Camp Gan Israel Summer 2025

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Summer Camp 2025 Registration Form
Submitting a registration form is not a confirmation of acceptance to CGI. You will receive an email with the status of your application
Your Name*
First Name Last Name
See the full price list and dates here
How many children are you registering?*
Camper 1 Info
Full Name*
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
School*
Grade entering in Sept 2025*
Select the weeks for child 1*

Week 1 July 2-4 (3 Days)Week 2 July 7-11Week 3 July 14-18Week 4 July 21-25Week 5 July 28-Aug 1Week 6 Aug 5-8 (4 Days)
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*
Grade entering in Sept 2025*
Select the weeks for child 2*

Week 1 July 2-4 (3 Days)Week 2 July 7-11Week 3 July 14-18Week 4 July 21-25Week 5 July 28-Aug 1Week 6 Aug 5-8 (4 Days)
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*
Grade entering in Sept 2025*
Select the weeks for child 3*

Week 1 July 2-4 (3 Days)Week 2 July 7-11Week 3 July 14-18Week 4 July 21-25Week 5 July 28-Aug 1Week 6 Aug 5-8 (4 Days)
Medical Information* Allergies, Medications etc
Any other information you would like us to know about this child? ie: behavioural strategies etc
Does your child have an IEP?* If yes, please upload it

YesNo
Upload IEP
Family Information
Parent 1 Name*
First Name Last Name
Parent 2 Name
First Name Last Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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
The deadline for registration and scholarship applications is May 15, 2025
Select your price* Price is per child for the full week

Full priceSubsidized priceI will apply for a scholarship (deadline for application is May 15, 2025)
Please enter your credit card information. If availability is confirmed we will automatically charge your card. Please contact us as soon as you register if you have questions regarding the fees. If you are applying for a scholarship, your card will not be charged the tuition except for the $50 registration fee. Contact us if you wish to use a different card for the tuition
Total

$0.00 CAD

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

Should be Empty:

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Summer Camp 2025 Registration Form

Family Information

Emergency contact other than parents

Contact 1

Contact 2

Payment