Camp Gan Israel Summer 2026 - Chabad Lubavitch of British Columbia

Summer Camp 2026 Registration Form
Please fill out one form per child
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
Camper Info
Full Name*
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
School*
Grade entering in Sept 2026*
Select the weeks for child*

Week 1 June 29-July 3 (4 Days)Week 2 July 6-10Week 3 July 13-17Week 4 July 20-24Week 5 July 27- July 31Week 6 Aug 4-7 (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*

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
Payment
The deadline for registration and scholarship applications is May 15, 2026
Please enter your credit card information. You will be charged a $50 non-refundable deposit automatically.
Please select your payment plan below. Contact us if you wish to use a different card for the tuition
Payment Options*

Full priceSubsidized priceI would like to apply for a scholarship
Payment Plan*

Charge me the full amount todayI would like to pay in instalmentsI will be applying for a scholarship
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

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Summer Camp 2026 Registration Form