Register - Chabad Jewish Center of Novato

Camp Gan Israel is a camp dedicated to enriching the lives of children from diverse Jewish backgrounds and affiliations through a stimulating camping experience. CGI is part of the largest and fastest growing network of day camps, enjoying a reputation as a pioneer in Jewish camping, with innovative ideas and creative activities, to both provide enjoyment and inspire children to try new and exciting things!
1. Child/ren’s Information
Child 1*
First NameLast Name
Birth Date*
MonthDayYear
Gender*
MaleFemale
Sessions:*
Week 1Week 2Both Weeks
Child 2
First NameLast Name
Birth Date
MonthDayYear
Gender
MaleFemale
Sessions: (Sibling discount is automatically applied)
Week 1Week 2Both weeks
2. Parent information
Mother's info
First NameLast Name
Work Phone
Area CodePhone Number
Cell Phone
Area CodePhone Number
E-mailPrimary email
Father's info
First NameLast Name
Work Phone
Area CodePhone Number
E-mail
Cell Phone
Area CodePhone Number
3. Emergency Information
Emergency Contact
First NameLast Name
Phone Number
Area CodePhone Number
Relationship
Pediatrician & Insurance
First NameLast Name
Phone Number
Area CodePhone Number
Insurance
Policy #
4. Payment Information
Total
$0.00

Payment

Credit Card Paypal Check/Cash

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