This express form is only for campers that registered for CGI Summer 2018. 

For Dates & Rates please  click here

  Please note: In order to register a camper we need the following 3 items to be completed :

  1. This form filled out COMPLETELY and SIGNED
  2. $100 Non-refundable deposit and payment plan confirmed
  3. All outstanding balances from previous camps to be paid 

Camper 1

Camper 2

Camper 3

Camper's First Name

Camper's First Name

Camper's First Name

Camper's Last Name

Camper's Last Name

Camper's Last Name

Additional Camper Information

Camper 1

Camper 2

Camper 3

Can your child swim in deep water?
Yes No

Can your child swim in deep water?
Yes No

Can your child swim in deep water?
Yes No

Same school and following grade as last year?
Yes No

Same school and following grade as last year?
Yes No

Same school and following grade as last year?
Yes No

Same medical, behavioral and allergic concerns as last year?
Yes No

Same medical, behavioral and allergic concerns as last year?
Yes No

Same medical, behavioral and allergic concerns as last year?
Yes No

If you answered "no" to any of these questions, please enumerate:

If you answered "no" to any of these questions, please enumerate:
 

If you answered "no" to any of these questions, please enumerate:
 

Parents' Information

Same address as last year?
Yes No

Same phone numbers as last year?
Yes No

Same emails as last year?
Yes No

If you answered "no" to any of these questions, please enumerate:

Release Authorization

In the event that I am not able to pick up my child, he/she may be released only to the following people:

1.   2. 

3.     4. 

T-Shirts

Please select your child’s t-shirt size. T-shirts can shrink and tend to run small. When in doubt, order the next size.

Camper 1

Camper 2

Camper 3

X-Small (4T)
Small (2–4)
Medium (6–8)
Large (10-12)
Extra Large (14-16)

X-Small (4T)
Small (2–4) 
Medium (6–8) 
Large (10-12) 
Extra Large (14-16)

X-Small (4T)
Small (2–4) 
Medium (6–8) 
Large (10-12) 
Extra Large (14-16)

If you would like additional t-shirts at a cost of $5 per t-shirt, please indicate below:

How many additional t-shirts would you like?

How many additional t-shirts would you like?

How many additional t-shirts would you like?

Enrollment & Fees

For Dates & Rates please  click here

$100 non-refundable deposit is processed immediately upon submitting this registration form. The office will send you a detailed invoice shortly after you submit this form listing the tuition costs and discounts. Please contact campganisrael@theshul.net if you wish to make a different payment plan.

Please contact campganisrael@theshul.net to inquire about our camp scholarships.

Camper 1

Camper 2

Camper 3

Week 1: August 5-9

Week 1: August 5-9

Week 1: August 5-9

Week 2: August 12-16

Week 2: August 12-16

Week 2: August 12-16

Week 3: August 19-23

Week 3: August 19-23

Week 3: August 19-23

Week 4: August 26-30 Week 4: August 26-30 Week 4: August 26-30

EXTENDED CARE

We are proud to offer extended care every day from 8:00-9:30 AM and 3:30-5:30 PM (except Friday). The cost is $25/wk for AM and $25/wk for PM per child. It is assumed that care is needed for all children registered in camp unless specified otherwise below. 
Please note: There is no after-care on Fridays.

If you would like extended care, select which days and hours below: 
AM Specify which weeks are needed:  
PM Specify which weeks are needed:  
Comments: 

SPONSOR A CAMPER - CAMP GAN ISRAEL SCHOLARSHIP FUND

Yes! I would like to enable another child to enjoy a summer at Camp Gan Israel.
I am enclosing: $225 for one week $675 for all 3 weeks 
Other - $ towards tuition for another camper.

CAMP BBQ

THURSDAY, AUGUST 29
Our annual Camp BBQ will take place this year on Thursday, August 29, 2019. Campers will show the things they have learned and exhibit their projects or artwork to the entire community.

Cost:
$12 per Adult
$8 per Child
$30 maximum per family.

Please indicate number attending:
Adults
Children
Note: when indicating for BBQ here, no need to make separate reservations.

Permission

I hereby permit my child to participate in all activities at Camp Gan Israel at The Shul – on site, off-site and trips. I permit Camp Gan Israel to transport my child(ren) on camp-provided transportation and to obtain emergency medical care as the situation mandates. I release Camp Gan Israel at The Shul and individuals from liability in case of accident during activities related to Camp Gan Israel at The Shul, as long as normal safety procedures have been taken. I allow Camp Gan Israel to photograph and/or videotape my child(ren) to be used on the website, video & any other Camp Gan Israel related publications. I understand that my child may be dismissed during a camp day, due to illness or unacceptable behavior, at the discretion of the camp, and I agree to abide by the director’s decision. I understand that my $100 deposit is non-refundable and that the deposit is processed immediately. I understand that after June 30 the tuition becomes non-refundable, and that refunds will not be made for incomplete attendance. In addition, I understand that submitting a registration form and payment does not guarantee me a spot in camp, and that acceptance into Camp Gan Israel is at the discretion of the camp.

The parent who signs the registration form represents that he/she has full authority to do so and will be responsible for payment of the camp fee.

Parent/Guardian Date

Parent's Email 

Payment Details

 I will pay: 
Full Tuition 
Subsidized Tuition 

How would you like to pay the tuition cost?
ALL AT ONCE: $100 will be charged now and we will automatically charge the rest when we process the registration
PAYMENT PLAN: $100 non-refundable deposit is due now. Remaining tuition will be split in 2 payments on May 31 and June 30. If you need to set up a different payment plan, it must be coordinated with Director.

Last Name on Card

First Name on Card

Current Charge Amount 
$ 

Card Number 

Exp. Date 
   

CVV code - 3 digits on back or card or 4 on front of card for AMEX

Description of Payment

Comments

Camp Gan Israel at The Shul
For more information please call 248-788-4000 or email campganisrael@theshul.net