Camp Registration

Camp Gan Izzy Registration 2022
If single parent, please write N/A in spouse box.
For a printed registration form please email [email protected]
Mother's Name*
First NameLast Name
Mother's Phone*
Area CodePhone Number
Mother's Work Phone
Area CodePhone Number
Mother's E-mail*
Father's Name*
First NameLast Name
Father's Phone*
Area CodePhone Number
Father's Work Phone
Area CodePhone Number
Father's E-mail*

Camper's Address*

Camper #1*
First NameLast Name
Gender*
Birth Date*
MonthDayYear
School*
Grade Entering Next School Year*
Hebrew School Attending (If Any)
Camper #2
First NameLast Name
Birth Date
MonthDayYear
Gender Camper #2
School Camper #2
Camper #2 - Grade Entering Next School Year
Sessions
Full Program: June 27 - August 12 ($1,800)Week 1 June 27 - July 1 ($275)Week 2 July 4 - July 8 ($275)Week 3 July 11 - July 15 ($275)Week 4 July 18 - July 22 ($275)Week 5 July 25 - July 29 ($275)Week 6 August 1 - August 5 ($275)Week 7 August 8 - August 12 ($275)
Sessions
Full Program for 3 & 4 year olds: June 27 - August 12 ($1,975)Week 1 June 27 - July 1 ($300)Week 2 July 4 - July 8 ($300)Week 3 July 11 - July 15 ($300)Week 4 July 18 - July 22 ($300)Week 5 July 25 - July 29 ($300)Week 6 August 1 - August 5 ($300)Week 7 August 8 - August 12 ($300)

Payment

Credit Card Other

Postal / Zip Code

Country

This page uses TLS encryption to keep your data secure.

Camp Gan Izzy Registration 2022