Camp Gan Israel Winter 2024

Winter Camp 2024 Registration Form
The Phyllis & Irving Snider Camp Gan Israel Winter Camp
Dates: December 30- January 3
Time: 9:30 AM - 3:30 PM, Friday 9:30 AM - 12:30 PM

Accepting children from Preschool. - Gr. 2

Full price- $399 per child, 10% off for siblings
Subsidized price- $299 per child
No further scholarships available
Your Name*
First Name Last Name
How many children are you registering?*
Camper 1 Info
Full Name*
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
School*
Current grade*
Medical Information* Allergies, Medications etc
Any other information you would like us to know about this child? ie: behavioural strategies etc
Camper 2 Info
Full Name*
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
School*
Current grade*
Medical Information* Allergies, Medications etc
Any other information you would like us to know about this child? ie: behavioural strategies etc
Camper 3 Info
Full Name*
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
School*
Current grade*
Medical Information* Allergies, Medications etc
Any other information you would like us to know about this child? ie: behavioural strategies etc
Family Information
Parent 1 Name*
First Name Last Name
Parent 2 Name
First Name Last Name

Address*

Home Phone Number

Area Code Phone Number
Parent 1 E-mail*
Parent 1 Cell Number*

Area Code Phone Number
Parent 2 E-mail
Parent 2 Cell Number

Area Code Phone Number
Which parent should be added to the camp WhatsApp group?*

Parent 1Parent 2Both
Emergency contact other than parents
Contact 1
Full name*
First Name Last Name
Relationship to child*
Cell phone*

Area Code Phone Number
Contact 2
Full Name
First Name Last Name
Relationship to child
Cell Phone

Area Code Phone Number
Names of people other than parents who are authorized to pick your child/ren
Payment
Camp Gan Israel is a non profit organization and tuition is automatically subsidized. The actual cost of running camp is greater than even the full tuition price. For the first time we are offering a full-price option OR a subsidized price. These are both great deals! Please select what you can afford.
Automatic 10% sibling discount will be applied to all families paying Full Price & registering more than one child.
Select your price* Price is per child for the full week

Full price $399Subsidized price $299
I understand that I will be charged a $25/per child non-refundable registration fee. This fee will be deducted from the total price
*

I understand
Total

$0.00 CAD
Please enter your credit card information. Your card will not be charged until your spot is confirmed.

Payment

Credit Card

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

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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Winter Camp 2024 Registration Form