Register

We are thrilled to have you join Camp Gan Israel of Marin summer 2025!

Week 1: June 23 - June 27
Week 2: June 30 - July 4
Week 3: July 7 - July 11
Week 4: July 14 - July 18

Camp Hours are 9:00 - 3:00 (After care is available from 3:15-4:30)

Join for all 4 weeks and receive a $50 discount!
1. Child/ren’s Information
Number of children being registered:*
Child 1*
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
Current grade of child?*
Sessions:*

Week 1Week 2Week 3Week 4All four weeks
Child 2*
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
Current grade of child?*
Sessions:*

Week 1Week 2Week 3Week 4All four weeks
Child 3*
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
Current grade of child?*
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