link":"Any","terms":[{"field":"80","operator":"greaterThan","value":"2"}],"actions":[{"field":"79","visibility":"Show"},{"field":"78","visibility":"Show"},{"field":"77","visibility":"Show"},{"field":"76","visibility":"Show"},{"field":"83","visibility":"Show"}]},{"type":"field","link":"Any","terms":[{"field":"80","operator":"isFilled","value":false}],"actions":[{"field":"84","visibility":"Show"},{"field":"85","visibility":"Show"}]}]);
   Userform.init(function(){
      $('input_80').hint('ex: 2');
      $('input_4').hint('ex: myname@example.com');
      $('input_35').hint('ex: myname@example.com');
      $('input_84').hint('ex: 23');
      Userform.alterTexts({"alphabetic":"This field can only contain letters","alphanumeric":"This field can only contain letters and numbers.","confirmClearForm":"Are you sure you want to clear the form?","confirmEmail":"E-mail does not match","email":"Enter a valid e-mail address","generalError":"There are errors on the form. Please fix them before continuing.","generalPageError":"There are errors on this page. Please fix them before continuing.","gradingScoreError":"Score total should only be less than or equal to","incompleteFields":"There are incomplete required fields. Please complete them.","inputCarretErrorA":"Input should not be less than the minimum value:","inputCarretErrorB":"Input should not be greater than the maximum value:","lessThan":"Your score should be less than or equal to","maxDigitsError":"The maximum digits allowed is","maxSelectionsError":"The maximum number of selections allowed is","minSelectionsError":"The minimum required number of selections is","multipleFileUploads_emptyError":"{file} is empty, please select files again without it.","multipleFileUploads_minSizeError":"{file} is too small, minimum file size is {minSizeLimit}.","multipleFileUploads_onLeave":"The files are being uploaded, if you leave now the upload will be cancelled.","multipleFileUploads_sizeError":"{file} is too large, maximum file size is {sizeLimit}.","multipleFileUploads_typeError":"{file} has invalid extension. Only {extensions} are allowed.","numeric":"This field can only contain numeric values","pastDatesDisallowed":"Date must not be in the past.","pleaseWait":"Please wait...","required":"This field is required.","requireEveryRow":"Every row is required.","requireOne":"At least one field required.","submissionLimit":"Sorry! Only one entry is allowed.  Multiple submissions are disabled for this form.","uploadExtensions":"You can only upload following files:","uploadFilesize":"File size cannot be bigger than:"});
   });
</script>
<style type="text/css" id="GenFormStyles">
    .form-label{
        width:150px !important;
    }
    .form-label-left{
        width:150px !important;
    }
    .form-line{
        padding-top:12px;
        padding-bottom:12px;
    }
    .form-label-right{
        width:150px !important;
    }
    .form-all {
        font-size:14px;
    }
.co_body .content .form-all p {
 font-size:14px;

}
@media screen and (max-width: 600px) {.form-label-left{	float:none;	display:block;}.form-buttons-wrapper.button-align-auto{text-indent: 0!important;}}</style>

<form class="userform-form" action="" method="post" name="form_3919780" id="3919780" accept-charset="utf-8"><input type="hidden" name="formID" value="3919780" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_64"><div id="cid_64" class="form-input-wide"> <div id="text_64" class="form-html"><p><span style="font-size: 20px;">We are thrilled to have you join Camp Gan Israel of Marin summer 2026!</span></p>

<p><span style="font-size: 20px;">Week 1: June 22 - June 26<br />
Week 2: June 29 - July 3<br />
Week 3: July 6 - July 10<br />
Week 4: July 13 - July 17 </span></p>

<p><span style="font-size: 20px;">Camp Hours are 9:00 - 3:00 </span>(After care is available from 3:15-4:30)</p>

<p><span style="font-size: 20px;">Join for all 4 weeks and receive a $50 discount!</span></p>
</div> </div></li><li id="cid_9" class="form-input-wide"> <div class="form-header-group"><h2 id="header_9" class="form-header">1. Child/ren’s Information</h2></div> </li><li class="form-line" id="id_80"><div class="form-label-left" id="label_80"><label for="input_80"> Number of children being registered:<span class="form-required">*</span> </label><label class="label-message" for="input_80"> </label></div><div id="cid_80" class="form-input"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_80" name="q80_number" style="width:60px" size="5" value="1" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" max="3" data-numbermax="3" /> </div></li><li class="form-line" id="id_3"><div class="form-label-left" id="label_3"><label for="input_3"> Child 1<span class="form-required">*</span> </label><label class="label-message" for="input_3"> </label></div><div id="cid_3" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q3_child1[first]" id="first_3" autocomplete="given-name" />  <label class="form-sub-label" for="first_3" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q3_child1[last]" id="last_3" autocomplete="family-name" />  <label class="form-sub-label" for="last_3" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_27"><div class="form-label-left" id="label_27"><label for="input_27"> Birth Date<span class="form-required">*</span> </label><label class="label-message" for="input_27"> </label></div><div id="cid_27" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q27_birthDate27[month]" id="input_27_month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_27_month" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q27_birthDate27[day]" id="input_27_day"><option></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select>  <label class="form-sub-label" for="input_27_day" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q27_birthDate27[year]" id="input_27_year"><option></option><option value="2026">2026</option><option value="2025">2025</option><option value="2024">2024</option><option value="2023">2023</option><option value="2022">2022</option><option value="2021">2021</option><option value="2020">2020</option><option value="2019">2019</option><option value="2018">2018</option><option value="2017">2017</option><option value="2016">2016</option><option value="2015">2015</option><option value="2014">2014</option><option value="2013">2013</option><option value="2012">2012</option><option value="2011">2011</option><option value="2010">2010</option><option value="2009">2009</option><option value="2008">2008</option><option value="2007">2007</option><option value="2006">2006</option><option value="2005">2005</option><option value="2004">2004</option><option value="2003">2003</option><option value="2002">2002</option><option value="2001">2001</option><option value="2000">2000</option><option value="1999">1999</option><option value="1998">1998</option><option value="1997">1997</option><option value="1996">1996</option><option value="1995">1995</option><option value="1994">1994</option><option value="1993">1993</option><option value="1992">1992</option><option value="1991">1991</option><option value="1990">1990</option><option value="1989">1989</option><option value="1988">1988</option><option value="1987">1987</option><option value="1986">1986</option><option value="1985">1985</option><option value="1984">1984</option><option value="1983">1983</option><option value="1982">1982</option><option value="1981">1981</option><option value="1980">1980</option><option value="1979">1979</option><option value="1978">1978</option><option value="1977">1977</option><option value="1976">1976</option><option value="1975">1975</option><option value="1974">1974</option><option value="1973">1973</option><option value="1972">1972</option><option value="1971">1971</option><option value="1970">1970</option><option value="1969">1969</option><option value="1968">1968</option><option value="1967">1967</option><option value="1966">1966</option><option value="1965">1965</option><option value="1964">1964</option><option value="1963">1963</option><option value="1962">1962</option><option value="1961">1961</option><option value="1960">1960</option><option value="1959">1959</option><option value="1958">1958</option><option value="1957">1957</option><option value="1956">1956</option><option value="1955">1955</option><option value="1954">1954</option><option value="1953">1953</option><option value="1952">1952</option><option value="1951">1951</option><option value="1950">1950</option><option value="1949">1949</option><option value="1948">1948</option><option value="1947">1947</option><option value="1946">1946</option><option value="1945">1945</option><option value="1944">1944</option><option value="1943">1943</option><option value="1942">1942</option><option value="1941">1941</option><option value="1940">1940</option><option value="1939">1939</option><option value="1938">1938</option><option value="1937">1937</option><option value="1936">1936</option><option value="1935">1935</option><option value="1934">1934</option><option value="1933">1933</option><option value="1932">1932</option><option value="1931">1931</option><option value="1930">1930</option><option value="1929">1929</option><option value="1928">1928</option><option value="1927">1927</option><option value="1926">1926</option><option value="1925">1925</option><option value="1924">1924</option><option value="1923">1923</option><option value="1922">1922</option><option value="1921">1921</option><option value="1920">1920</option></select>  <label class="form-sub-label" for="input_27_year" id="sublabel_year">Year</label></span></div> </div></li><li class="form-line" id="id_19"><div class="form-label-left" id="label_19"><label for="input_19"> Gender<span class="form-required">*</span> </label><label class="label-message" for="input_19"> </label></div><div id="cid_19" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_19_0" name="q19_gender" value="Male" /><label id="label_input_19_0" for="input_19_0"><span>Male</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_19_1" name="q19_gender" value="Female" /><label id="label_input_19_1" for="input_19_1"><span>Female</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_81"><div class="form-label-left" id="label_81"><label for="input_81"> Current grade of child?<span class="form-required">*</span> </label><label class="label-message" for="input_81"> </label></div><div id="cid_81" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_81" name="q81_input81" size="20" value="" /> </div></li><li class="form-line" id="id_73"><div class="form-label-left" id="label_73"><label for="input_73"> Sessions:<span class="form-required">*</span> </label><label class="label-message" for="input_73"> </label></div><div id="cid_73" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_73_0" name="q73_input73[]" value="Week 1" /><label id="label_input_73_0" for="input_73_0"><span>Week 1</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_73_1" name="q73_input73[]" value="Week 2" /><label id="label_input_73_1" for="input_73_1"><span>Week 2</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_73_2" name="q73_input73[]" value="Week 3" /><label id="label_input_73_2" for="input_73_2"><span>Week 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_73_3" name="q73_input73[]" value="Week 4" /><label id="label_input_73_3" for="input_73_3"><span>Week 4</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_73_4" name="q73_input73[]" value="All four weeks" /><label id="label_input_73_4" for="input_73_4"><span>All four weeks</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_15"><div class="form-label-left" id="label_15"><label for="input_15"> Child 2<span class="form-required">*</span> </label><label class="label-message" for="input_15"> </label></div><div id="cid_15" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q15_child2[first]" id="first_15" autocomplete="given-name" />  <label class="form-sub-label" for="first_15" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q15_child2[last]" id="last_15" autocomplete="family-name" />  <label class="form-sub-label" for="last_15" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_28"><div class="form-label-left" id="label_28"><label for="input_28"> Birth Date<span class="form-required">*</span> </label><label class="label-message" for="input_28"> </label></div><div id="cid_28" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q28_birthDate28[month]" id="input_28_month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_28_month" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q28_birthDate28[day]" id="input_28_day"><option></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select>  <label class="form-sub-label" for="input_28_day" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q28_birthDate28[year]" id="input_28_year"><option></option><option value="2026">2026</option><option value="2025">2025</option><option value="2024">2024</option><option value="2023">2023</option><option value="2022">2022</option><option value="2021">2021</option><option value="2020">2020</option><option value="2019">2019</option><option value="2018">2018</option><option value="2017">2017</option><option value="2016">2016</option><option value="2015">2015</option><option value="2014">2014</option><option value="2013">2013</option><option value="2012">2012</option><option value="2011">2011</option><option value="2010">2010</option><option value="2009">2009</option><option value="2008">2008</option><option value="2007">2007</option><option value="2006">2006</option><option value="2005">2005</option><option value="2004">2004</option><option value="2003">2003</option><option value="2002">2002</option><option value="2001">2001</option><option value="2000">2000</option><option value="1999">1999</option><option value="1998">1998</option><option value="1997">1997</option><option value="1996">1996</option><option value="1995">1995</option><option value="1994">1994</option><option value="1993">1993</option><option value="1992">1992</option><option value="1991">1991</option><option value="1990">1990</option><option value="1989">1989</option><option value="1988">1988</option><option value="1987">1987</option><option value="1986">1986</option><option value="1985">1985</option><option value="1984">1984</option><option value="1983">1983</option><option value="1982">1982</option><option value="1981">1981</option><option value="1980">1980</option><option value="1979">1979</option><option value="1978">1978</option><option value="1977">1977</option><option value="1976">1976</option><option value="1975">1975</option><option value="1974">1974</option><option value="1973">1973</option><option value="1972">1972</option><option value="1971">1971</option><option value="1970">1970</option><option value="1969">1969</option><option value="1968">1968</option><option value="1967">1967</option><option value="1966">1966</option><option value="1965">1965</option><option value="1964">1964</option><option value="1963">1963</option><option value="1962">1962</option><option value="1961">1961</option><option value="1960">1960</option><option value="1959">1959</option><option value="1958">1958</option><option value="1957">1957</option><option value="1956">1956</option><option value="1955">1955</option><option value="1954">1954</option><option value="1953">1953</option><option value="1952">1952</option><option value="1951">1951</option><option value="1950">1950</option><option value="1949">1949</option><option value="1948">1948</option><option value="1947">1947</option><option value="1946">1946</option><option value="1945">1945</option><option value="1944">1944</option><option value="1943">1943</option><option value="1942">1942</option><option value="1941">1941</option><option value="1940">1940</option><option value="1939">1939</option><option value="1938">1938</option><option value="1937">1937</option><option value="1936">1936</option><option value="1935">1935</option><option value="1934">1934</option><option value="1933">1933</option><option value="1932">1932</option><option value="1931">1931</option><option value="1930">1930</option><option value="1929">1929</option><option value="1928">1928</option><option value="1927">1927</option><option value="1926">1926</option><option value="1925">1925</option><option value="1924">1924</option><option value="1923">1923</option><option value="1922">1922</option><option value="1921">1921</option><option value="1920">1920</option></select>  <label class="form-sub-label" for="input_28_year" id="sublabel_year">Year</label></span></div> </div></li><li class="form-line" id="id_20"><div class="form-label-left" id="label_20"><label for="input_20"> Gender<span class="form-required">*</span> </label><label class="label-message" for="input_20"> </label></div><div id="cid_20" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_20_0" name="q20_gender20" value="Male" /><label id="label_input_20_0" for="input_20_0"><span>Male</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_20_1" name="q20_gender20" value="Female" /><label id="label_input_20_1" for="input_20_1"><span>Female</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_82"><div class="form-label-left" id="label_82"><label for="input_82"> Current grade of child?<span class="form-required">*</span> </label><label class="label-message" for="input_82"> </label></div><div id="cid_82" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_82" name="q82_input82" size="20" value="" /> </div></li><li class="form-line" id="id_74"><div class="form-label-left" id="label_74"><label for="input_74"> Sessions:<span class="form-required">*</span> </label><label class="label-message" for="input_74"> </label></div><div id="cid_74" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_74_0" name="q74_input74[]" value="Week 1" /><label id="label_input_74_0" for="input_74_0"><span>Week 1</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_74_1" name="q74_input74[]" value="Week 2" /><label id="label_input_74_1" for="input_74_1"><span>Week 2</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_74_2" name="q74_input74[]" value="Week 3" /><label id="label_input_74_2" for="input_74_2"><span>Week 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_74_3" name="q74_input74[]" value="Week 4" /><label id="label_input_74_3" for="input_74_3"><span>Week 4</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_74_4" name="q74_input74[]" value="All four weeks" /><label id="label_input_74_4" for="input_74_4"><span>All four weeks</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_79"><div class="form-label-left" id="label_79"><label for="input_79"> Child 3<span class="form-required">*</span> </label><label class="label-message" for="input_79"> </label></div><div id="cid_79" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q79_child79[first]" id="first_79" autocomplete="given-name" />  <label class="form-sub-label" for="first_79" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q79_child79[last]" id="last_79" autocomplete="family-name" />  <label class="form-sub-label" for="last_79" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_78"><div class="form-label-left" id="label_78"><label for="input_78"> Birth Date<span class="form-required">*</span> </label><label class="label-message" for="input_78"> </label></div><div id="cid_78" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q78_birthDate78[month]" id="input_78_month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_78_month" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q78_birthDate78[day]" id="input_78_day"><option></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select>  <label class="form-sub-label" for="input_78_day" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q78_birthDate78[year]" id="input_78_year"><option></option><option value="2026">2026</option><option value="2025">2025</option><option value="2024">2024</option><option value="2023">2023</option><option value="2022">2022</option><option value="2021">2021</option><option value="2020">2020</option><option value="2019">2019</option><option value="2018">2018</option><option value="2017">2017</option><option value="2016">2016</option><option value="2015">2015</option><option value="2014">2014</option><option value="2013">2013</option><option value="2012">2012</option><option value="2011">2011</option><option value="2010">2010</option><option value="2009">2009</option><option value="2008">2008</option><option value="2007">2007</option><option value="2006">2006</option><option value="2005">2005</option><option value="2004">2004</option><option value="2003">2003</option><option value="2002">2002</option><option value="2001">2001</option><option value="2000">2000</option><option value="1999">1999</option><option value="1998">1998</option><option value="1997">1997</option><option value="1996">1996</option><option value="1995">1995</option><option value="1994">1994</option><option value="1993">1993</option><option value="1992">1992</option><option value="1991">1991</option><option value="1990">1990</option><option value="1989">1989</option><option value="1988">1988</option><option value="1987">1987</option><option value="1986">1986</option><option value="1985">1985</option><option value="1984">1984</option><option value="1983">1983</option><option value="1982">1982</option><option value="1981">1981</option><option value="1980">1980</option><option value="1979">1979</option><option value="1978">1978</option><option value="1977">1977</option><option value="1976">1976</option><option value="1975">1975</option><option value="1974">1974</option><option value="1973">1973</option><option value="1972">1972</option><option value="1971">1971</option><option value="1970">1970</option><option value="1969">1969</option><option value="1968">1968</option><option value="1967">1967</option><option value="1966">1966</option><option value="1965">1965</option><option value="1964">1964</option><option value="1963">1963</option><option value="1962">1962</option><option value="1961">1961</option><option value="1960">1960</option><option value="1959">1959</option><option value="1958">1958</option><option value="1957">1957</option><option value="1956">1956</option><option value="1955">1955</option><option value="1954">1954</option><option value="1953">1953</option><option value="1952">1952</option><option value="1951">1951</option><option value="1950">1950</option><option value="1949">1949</option><option value="1948">1948</option><option value="1947">1947</option><option value="1946">1946</option><option value="1945">1945</option><option value="1944">1944</option><option value="1943">1943</option><option value="1942">1942</option><option value="1941">1941</option><option value="1940">1940</option><option value="1939">1939</option><option value="1938">1938</option><option value="1937">1937</option><option value="1936">1936</option><option value="1935">1935</option><option value="1934">1934</option><option value="1933">1933</option><option value="1932">1932</option><option value="1931">1931</option><option value="1930">1930</option><option value="1929">1929</option><option value="1928">1928</option><option value="1927">1927</option><option value="1926">1926</option><option value="1925">1925</option><option value="1924">1924</option><option value="1923">1923</option><option value="1922">1922</option><option value="1921">1921</option><option value="1920">1920</option></select>  <label class="form-sub-label" for="input_78_year" id="sublabel_year">Year</label></span></div> </div></li><li class="form-line" id="id_77"><div class="form-label-left" id="label_77"><label for="input_77"> Gender<span class="form-required">*</span> </label><label class="label-message" for="input_77"> </label></div><div id="cid_77" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_77_0" name="q77_gender77" value="Male" /><label id="label_input_77_0" for="input_77_0"><span>Male</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_77_1" name="q77_gender77" value="Female" /><label id="label_input_77_1" for="input_77_1"><span>Female</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_83"><div class="form-label-left" id="label_83"><label for="input_83"> Current grade of child?<span class="form-required">*</span> </label><label class="label-message" for="input_83"> </label></div><div id="cid_83" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_83" name="q83_input83" size="20" value="" /> </div></li><li class="form-line" id="id_76"><div class="form-label-left" id="label_76"><label for="input_76"> Sessions:<span class="form-required">*</span> </label><label class="label-message" for="input_76"> </label></div><div id="cid_76" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_76_0" name="q76_input76[]" value="Week 1" /><label id="label_input_76_0" for="input_76_0"><span>Week 1</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_76_1" name="q76_input76[]" value="Week 2" /><label id="label_input_76_1" for="input_76_1"><span>Week 2</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_76_2" name="q76_input76[]" value="Week 3" /><label id="label_input_76_2" for="input_76_2"><span>Week 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_76_3" name="q76_input76[]" value="Week 4" /><label id="label_input_76_3" for="input_76_3"><span>Week 4</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_76_4" name="q76_input76[]" value="All four weeks" /><label id="label_input_76_4" for="input_76_4"><span>All four weeks</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_25" class="form-input-wide"> <div class="form-header-group"><h2 id="header_25" class="form-header">2. Parent information</h2></div> </li><li class="form-line" id="id_23"><div class="form-label-left" id="label_23"><label for="input_23"> Mother's info </label><label class="label-message" for="input_23"> </label></div><div id="cid_23" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q23_mothersInfo[first]" id="first_23" autocomplete="given-name" />  <label class="form-sub-label" for="first_23" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q23_mothersInfo[last]" id="last_23" autocomplete="family-name" />  <label class="form-sub-label" for="last_23" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_36"><div class="form-label-left" id="label_36"><label for="input_36"> Cell Phone </label><label class="label-message" for="input_36"> </label></div><div id="cid_36" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q36_cellPhone36[area]" id="input_36_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_36_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q36_cellPhone36[phone]" id="input_36_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_36_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_4"><div class="form-label-left" id="label_4"><label for="input_4"> E-mail </label><label class="label-message" for="input_4"> Primary email</label></div><div id="cid_4" class="form-input"> <input type="email" class=" form-textbox validate[Email]" id="input_4" name="q4_email4" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_32"><div class="form-label-left" id="label_32"><label for="input_32"> Father's info </label><label class="label-message" for="input_32"> </label></div><div id="cid_32" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q32_fathersInfo[first]" id="first_32" autocomplete="given-name" />  <label class="form-sub-label" for="first_32" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q32_fathersInfo[last]" id="last_32" autocomplete="family-name" />  <label class="form-sub-label" for="last_32" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_35"><div class="form-label-left" id="label_35"><label for="input_35"> E-mail </label><label class="label-message" for="input_35"> </label></div><div id="cid_35" class="form-input"> <input type="email" class=" form-textbox validate[Email]" id="input_35" name="q35_email35" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_31"><div class="form-label-left" id="label_31"><label for="input_31"> Cell Phone </label><label class="label-message" for="input_31"> </label></div><div id="cid_31" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q31_cellPhone[area]" id="input_31_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_31_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q31_cellPhone[phone]" id="input_31_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_31_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li id="cid_37" class="form-input-wide"> <div class="form-header-group"><h2 id="header_37" class="form-header">3. Emergency Information</h2></div> </li><li class="form-line" id="id_38"><div class="form-label-left" id="label_38"><label for="input_38"> Emergency Contact </label><label class="label-message" for="input_38"> </label></div><div id="cid_38" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q38_emergencyContact[first]" id="first_38" autocomplete="given-name" />  <label class="form-sub-label" for="first_38" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q38_emergencyContact[last]" id="last_38" autocomplete="family-name" />  <label class="form-sub-label" for="last_38" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_39"><div class="form-label-left" id="label_39"><label for="input_39"> Phone Number </label><label class="label-message" for="input_39"> </label></div><div id="cid_39" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q39_phoneNumber39[area]" id="input_39_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_39_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q39_phoneNumber39[phone]" id="input_39_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_39_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_40"><div class="form-label-left" id="label_40"><label for="input_40"> Relationship </label><label class="label-message" for="input_40"> </label></div><div id="cid_40" class="form-input"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_40" name="q40_relationship" size="20" value="" /> </div></li><li class="form-line" id="id_41"><div class="form-label-left" id="label_41"><label for="input_41"> Pediatrician &amp; Insurance </label><label class="label-message" for="input_41"> </label></div><div id="cid_41" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q41_pediatricianamp[first]" id="first_41" autocomplete="given-name" />  <label class="form-sub-label" for="first_41" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q41_pediatricianamp[last]" id="last_41" autocomplete="family-name" />  <label class="form-sub-label" for="last_41" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_42"><div class="form-label-left" id="label_42"><label for="input_42"> Phone Number </label><label class="label-message" for="input_42"> </label></div><div id="cid_42" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q42_phoneNumber42[area]" id="input_42_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_42_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q42_phoneNumber42[phone]" id="input_42_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_42_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_43"><div class="form-label-left" id="label_43"><label for="input_43"> Insurance </label><label class="label-message" for="input_43"> </label></div><div id="cid_43" class="form-input"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_43" name="q43_insurance" size="20" value="" /> </div></li><li class="form-line" id="id_44"><div class="form-label-left" id="label_44"><label for="input_44">  Policy # </label><label class="label-message" for="input_44"> </label></div><div id="cid_44" class="form-input"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_44" name="q44_Policy" size="20" value="" /> </div></li><li id="cid_52" class="form-input-wide"> <div class="form-header-group"><h2 id="header_52" class="form-header">4. Payment Information</h2></div> </li><li class="form-line always-hidden" id="id_84"><div class="form-label-left" id="label_84"><label for="input_84"> Late Fee </label><label class="label-message" for="input_84"> </label></div><div id="cid_84" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_84" name="q84_number84" style="width:60px" size="5" value="50" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_68"><div class="form-label-left" id="label_68"><label for="input_68"> Total </label></div><div id="cid_68" class="form-input"> <div id="total_amount">$0.00 </div><div class="form-single-column form-checkbox-item" id="div_offset_gift_68" style="padding-top: 10px">		<input type="checkbox" id="input_68" class="form-checkbox" name="q68_offsetGiftPercent" value="3" />		<label id="label_68" for="input_68">Yes, I'd like to donate the cost of processing this transaction by adding 3%</label>		<input type="hidden" id="hidden_68" name="q68_offsetGiftAmount" />		<div class="clearfix"></div>		</div> </div></li><li class="form-line" id="id_85"><div id="cid_85" class="form-input-wide"> <div id="text_85" class="form-html"><p><strong><span style="font-size:16px;">A $50 late fee has been added to your total.</span></strong></p>
</div> </div></li><li class="form-line" id="id_49"><div class="form-label-left" id="label_49"><label for="input_49"> Payment<span class="form-required">*</span> </label><label class="label-message" for="input_49"> a 3% surcharge is added when paying by Credit card or paypal</label></div><div id="cid_49" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_49_creditCard" name="q49_payment49[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" /><label for="input_49_creditCard">Credit Card</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_49_paypal" name="q49_payment49[payment_method]" value="paypal" onclick="BuildSource.paypal(this)" /><label for="input_49_paypal">Paypal</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_49_other" name="q49_payment49[payment_method]" value="other" onclick="BuildSource.other(this)" /><label for="input_49_other">Check/Cash/Venmo/Zelle</label> </span></td></tr><tr class="credit_card hide"><th colspan="2">Credit Card</th></tr><tr class="credit_card hide"><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express, Discover</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div><div class="cc-icon discover-icon"></div></div><input type="hidden" name="q49_payment49[cc_type]" id="input_49_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[required, visible, creditcard]" type="text" name="q49_payment49[cc_number]" id="input_49_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_49_cc_number" id="sublabel_cc_number">Credit Card Number</label></span></div></td><td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q49_payment49[cc_ccv]" id="input_49_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_49_cc_ccv" id="sublabel_cc_ccv">Security Code</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q49_payment49[cc_nameOnCard]" id="input_49_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_49_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card hide"><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q49_payment49[cc_exp_month]" id="input_49_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_49_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q49_payment49[cc_exp_year]" id="input_49_cc_exp_year" autocomplete="cc-exp-year"><option></option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option><option value="2035">2035</option></select>  <label class="form-sub-label" for="input_49_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="paypal hide"><td colspan="2">Paypal has been selected. Payment will take place on the next page.</td></tr><tr class="other hide"><td colspan="2">Please make checks payable to Chabad of Novato and mail to 695 Delong Ave Suite 101 Novato, CA 94945<br /><br />You can venmo to @jewishNovato or zelle to rabbi@Jewishnovato.com.<br /><br />Money needs to be received to secure your spot. </td></tr></tbody></table> </div></li><li class="form-line" id="id_51"><div class="form-label-left" id="label_51"><label for="input_51"> Agreement<span class="form-required">*</span> </label><label class="label-message" for="input_51"> </label></div><div id="cid_51" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_51_0" name="q51_agreement[]" value="I am signing up my child for camp. I give my child permission to attend all trips and receive medical care in the case of emergency, G-d forbid.   I give Gan Israel permission to photograph and videotape my children and use the photos and videos (without their names) for newsletters." /><label id="label_input_51_0" for="input_51_0"><span>I am signing up my child for camp. I give my child permission to attend all trips and receive medical care in the case of emergency, G-d forbid.   I give Gan Israel permission to photograph and videotape my children and use the photos and videos (without their names) for newsletters.</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_66"><div class="form-label-left" id="label_66"><label for="input_66"> General comments - please include any allergies </label><label class="label-message" for="input_66"> </label></div><div id="cid_66" class="form-input"> <textarea id="input_66" class="form-textarea" name="q66_generalComments66" cols="40" rows="6"></textarea> </div></li><li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li><li class="form-line" id="id_86"><div id="cid_86" class="form-input-wide"><div style="text-align:center" class="form-buttons-wrapper"><button id="input_86" type="submit" class="form-submit-button form-submit-button-none;">Submit</button></div></div></li></ul></div><input type="hidden" id="simple_spc" name="simple_spc" value="3919780" /><script type="text/javascript">document.getElementById("si"+"mple"+"_spc").value = "3919780-3919780";</script><div>


<script>
	var recaptchaIsEnterprise = false;
		 var recaptchaV2Key = "6LcG_TcUAAAAAKAVgwgW39ujc9OCjXSoQYFIA-Su";

</script>

	<input type="hidden" class="js-recaptcha-input" name="cdo-captcha-response" value="" data-div-id="8c3aec98-50cd-4cb4-b1e5-65e93a82239f" data-processed="false" />
	<div class="js-recaptcha-wrapper" id="8c3aec98-50cd-4cb4-b1e5-65e93a82239f"></div>	
</div></form></div>
<div class="center small">
	<img valign="absbottom" src="https://w2.chabad.org/images/global/icons/lock.gif" width="16" height="16" alt="Secure"> This page uses TLS encryption to keep your data secure.
</div>
	<div class="break_floats"></div>
	

<div class="content-footer">
	
	
	
	
	
	
</div>
	</article>

		</div>
	</div>
</div>
						
						<div class="break_floats"></div>
						
					</div>
				</div>
				
				
				
			</div>
			
			<!-- BEGIN FOOTER --></div></div>


<div class="ct-footer-illustrations">
<img src="https://w2.chabad.org/media/images/1040/gTgj10403743.png" class="ct-footer-illustration-hill-left" />
<img src="https://w2.chabad.org/media/images/1040/Clgh10403763.png" class="ct-footer-illustration-swim" />
<img src="https://w2.chabad.org/media/images/1040/FFDf10403745.png" class="ct-footer-illustration-hill-right" />
<img src="https://w2.chabad.org/media/images/1040/UjFy10403761.png" class="ct-footer-illustration-soccer-boy" data-stellar-ratio="1.95" />
<img src="https://w2.chabad.org/media/images/1040/ZOMS10403729.png" class="ct-footer-illustration-bottom-grass" />
<img src="https://w2.chabad.org/media/images/1040/pheh10403741.png" class="ct-footer-illustration-grass-small" />
<img src="https://w2.chabad.org/media/images/1040/fdgQ10403731.png" class="ct-footer-illustration-carousel" />
<img src="https://w2.chabad.org/media/images/1040/kcFl10403759.png" class="ct-footer-illustration-shabbat" />
<img src="https://w2.chabad.org/media/images/1040/OEjY10403755.png" class="ct-footer-illustration-rock-small" />
<img src="https://w2.chabad.org/media/images/1040/NYrN10403753.png" class="ct-footer-illustration-rock-large" />
<img src="https://w2.chabad.org/media/images/1040/gxul10403765.png" class="ct-footer-illustration-tennis-girl" data-stellar-ratio="0.99" />
<img src="https://w2.chabad.org/media/images/1040/pheh10403741.png" class="ct-footer-illustration-grass-small" /></div>
</div>
</div>
</div>
<div class="ct-footer">
<a href="/" class="ct-back-to">« Back to Chabad Jewish Center of Novato</a>
<div>Site by 
<a href="http://clickconsultingservices.com" target="_blank">Click Consulting</a></div>
</div>

<!-- END FOOTER -->
		</div>
		
		<aside class="page-tools-sidebar js-page-tools-sidebar hide_for_print">
<div class="page-tools js-page-tools-menu">
<div class="page-tools__section page-tools__section--share">
<a class="page-tools__tool js-share-popup page-tools__tool--facebook" data-share-url="https://www.facebook.com/dialog/share?app_id=188669250943&amp;display=popup&amp;href=https%3a%2f%2fwww.jewishnovato.com%2ftemplates%2farticlecco_cdo%2faid%2f3919780%2fjewish%2fRegister.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dFB">
				<i class="fa fa-facebook"></i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--twitter" data-share-url="https://twitter.com/intent/tweet?text=Register+-+Chabad+Jewish+Center+of+Novato&amp;url=https%3a%2f%2fwww.jewishnovato.com%2ftemplates%2farticlecco_cdo%2faid%2f3919780%2fjewish%2fRegister.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dtwitter&amp;via=Chabad">
				<i class="fa fa-twitter"></i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--whatsapp d-lg-none js-share-whatsapp" data-share-url="whatsapp://send?text=Register+-+Chabad+Jewish+Center+of+Novato https%3a%2f%2fwww.jewishnovato.com%2ftemplates%2farticlecco_cdo%2faid%2f3919780%2fjewish%2fRegister.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dwhatsapp">
				<i class="fa fa-whatsapp">
					<svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 50 50" fill="#128c7e" width="1em" height="1em"><path d="M25 2C12.318 2 2 12.318 2 25c0 3.96 1.023 7.854 2.963 11.29L2.037 46.73c-.096.343-.003.711.245.966.191.197.451.304.718.304.08 0 .161-.01.24-.029l10.896-2.699C17.463 47.058 21.21 48 25 48c12.682 0 23-10.318 23-23S37.682 2 25 2zm11.57 31.116c-.492 1.362-2.852 2.605-3.986 2.772-1.018.149-2.306.213-3.72-.231-.857-.27-1.957-.628-3.366-1.229-5.923-2.526-9.791-8.415-10.087-8.804-.295-.389-2.411-3.161-2.411-6.03s1.525-4.28 2.067-4.864c.542-.584 1.181-.73 1.575-.73s.787.005 1.132.021c.363.018.85-.137 1.329 1.001.492 1.168 1.673 4.037 1.819 4.33.148.292.246.633.05 1.022s-.294.632-.59.973-.62.76-.886 1.022c-.296.291-.603.606-.259 1.19s1.529 2.493 3.285 4.039c2.255 1.986 4.158 2.602 4.748 2.894.59.292.935.243 1.279-.146.344-.39 1.476-1.703 1.869-2.286s.787-.487 1.329-.292c.542.194 3.445 1.604 4.035 1.896.59.292.984.438 1.132.681.148.242.148 1.41-.344 2.771z"/></svg>
				</i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--pinterest d-none d-lg-block" data-share-url="http://pinterest.com/pin/create/button/?url=https%3a%2f%2fwww.jewishnovato.com%2ftemplates%2farticlecco_cdo%2faid%2f3919780%2fjewish%2fRegister.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dpinterest&amp;description=Register+-+Chabad+Jewish+Center+of+Novato">
				<i class="fa fa-pinterest"></i>
			</a>
<a class="page-tools__tool" onclick="showEmailLayer(this);">
<i class="fa fa-envelope"></i>
</a>
</div>
<div class="page-tools__section page-tools__section--other js-page-tool-other">
<div class="page-tools__tool popover-parent d-lg-block">
<div class="popover popover--right align_left nowrap">
<div class="popover__content">
<label class="bold bottom_margin block">
Print Options:
</label>
<form class="vcenter" name="print-form" onsubmit="coPrint(event, 3914118);return false;">
<div>
<label><input type="checkbox" name="print-green"><span title="Save paper and ink">Print without images <i class="fa fa-leaf text-green"></i></span></label>
</div>
<br/>
<div class="center">
<button class="co-button page-tools__print-button">Print</button>
</div>
</form>
</div>
</div>
<i class="fa fa-print"></i>
</div>
</div>
</div>
<div class="js-fab-wrapper fab-wrapper">
<div class="fab">
<i class="fab-icon"></i>
</div>
</div>
</aside>
<!-- END CACHE -->
	</div>

	</div>

	<div id="BodyContainer">
		<div class="g960 footer">
			<div class="poweredby large_bottom_margin">
				



	<div class="footer3">
		<span class="footer-title" >Chabad Jewish Center of Novato</span>
		<div class="footer-address">
			<span class="footer-street">695 De Long Avenue Suite 101</span>
			<span class="footer-city-state">Novato, CA 94945</span>
		</div>
			<span>415-878-6770</span>
	</div>
	<img src="https://w2.chabad.org/images/global/spacer.gif" width="1" height="6" border="0" /><br />



Powered by <a href="https://www.chabad.org/" target="_new" class="">Chabad.org</a> &copy; 1993-2026 <a href="/4026210" target="_blank" class="privacy-link">Privacy Policy</a>




			</div>
		</div>
	</div>
	
	

	
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/os/jquery-latest.min.js?v=278824AF"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/os/jquery/jquery.inputmask.min.js?v=BF33D3B4"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/co/dist/CoLib.js?v=CC07618E"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/WebComponents/bundles/magen-cdo-global.js?v=5457FBE7"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/modules/pagetools.js?v=930B07AB"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/multimedia/infolayer.js?v=ED1B8531"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/forms/userform.js?v=E69144BF"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/article/comments/reply-form-controller.js?v=DC70C970"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/commentsloader.js?v=AD6AAB79"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/minisites.js?v=F38E4DA5"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/subscribeprompt.js?v=86D84DC2"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/FormDecoder.js?v=83AF6F1A"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/deprecated.js?v=D506A83E"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/OverrideJSDocumentWrite.js?v=9A0227AA"></script><script>$j = $j.fn ? $j : jQuery;$j(()=>{$q.forEach(f=>{try{f.call(window);}catch(ex){console.error(ex);}});})</script>
	

<script  language="javascript" type="text/javascript"> Co.Settings      = {CacheClassName:'js-cache-default',MosadName:'Chabad Jewish Center of Novato'}; Co.ArticleId     = '3919780';Co.SectionId     = 2439927;Co.PartnerSiteId = 0;Co.SiteId        = 9204;Co.IsMobilePage  = false;Co.IsResponsive  = false;Co.DbDomain      = 'JewishNovato.com';Co.LanguageCode  = '';Co.LoginStatus   = 'None';</script>
	
	

</body>
</html>