Welcome to Camp Gan Israel RegistrationCGI 2023 Summer Camp Hosts Diane & Ben OBM Docktor Lunch, snacks & all trips are included!At no extra cost. Family discount!5% off for all additional siblings. Refer a friend program!You and your friend will receive a $50 tuition credit. GanIsrael.ca/refer Section 1. Family Information Father's Full Name* Father's First Name Father's Last Name Father's E-mail* Father's Mobile Number* Area Code Phone Number Mother's Full Name* Mother's First Name Mother's Last Name Mother's E-mail* Mother's Mobile Number* Area Code Phone Number Home Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Home Phone Number Area Code Phone Number Marital Status* Comments can be filled in the box below MarriedDivorced Comments How Did You Here About Camp Gan Israel? _____________________________________________________________________ Next Section: Camper Information Section 2. Camper Information Child Info Child One Full Name* First Name Last Name Child One Hebrew Name* Child One Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Child One Gender* MaleFemale Child One School Attending* Child One Grade Finishing in 2022* Child One Alberta Health* Medical Info Does your child have any allergies?* NoYes Please list all allergies:* medication, food, others Information needed for our staff regarding allergies:* Is your child presently taking any medication?* NoYes List all medication presently being taken* Is your child up to date with all immunizations?* NoYes List which ones you are behind in* May your child use camp-provided sunscreen for re-application?* Campers must bring their own sunscreen daily. We provide sunscreen only for re-application during outdoor trips, so there is less they need to carry. Yes, no issueNo, my child can only use sunscreen brought from home Does your child have any restrictions in: Biking* NoYes Please explain:* Sports* NoYes Please explain:* Hiking* NoYes Please explain:* Swimming* NoYes Please explain:* Other* NoYes Please explain:* Camp Sessions Age Group Selection* Select camper's age groupKiddie Camp Half Day (Ages 3 or 4) Kiddie Camp Full Day (Ages 3 or 4) Kindergarten to Grade 3 (From Age 5)Grade 4 and Up Tiered Pricing Selection* Rates show after you select an age group Tiered Pricing Selection* Select Rate - Kiddie Camp Half DayFull (Cost Rate) $205Standard (Affordable Rate) $168Subsidized (Scholarship Rate) $123 Tiered Pricing Selection* Select Rate - Kiddie Camp Full DayFull (Cost Rate) $350Standard (Affordable Rate) $285Subsidized (Scholarship Rate) $210 Tiered Pricing Selection* Select Rate - Kindergarten to Grade 3Full (Cost Rate) $350Standard (Affordable Rate) $285Subsidized (Scholarship Rate) $210 Tiered Pricing Selection* Select Rate Options - Grade 4 and upFull (Cost Rate) $370Standard (Affordable Rate) $305Subsidized (Scholarship Rate) $230 Tiered rates info - HIDETiered rates info - SHOW Week 1. July 3-7 / $205Week 2. July 10-14 / $205Week 3. July 17-21 / $205Week 4. July 24-28 / $205Week 5. July 31-Aug 4 / $205Week 6. Aug 08-11 / $164 (No camp on Heritage day) Week 1. July 3-7 / $168Week 2. July 10-14 / $168Week 3. July 17-21 / $168Week 4. July 24-28 / $168Week 5. July 31- Aug 4 / $168Week 6. Aug 08-11 / $134 (No camp on Heritage day) Week 1. July 3-7 / $123Week 2. July 10-14 / $123Week 3. July 17-21 / $123Week 4. July 24-28 / $123Week 5. July 31- Aug 4 / $123Week 6. Aug 08-11 / $98 (No camp on Heritage day) Week 1. July 3-7 / $350Week 2. July 10-14 / $350Week 3. July 17-21 / $350Week 4. July 24-28 / $350Week 5. July 31- Aug 4 / $350Week 6. Aug 08-11 / $280 (No camp on Heritage day) Week 1. July 3-7 / $285Week 2. July 10-14 / $285Week 3. July 17-21 / $285Week 4. July 24-28 / $285Week 5. July 31- Aug 4 / $285Week 6. Aug 08-11 / $228 (No camp on Heritage day) Week 1. July 3-7 / $210Week 2. July 10-14 / $210Week 3. July 17-21 / $210Week 4. July 24-28 / $210Week 5. July 31- Aug 4 / $210Week 6. Aug 08-11 / $169 (No camp on Heritage day) Week 1. July 3-7 / $370Week 2. July 10-14 / $370Week 3. July 17-21 / $370Week 4. July 24-28 / $370Week 5. July 31- Aug 4 / $370Week 6. Aug 08-11 / $296 (No camp on Heritage day) Week 1. July 3-7 / $305Week 2. July 10-14 / $305Week 3. July 17-21 / $305Week 4. July 24-28 / $305Week 5. July 31- Aug 4 / $305Week 6. Aug 08-11 / $244 (No camp on Heritage day) Week 1. July 3-7 / $230Week 2. July 10-14 / $230Week 3. July 17-21 / $230Week 4. July 24-28 / $230Week 5. July 31- Aug 4 / $230Week 6. Aug 08-11 / $184 (No camp on Heritage day) After Early Bird Price Adjustment* $15 added per week 1 Weeks2 Weeks3 Weeks4 Weeks5 Weeks6 Weeks Select the amount of weeks your child is registering Additional Options Extended Care I don't need extended careEarly Care and After CareEarly Care OnlyAfter Care Only Extended Care AM 8:00am-9:00am Week 1: $22Week 2: $22Week 3: $22Week 4: $22Week 5: $22Week 6: $18 Extended Care PM 3:30pm-5:00pm Week 1: $28Week 2: $28Week 3: $28Week 4: $28Week 5: $28Week 6: $24 Extended Care AM Only 8:00am-9:00am Week 1: $22Week 2: $22Week 3: $22Week 4: $22Week 5: $22Week 6: $18 Extended Care PM Only 3:30pm-5:00pm Week 1: $28Week 2: $28Week 3: $28Week 4: $28Week 5: $28Week 6: $24 Camp Tshirt $15.Camp Tshirts must be worn on all field trips. My child has a Camp TshirtSmall (6-8)Medium (10-12)Large (14-16)Extra Large Second Camp Tshirt $15.Camp Tshirts must be worn on all field trips. I don't need a second camp TshirtSmall (6-8)Medium (10-12)Large (14-16)Extra Large LUNCH and SNACKS and all TRIPS included in Registration price! Early Bird! Prices on until May 15th. After May 15th add $15 per week.Family Discount! 5% for each additional sibling.Refer A Friend Program! You and your friend receive $50 off camp tuition! _____________________________________________________________________ Next: Add Another ChildSkip to Consent and Payment Child Two Info Child Two Full Name* First Name Last Name Child Two Hebrew Name* Child Two Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Child Two Gender* MaleFemale Child Two School Attending* Child Two Grade Finishing in 2022* Child Two Alberta Health* Medical Info Does your child have any allergies?* NoYes Please list all allergies:* medication, food, others Information needed for our staff regarding allergies:* Is your child presently taking any medication?* NoYes List all medication presently being taken* Is your child up to date with all immunizations?* NoYes List which ones you are behind in* May your child use camp-provided sunscreen for re-application?* Campers must bring their own sunscreen daily. We provide sunscreen only for re-application during outdoor trips, so there is less they need to carry. Yes, no issueNo, my child can only use sunscreen brought from home Does your child have any restrictions in: Biking* NoYes Please explain:* Sports* NoYes Please explain:* Hiking* NoYes Please explain:* Swimming* NoYes Please explain:* Other* NoYes Please explain:* Camp Sessions Age Group Selections* Select campers age groupKiddie Camp Half Day (Ages 3 or 4) Kiddie Camp Full Day (Ages 3 or 4) Kindergarten to Grade 3 (From Age 5)Grade 4 and Up Tiered Pricing Selection* Rates show after you select an age group Tiered Pricing Selection* Select Rate - Kiddie Camp Half DayFull (Cost Rate) $205Standard (Affordable Rate) $168Subsidized (Scholarship Rate) $123 Week 1. July 3-7 / $205Week 2. July 10-14 / $205Week 3. July 17-21 / $205Week 4. July 24-28 / $205Week 5. July 31-Aug 4 / $205Week 6. Aug 08-11 / $164 (No camp on Heritage day) Week 1. July 3-7 / $168Week 2. July 10-14 / $168Week 3. July 17-21 / $168Week 4. July 24-28 / $168Week 5. July 31- Aug 4 / $168Week 6. Aug 08-11 / $134 (No camp on Heritage day) Week 1. July 3-7 / $123Week 2. July 10-14 / $123Week 3. July 17-21 / $123Week 4. July 24-28 / $123Week 5. July 31- Aug 4 / $123Week 6. Aug 08-11 / $98 (No camp on Heritage day) Tiered Pricing Selection* Select Rate - Kiddie Camp Full DayFull (Cost Rate) $350Standard (Affordable Rate) $285Subsidized (Scholarship Rate) $210 Tiered Pricing Selection* Select Rate - Kind. to Grade 3Full (Cost Rate) $350Standard (Affordable Rate) $285Subsidized (Scholarship Rate) $210 Week 1. July 3-7 / $350Week 2. July 10-14 / $350Week 3. July 17-21 / $350Week 4. July 24-28 / $350Week 5. July 31- Aug 4 / $350Week 6. Aug 08-11 / $280 (No camp on Heritage day) Week 1. July 3-7 / $285Week 2. July 10-14 / $285Week 3. July 17-21 / $285Week 4. July 24-28 / $285Week 5. July 31- Aug 4 / $285Week 6. Aug 08-11 / $228 (No camp on Heritage day) Week 1. July 3-7 / $210Week 2. July 10-14 / $210Week 3. July 17-21 / $210Week 4. July 24-28 / $210Week 5. July 31- Aug 4 / $210Week 6. Aug 08-11 / $169 (No camp on Heritage day) Tiered Pricing Selection* Select Rate - Grade 4 and upFull (Cost Rate) $370Standard (Affordable Rate) $305Subsidized (Scholarship Rate) $230 Week 1. July 3-7 / $370Week 2. July 10-14 / $370Week 3. July 17-21 / $370Week 4. July 24-28 / $370Week 5. July 31- Aug 4 / $370Week 6. Aug 08-11 / $296 (No camp on Heritage day) Week 1. July 3-7 / $305Week 2. July 10-14 / $305Week 3. July 17-21 / $305Week 4. July 24-28 / $305Week 5. July 31- Aug 4 / $305Week 6. Aug 08-11 / $244 (No camp on Heritage day) Week 1. July 3-7 / $230Week 2. July 10-14 / $230Week 3. July 17-21 / $230Week 4. July 24-28 / $230Week 5. July 31- Aug 4 / $230Week 6. Aug 08-11 / $184 (No camp on Heritage day) After Early Bird Price Adjustment* $15 added per week 1 Weeks2 Weeks3 Weeks4 Weeks5 Weeks6 Weeks Select the amount of weeks your child is registering Additional Options Extended Care I dont need extended careEarly Care and After CareEarly Care OnlyAfter Care Only Extended Care AM Only 8:00am-9:00am Week 1: $22Week 2: $22Week 3: $22Week 4: $22Week 5: $22Week 6: $18 Extended Care PM Only 3:30pm-5:00pm Week 1: $28Week 2: $28Week 3: $28Week 4: $28Week 5: $28Week 6: $24 Extended Care AM 8:00am-9:00am Week 1: $22Week 2: $22Week 3: $22Week 4: $22Week 5: $22Week 6: $18 Extended Care PM 3:30pm-5:00pm Week 1: $28Week 2: $28Week 3: $28Week 4: $28Week 5: $28Week 6: $24 Camp Tshirt $15.Camp Tshirts must be worn on all field trips. My child has a Camp TshirtSmall (6-8)Medium (10-12)Large (14-16)Extra Large Second Camp Tshirt $15.Camp Tshirts must be worn on all field trips. I don't need a second camp TshirtSmall (6-8)Medium (10-12)Large (14-16)Extra Large LUNCH and SNACKS and all TRIPS included in Registration price! Early Bird! Prices on until May 15th. After May 15th add $15 per week.Family Discount! 5% for each additional sibling.Refer A Friend Program! You and your friend receive $50 off camp tuition! _____________________________________________________________________ Next: Add Another ChildSkip to Consent and Payment Child Three Info Child Three Full Name* First Name Last Name Child Three Hebrew Name* Child Three Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Child Three Gender* MaleFemale Child Three School Attending* Child Three Grade Finishing in 2022* Child Three Alberta Health* Medical Info Does your child have any allergies?* NoYes Please list all allergies:* medication, food, others Information needed for our staff regarding allergies:* Is your child presently taking any medication?* NoYes List all medication presently being taken* Is your child up to date with all immunizations?* NoYes List which ones you are behind in* May your child use camp-provided sunscreen for re-application?* Campers must bring their own sunscreen daily. We provide sunscreen only for re-application during outdoor trips, so there is less they need to carry. Yes, no issueNo, my child can only use sunscreen brought from home Does your child have any restrictions in: Biking* NoYes Please explain:* Sports* NoYes Please explain:* Hiking* NoYes Please explain:* Swimming* NoYes Please explain:* Other* NoYes Please explain:* Camp Sessions Age Group Selection* Select campers age groupKiddie Camp Half Day (Ages 3 or 4) Kiddie Camp Full Day (Ages 3 or 4) Kindergarten to Grade 3 (From Age 5)Grade 4 and Up Tiered Pricing Selection* Rates show after you select an age group Tiered Pricing Selection* Select Rate - Kiddie Camp Half DayFull (Cost Rate) $205Standard (Affordable Rate) $168Subsidized (Scholarship Rate) $123 Tiered Pricing Selection* Select Rate - Kiddie Camp Full DayFull (Cost Rate) $350Standard (Affordable Rate) $285Subsidized (Scholarship Rate) $210 Tiered Pricing Selection* Select Rate - Kind. to Grade 3Full (Cost Rate) $350Standard (Affordable Rate) $285Subsidized (Scholarship Rate) $210 Tiered Pricing Selection* Select Rate - Grade 4 and upFull (Cost Rate) $370Standard (Affordable Rate) $305Subsidized (Scholarship Rate) $230 Week 1. July 3-7 / $205Week 2. July 10-14 / $205Week 3. July 17-21 / $205Week 4. July 24-28 / $205Week 5. July 31-Aug 4 / $205Week 6. Aug 08-11 / $164 (No camp on Heritage day) Week 1. July 3-7 / $168Week 2. July 10-14 / $168Week 3. July 17-21 / $168Week 4. July 24-28 / $168Week 5. July 31- Aug 4 / $168Week 6. Aug 08-11 / $134 (No camp on Heritage day) Week 1. July 3-7 / $123Week 2. July 10-14 / $123Week 3. July 17-21 / $123Week 4. July 24-28 / $123Week 5. July 31- Aug 4 / $123Week 6. Aug 08-11 / $98 (No camp on Heritage day) Week 1. July 3-7 / $350Week 2. July 10-14 / $350Week 3. July 17-21 / $350Week 4. July 24-28 / $350Week 5. July 31- Aug 4 / $350Week 6. Aug 08-11 / $280 (No camp on Heritage day) Week 1. July 3-7 / $285Week 2. July 10-14 / $285Week 3. July 17-21 / $285Week 4. July 24-28 / $285Week 5. July 31- Aug 4 / $285Week 6. Aug 08-11 / $228 (No camp on Heritage day) Week 1. July 3-7 / $210Week 2. July 10-14 / $210Week 3. July 17-21 / $210Week 4. July 24-28 / $210Week 5. July 31- Aug 4 / $210Week 6. Aug 08-11 / $169 (No camp on Heritage day) Week 1. July 3-7 / $370Week 2. July 10-14 / $370Week 3. July 17-21 / $370Week 4. July 24-28 / $370Week 5. July 31- Aug 4 / $370Week 6. Aug 08-11 / $296 (No camp on Heritage day) Week 1. July 3-7 / $305Week 2. July 10-14 / $305Week 3. July 17-21 / $305Week 4. July 24-28 / $305Week 5. July 31- Aug 4 / $305Week 6. Aug 08-11 / $244 (No camp on Heritage day) Week 1. July 3-7 / $230Week 2. July 10-14 / $230Week 3. July 17-21 / $230Week 4. July 24-28 / $230Week 5. July 31- Aug 4 / $230Week 6. Aug 08-11 / $184 (No camp on Heritage day) After Early Bird Price Adjustment* $15 added per week 1 Weeks2 Weeks3 Weeks4 Weeks5 Weeks6 Weeks Select the amount of weeks your child is registering LUNCH and SNACKS and all TRIPS included in Registration price! Early Bird! Prices on until May 15th. After May 15th add $15 per week.Family Discount! 5% for each additional sibling.Refer A Friend Program! You and your friend receive $50 off camp tuition! Extended Care I don't need extended careEarly Care and After CareEarly Care OnlyAfter Care Only Extended Care AM Only 8:00am-9:00am Week 1: $22Week 2: $22Week 3: $22Week 4: $22Week 5: $22Week 6: $18 Extended Care PM Only 3:30pm-5:00pm Week 1: $28Week 2: $28Week 3: $28Week 4: $28Week 5: $28Week 6: $24 Extended Care AM 8:00am-9:00am Week 1: $22Week 2: $22Week 3: $22Week 4: $22Week 5: $22Week 6: $18 Extended Care PM 3:30pm-5:00pm Week 1: $28Week 2: $28Week 3: $28Week 4: $28Week 5: $28Week 6: $24 Camp Tshirt $15.Camp Tshirts must be worn on all field trips. My child has a Camp TshirtSmall (6-8)Medium (10-12)Large (14-16)Extra Large Second Camp Tshirt $15.Camp Tshirts must be worn on all field trips. I don't need a second camp TshirtSmall (6-8)Medium (10-12)Large (14-16)Extra Large _____________________________________________________________________ Next: Add Another ChildSkip to Consent and Payment Child Four Info Child Four Full Name* First Name Last Name Child Four Hebrew Name* Child Four Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Child Four Gender* MaleFemale Child Four School Attending* Child Four Grade Finishing in 2022* Child Four Alberta Health* Medical Info Does your child have any allergies?* NoYes Please list all allergies:* medication, food, others Information needed for our staff regarding allergies:* Is your child presently taking any medication?* NoYes List all medication presently being taken* Is your child up to date with all immunizations?* NoYes List which ones you are behind in* May your child use camp-provided sunscreen for re-application?* Campers must bring their own sunscreen daily. We provide sunscreen only for re-application during outdoor trips, so there is less they need to carry. Yes, no issueNo, my child can only use sunscreen brought from home Does your child have any restrictions in: Biking* NoYes Please explain:* Sports* NoYes Please explain:* Hiking* NoYes Please explain:* Swimming* NoYes Please explain:* Other* NoYes Please explain:* Camp Sessions Age Group Selection Select campers age groupKiddie Camp Half Day (Ages 3 or 4) Kiddie Camp Full Day (Ages 3 or 4) Kindergarten to Grade 3 (From Age 5)Grade 4 and Up Tiered Pricing Selection* Rates show after you select an age group Tiered Pricing Selection* Select Rate - Kiddie Camp Half DayFull (Cost Rate) $205Standard (Affordable Rate) $168Subsidized (Scholarship Rate) $123 Tiered Pricing Selection* Select Rate - Kiddie Camp Full DayFull (Cost Rate) $350Standard (Affordable Rate) $285Subsidized (Scholarship Rate) $210 Tiered Pricing Selection* Select Rate - Kindergarten to Grade 3Full (Cost Rate) $350Standard (Affordable Rate) $285Subsidized (Scholarship Rate) $210 Tiered Pricing Selection* Select Rate - Grade 4 and upFull (Cost Rate) $370Standard (Affordable Rate) $305Subsidized (Scholarship Rate) $230 Week 1. July 3-7 / $205Week 2. July 10-14 / $205Week 3. July 17-21 / $205Week 4. July 24-28 / $205Week 5. July 31-Aug 4 / $205Week 6. Aug 08-11 / $164 (No camp on Heritage day) Week 1. July 3-7 / $168Week 2. July 10-14 / $168Week 3. July 17-21 / $168Week 4. July 24-28 / $168Week 5. July 31- Aug 4 / $168Week 6. Aug 08-11 / $134 (No camp on Heritage day) Week 1. July 3-7 / $123Week 2. July 10-14 / $123Week 3. July 17-21 / $123Week 4. July 24-28 / $123Week 5. July 31- Aug 4 / $123Week 6. Aug 08-11 / $98 (No camp on Heritage day) Week 1. July 3-7 / $350Week 2. July 10-14 / $350Week 3. July 17-21 / $350Week 4. July 24-28 / $350Week 5. July 31- Aug 4 / $350Week 6. Aug 08-11 / $280 (No camp on Heritage day) Week 1. July 3-7 / $285Week 2. July 10-14 / $285Week 3. July 17-21 / $285Week 4. July 24-28 / $285Week 5. July 31- Aug 4 / $285Week 6. Aug 08-11 / $228 (No camp on Heritage day) Week 1. July 3-7 / $210Week 2. July 10-14 / $210Week 3. July 17-21 / $210Week 4. July 24-28 / $210Week 5. July 31- Aug 4 / $210Week 6. Aug 08-11 / $169 (No camp on Heritage day) Week 1. July 3-7 / $370Week 2. July 10-14 / $370Week 3. July 17-21 / $370Week 4. July 24-28 / $370Week 5. July 31- Aug 4 / $370Week 6. Aug 08-11 / $296 (No camp on Heritage day) Week 1. July 3-7 / $305Week 2. July 10-14 / $305Week 3. July 17-21 / $305Week 4. July 24-28 / $305Week 5. July 31- Aug 4 / $305Week 6. Aug 08-11 / $244 (No camp on Heritage day) Week 1. July 3-7 / $230Week 2. July 10-14 / $230Week 3. July 17-21 / $230Week 4. July 24-28 / $230Week 5. July 31- Aug 4 / $230Week 6. Aug 08-11 / $184 (No camp on Heritage day) After Early Bird Price Adjustment* $15 added per week 1 Weeks2 Weeks3 Weeks4 Weeks5 Weeks6 Weeks Select the amount of weeks your child is registering Extended Care I don't need extended careEarly Care and After CareEarly Care OnlyAfter Care Only Extended Care AM Only 8:00am-9:00am Week 1: $22Week 2: $22Week 3: $22Week 4: $22Week 5: $22Week 6: $18 Extended Care PM Only 3:30pm-5:00pm Week 1: $28Week 2: $28Week 3: $28Week 4: $28Week 5: $28Week 6: $24 Extended Care AM 8:00am-9:00am Week 1: $22Week 2: $22Week 3: $22Week 4: $22Week 5: $22Week 6: $18 Extended Care PM 3:30pm-5:00pm Week 1: $28Week 2: $28Week 3: $28Week 4: $28Week 5: $28Week 6: $24 Camp Tshirt $15.Camp Tshirts must be worn on all field trips. My child has a Camp TshirtSmall (6-8)Medium (10-12)Large (14-16)Extra Large Second Camp Tshirt $15.Camp Tshirts must be worn on all field trips. I don't need a second camp TshirtSmall (6-8)Medium (10-12)Large (14-16)Extra Large LUNCH and SNACKS and all TRIPS included in Registration price! Early Bird! Prices on until May 15th. After May 15th add $15 per week.Family Discount! 5% for each additional sibling.Refer A Friend Program! You and your friend receive $50 off camp tuition! _____________________________________________________________________ Next: Add Another ChildSkip to Consent and Payment Child Five Info Child Five Full Name* First Name Last Name Child Five Hebrew Name* Child Five Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Child Five Gender* MaleFemale Child Five School Attending* Child Five Grade Finishing in 2022* Child Five Alberta Health* Medical Info Does your child have any allergies?* NoYes Please list all allergies:* medication, food, others Information needed for our staff regarding allergies:* Is your child presently taking any medication?* NoYes List all medication presently being taken* Is your child up to date with all immunizations?* NoYes List which ones you are behind in* May your child use camp-provided sunscreen for re-application?* Campers must bring their own sunscreen daily. We provide sunscreen only for re-application during outdoor trips, so there is less they need to carry. Yes, no issueNo, my child can only use sunscreen brought from home Does your child have any restrictions in: Biking* NoYes Please explain:* Sports* NoYes Please explain:* Hiking* NoYes Please explain:* Swimming* NoYes Please explain:* Other* NoYes Please explain:* Camp Sessions Age Group Selection* Select campers age groupKiddie Camp Half Day (Ages 3 or 4) Kiddie Camp Full Day (Ages 3 or 4) Kindergarten to Grade 3 (From Age 5)Grade 4 and Up Tiered Pricing Selection* Rates show after you select an age group Tiered Pricing Selection* Select Rate - Kiddie Camp Half DayFull (Cost Rate) $205Standard (Affordable Rate) $168Subsidized (Scholarship Rate) $123 Tiered Pricing Selection* Select Rate - Kiddie Camp Full DayFull (Cost Rate) $350Standard (Affordable Rate) $285Subsidized (Scholarship Rate) $210 Tiered Pricing Selection* Select Rate - Kindergarten to Grade 3Full (Cost Rate) $350Standard (Affordable Rate) $285Subsidized (Scholarship Rate) $210 Tiered Pricing Selection* Select Rate - Grade 4 and upFull (Cost Rate) $370Standard (Affordable Rate) $305Subsidized (Scholarship Rate) $230 Week 1. July 3-7 / $205Week 2. July 10-14 / $205Week 3. July 17-21 / $205Week 4. July 24-28 / $205Week 5. July 31-Aug 4 / $205Week 6. Aug 08-11 / $164 (No camp on Heritage day) Week 1. July 3-7 / $168Week 2. July 10-14 / $168Week 3. July 17-21 / $168Week 4. July 24-28 / $168Week 5. July 31- Aug 4 / $168Week 6. Aug 08-11 / $134 (No camp on Heritage day) Week 1. July 3-7 / $123Week 2. July 10-14 / $123Week 3. July 17-21 / $123Week 4. July 24-28 / $123Week 5. July 31- Aug 4 / $123Week 6. Aug 08-11 / $98 (No camp on Heritage day) Week 1. July 3-7 / $350Week 2. July 10-14 / $350Week 3. July 17-21 / $350Week 4. July 24-28 / $350Week 5. July 31- Aug 4 / $350Week 6. Aug 08-11 / $280 (No camp on Heritage day) Week 1. July 3-7 / $285Week 2. July 10-14 / $285Week 3. July 17-21 / $285Week 4. July 24-28 / $285Week 5. July 31- Aug 4 / $285Week 6. Aug 08-11 / $228 (No camp on Heritage day) Week 1. July 3-7 / $210Week 2. July 10-14 / $210Week 3. July 17-21 / $210Week 4. July 24-28 / $210Week 5. July 31- Aug 4 / $210Week 6. Aug 08-11 / $169 (No camp on Heritage day) Week 1. July 3-7 / $370Week 2. July 10-14 / $370Week 3. July 17-21 / $370Week 4. July 24-28 / $370Week 5. July 31- Aug 4 / $370Week 6. Aug 08-11 / $296 (No camp on Heritage day) Week 1. July 3-7 / $305Week 2. July 10-14 / $305Week 3. July 17-21 / $305Week 4. July 24-28 / $305Week 5. July 31- Aug 4 / $305Week 6. Aug 08-11 / $244 (No camp on Heritage day) Week 1. July 3-7 / $230Week 2. July 10-14 / $230Week 3. July 17-21 / $230Week 4. July 24-28 / $230Week 5. July 31- Aug 4 / $230Week 6. Aug 08-11 / $184 (No camp on Heritage day) Kiddie Camp Half Day Ages 3 or 4 Week 1. July 3-7 / $158Week 2. July 10-14 / $158Week 3. July 17-21 / $158Week 4. July 24-28 / $158Week 5. July 31- Aug 4 / $123Week 6. Aug 08-11 / $158 (No camp on Heritage day) Week 1. July 3-7 / $270Week 2. July 10-14 / $270Week 3. July 17-21 / $270Week 4. July 24-28 / $270Week 5. July 31- Aug 4 / $213Week 6. Aug 08-11 / $270 (No camp on Heritage day) Week 1. July 3-7 / $270Week 2. July 10-14 / $270Week 3. July 17-21 / $270Week 4. July 24-28 / $270Week 5. July 31-Aug 4 / $213Week 6. Aug 08-11 / $270 (No camp on Heritage day) Week 1. July 3-7 / $288Week 2. July 10-14 / $288Week 3. July 17-21 / $288Week 4. July 24-28 / $288Week 5. July 31-Aug 4 / $227Week 6. Aug 08-11 / $288 (No camp on Heritage day) After Early Bird Price Adjustment* $15 added per week 1 Weeks2 Weeks3 Weeks4 Weeks5 Weeks6 Weeks Select the amount of weeks your child is registering Extended Care I don't need extended careEarly Care and After CareEarly Care OnlyAfter Care Only Extended Care AM Only 8:00am-9:00am Week 1: $22Week 2: $22Week 3: $22Week 4: $22Week 5: $22Week 6: $18 Extended Care PM Only 3:30pm-5:00pm Week 1: $28Week 2: $28Week 3: $28Week 4: $28Week 5: $28Week 6: $24 Extended Care AM 8:00am-9:00am Week 1: $22Week 2: $22Week 3: $22Week 4: $22Week 5: $22Week 6: $18 Extended Care PM 3:30pm-5:00pm Week 1: $28Week 2: $28Week 3: $28Week 4: $28Week 5: $28Week 6: $24 Camp Tshirt $15.Camp Tshirts must be worn on all field trips. My child has a Camp TshirtSmall (6-8)Medium (10-12)Large (14-16)Extra Large Second Camp Tshirt $15.Camp Tshirts must be worn on all field trips. I don't need a second camp TshirtSmall (6-8)Medium (10-12)Large (14-16)Extra Large LUNCH and SNACKS and all TRIPS included in Registration price! Early Bird! Prices on until May 15th. After May 15th add $15 per week.Family Discount! 5% for each additional sibling.Refer A Friend Program! You and your friend receive $50 off camp tuition! _____________________________________________________________________ Next Section: Consent and Payment Section 3. Consent and Payment Emergency Medical Info I do hereby give permission to the Camp Gan Israel staff to obtain necessary emergency medical treatment for my child with the understanding that the family will be notified as soon as possible. However, In the event that we cannot reach YOU, who should we contact? Emergency Contact Name* First Name Last Name Relation to Child* Emergency Contact Phone Number* Area Code Phone Number Family Physician* First Name Last Name Physician Phone Number* Area Code Phone Number CGI Summer Day Camp Waiver PARENTAL CONSENT Parental consent for participation in all activities of CGI is fully implied unless specifically excluded during the registration process. DISMISSAL OF A CAMPER CGI reserves the right to dismiss, at its sole discretion, any camper whose condition, conduct, influence or behavior is deemed unsatisfactory or detrimental to the best interests of CGI or fellow campers or who violates CGI rules and regulations, in which case no refunds will be made. MEDICAL CARE/ Emergency Medical Treatment In the event of an emergency, serious illness, or accident, CGI has permission to arrange for any necessary first-aid or care by a licensed physician for any child/ren attending camp. Every effort will be made to contact the parent/guardian and emergency contacts first. Should it be necessary for the well-being of the camper to utilize outside medical or dental services all expenses involved will be paid for by the parent. Parents are required to notify CGI in a timely manner of any infectious diseases or infestations acquired by a camper during their participation at camp. IMAGES & PHOTO RELEASE. Permission is hereby given for CGI and Chabad to use in promoting CGI and in other ventures directly relating to the CGI including the Chabad Facebook page & Instagram page (i) digital, photographic, video, and audio images or likenesses of camper; and (ii) statements, articles, names, music, art, photographs, audio recordings, films and videos created by Camper or originating from CGI or from a CGI related activity. CAMP SUNSCREEN Unless you contact us and inform us otherwise, you agree that your child may use camp-provided sunscreen for re-application. Campers must bring their own sunscreen daily. We provide sunscreen only for re-application during outdoor trips, so there is less they need to carry. ACTIVITIES At Camp Gan Israel we do a great variety of activities with the campers. Unless you contact us and inform us otherwise, by signing/typing your name below, you acknowledge that your child has no restrictions in participating in any camp activities, such as swimming, sports, hiking, biking, and any other activity we do at camp. INDEMNIFY AND HOLD HARMLESS I agree to indemnify and hold harmless CGI, Chabad, and its officers, employees, volunteers or assigns from any liability concerning my child’s involvement in CGI and further agree that the use of any premises during the program is made at my own risk. ACKNOWLEDGEMENT By typing my name below as a signature for this agreement, I certify that I have legal capacity to act as the parent/guardian of the named minor. I further understand that this form and the terms of this agreement are legally binding and certify that I am signing this agreement, after having carefully read it, of my own free will. I have read and agree to the CGI waiver. Parent or Legal Guardian Signature* Type your name here Date* Month Day Year at 123456789101112 Hour001020304050 MinutesAMPM Payment InformationPayments are manually processed. Any sibling discounts (ie 5% off additional sibling registrations) and/or Refer A Friend Program discounts (ie $50 off) will be adjusted for before the payment is processed. I'd like to donate to the Camp Scholarship Fund I'd like to choose one of the suggested amounts from the drop down Thank you! Select amount$36$72$101$180$360$540 Total $0.00 CAD Payment* Credit Card Cheque, Cash or Etransfer Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2023202420252026202720282029203020312032 Expiration YearCheques are to be made payable to Chabad Lubavitch of AlbertaEtransfer to [email protected]Billing Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Joining Camp Gan Israel is not an acknowledgment of Halachic Jewish Status Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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