Camp Gan Izzy

Address where child resides*

Weeks registering for*

Full session (June 24- July 19)Week 1 (June 24- June 28)Week 2* (July 1- July 5, *No camp on July 4)Week 3 (July 8- July 12)Week 4 (July 15- July 19)
Please let us know a little bit about your child! (Allergies or medical condition?)
Parent Information:
Father's Name*
First Name Last Name
Father's Cell*

Area Code Phone Number
Father's E-mail*
Mother's Name*
First Name Last Name
Mother's Cell*

Area Code Phone Number
Mother's E-mail*
How did you hear about us?
Payment:
Non-refundable registration fee*

$75
Mini Gan Full Day

Full session $1,500Week 1 $400Week 2 $400Week 3 $400Week 4 $400
Mini Gan Half Day

Full session $1,200Week 1 $325Week 2 $325Week 3 $325Week 4 $325
Gan Izzy & Pioneers

Full session $1,200Week 1 $325Week 2 $325Week 3 $325Week 4 $325
If discounts apply please enter total here:
Notes regarding payment, please specify any discount applied:
Early Care & After Care:
Early care is available 8 am- 9 am daily.After care is available 3 pm- 4 pm Mon- Thurs.. Cost is $8/ hour. Please calculate total and enter below.
Please enter total $ here:
Please specify which early/after care hours you are purchasing:
ex: July 1, 8 am-9 am; July 6, 3 pm-4 pm...
Sponsor a Kosher Lunch
Sponsor a day of Kosher lunch for the entire Camp Gan Izzy!
Sponsor a Lunch

$360
Co-Sponsor a Lunch

$180
Sponsor a camper in need

$1,200
Sponsorship in honor or loving memory of:
Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

I would like to receive news and updates by email
*

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Camp Gan Izzy to hospitalize or secure treatment for my child. I hereby give permission for my child to participate in all activities, join sports and trips on and beyond camp properties and allow my child to be photographed while participating in activities and that these pictures may be used for marketing purposes.
*

I give permission for my credit card to be charged for after-care in the case that I am more than ten minutes late in picking up my child.
Should be Empty:

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Programs

Enrollment is now open for SUMMER 2024!