Register

We are thrilled to have you join Camp Gan Israel of Marin summer 2024!

Week 1: June 24 - June 28
Week 2: July 1 - July 5
Week 3: July 8 - July 12
Week 4: July 15 - July 19

Join for all 4 weeks and receive a $100 discount!

If you have financial hardships, please reach out to [email protected] to see if their is any scholarships available
1. Child/ren’s Information
Number of children being registered:*
Child 1*

First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
Sessions:*

Week 1Week 2Week 3Week 4All four weeks
Child 2*

First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
Sessions:*

Week 1Week 2Week 3Week 4All four weeks
Child 3*

First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
Sessions:*

Week 1Week 2Week 3Week 4All four weeks
2. Parent information
Mother's info

First Name Last Name
Cell Phone

Area Code Phone Number
E-mail Primary email
Father's info

First Name Last Name
E-mail
Cell Phone

Area Code Phone Number
3. Emergency Information
Emergency Contact

First Name Last Name
Phone Number

Area Code Phone Number
Relationship
Pediatrician & Insurance

First Name Last Name
Phone Number

Area Code Phone Number
Insurance
Policy #
4. Payment Information
Total

$0.00

Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment* a 3% surcharge is added when paying by Credit card or paypal

Credit Card Paypal Check/Cash/Venmo/Zelle

Agreement*

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.
General comments - please include any allergies
Should be Empty:

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1. Child/ren’s Information