Welcome to Camp Gan Israel WINTER CAMP Registration CLICK HERE FOR DATES & RATES Lunch and snacks are included! At no extra cost. Family discount! 5% off for each additional sibiling. Refer a friend program! You and your friend receive $5 OFF EACH DAY of winter camp that you are registered for! Section 1: Family Information Father's Full Name Father's First Name Father's Last Name Father's Mobile Number Area Code Phone Number Father's E-mail Mother's Full Name Mother's First Name Mother's Last Name Mother's Mobile Number Area Code Phone Number Mother's E-mail Home Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Please Select United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile People's Republic of China Republic of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country Home Phone Number Area Code Phone Number Marital Status Comments can be filled in the box below Married Divorced Comments How Did You Hear About Camp Gan Israel? _____________________________________________________________________ Next Section: Camper Information Section 2: Camper Information Child One Full Name* First Name Last Name Child One Hebrew Name Child One Birth Date* 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Year Child One Gender* Male Female Child One Alberta Health #* Child One School Attending* Child One Grade* Click to edit Click here for half day options. (ages 3-4 only) Half Day December 26 - December 30 Mon-Thur: 9am - 12:00pm .... Fri: 9am - 12pm ... Full week ($34/day = $170/week) Monday, Dec. 26: $34 Tuesday, Dec. 27: $34 Wednesday, Dec. 28: $34 Thursday, Dec. 29: $34 Friday, Dec. 30: $34 Half Day January 2 - January 6 Mon-Thur: 9am - 12:00pm .... Fri: 9am - 12pm ... Full week ($34/day = $170/week) Monday, Jan. 2: $34 Tuesday, Jan. 3: $34 Wednesday, Jan. 4: $34 Thursday, Jan. 5: $34 Friday, Jan. 6: $34 December 26 - December 30 Mon-Thur: 9am - 3:30pm .... Fri: 9am - 3pm ... Full week ($59/day = $295/week) Monday, Dec. 26: $64 Tuesday, Dec. 27: $64 Wednesday, Dec. 28: $64 Thursday, Dec. 29: $64 Friday, Dec. 30: $64 (camp ends at 3:00) January 2 - January 6 Mon-Thur: 9am - 3:30pm .... Fri: 9am - 3pm ... Full week ($59/day = $295/week) Monday, Jan. 2: $64 Tuesday, Jan. 3: $64 Wednesday, Jan. 4: $64 Thursday, Jan. 5: $64 Friday, Jan. 6: $64 (camp ends at 3:00) Extended Care Options No After care on Friday due to an early start to Shabbat I don't need extended care Early Care and After Care Early Care Only After Care Only Early Care 8:00am-9:00am Monday, Dec. 26: $9 Tuesday, Dec. 27: $9 Wednesday, Dec. 28: $9 Thursday, Dec. 29: $9 Friday, Dec. 30: $9 Monday, Jan. 2: $9 Tuesday, Jan 3: $9 Wednesday, Jan. 4: $9 Thursday, Jan. 5: $9 Friday, Jan. 6: $9 After Care 3:30pm-5:00pm Monday, Dec. 26: $9 Tuesday, Dec. 27: $9 Wednesday, Dec. 28: $9 Thursday, Dec. 29: $9 Monday, Jan. 2: $9 Tuesday, Jan. 3: $9 Wednesday, Jan 4: $9 Thursday, Jan. 5: $9 Camp Tshirt $15.Camp Tshirts must be worn on all field trips. My child has a Camp Tshirt Small (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 Tshirt Small (6-8) Medium (10-12) Large (14-16) Extra Large LUNCHES, SNACKS & DAILY TRIPS are included in Registration price! Family Discount! 5% for each additional sibling. Refer A Friend Program! You and your friend receive $5 off each day that you register for! _____________________________________________________________________ Next Section: Add A Second Child Skip to Consent and Payment Child Two Full Name* First Name Last Name Child Two Hebrew Name* Child Two Birth Date* 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Year Child Two Gender* Male Female Child Two Alberta Health #* Child Two School Attending* Child Two Grade* Click here for half day options. (ages 3-4 only) Half Day December 26 - December 30 Mon-Thur: 9am - 12:00pm .... Fri: 9am - 12pm ... Full week ($34/day = $170/week) Monday, Dec. 26: $34 Tuesday, Dec. 27: $34 Wednesday, Dec. 28: $34 Thursday, Dec. 29: $34 Friday, Dec. 30: $34 Half Day January 2 - January 6 Mon-Thur: 9am - 12:00pm .... Fri: 9am - 12pm ... Full week ($34/day = $170/week) Monday, Jan. 2: $34 Tuesday, Jan. 3: $34 Wednesday, Jan. 4: $34 Thursday, Jan. 5: $34 Friday, Jan. 6: $34 December 26 - December 30 Mon-Thur: 9am - 3:30pm .... Fri: 9am - 3pm ... Full week ($59/day = $295/week) Monday, Dec. 26: $64 Tuesday, Dec. 27: $64 Wednesday, Dec. 28: $64 Thursday, Dec. 29: $64 Friday, Dec. 30: $64 (camp ends at 3:00) January 2 - January 6 Mon-Thur: 9am - 3:30pm .... Fri: 9am - 3pm ... Full week ($59/day = $295/week) Monday, Jan. 2: $64 Tuesday, Jan. 3: $64 Wednesday, Jan. 4: $64 Thursday, Jan. 5: $64 Friday, Jan. 6: $64 (camp ends at 3:00) Extended Care Options No After care on Friday due to an early start to Shabbat I don't need extended care Early Care and After Care Early Care Only After Care Only Early Care 8:00am-9:00am Monday, Dec. 26: $9 Tuesday, Dec. 27: $9 Wednesday, Dec. 28: $9 Thursday, Dec. 29: $9 Friday, Dec. 30: $9 Monday, Jan. 2: $9 Tuesday, Jan 3: $9 Wednesday, Jan. 4: $9 Thursday, Jan. 5: $9 Friday, Jan. 6: $9 After Care 3:30pm-5:00pm Monday, Dec. 26: $9 Tuesday, Dec. 27: $9 Wednesday, Dec. 28: $9 Thursday, Dec. 29: $9 Monday, Jan. 2: $9 Tuesday, Jan 3: $9 Wednesday, Jan. 4: $9 Thursday, Jan. 5: $9 Camp Tshirt $15.Camp Tshirts must be worn on all field trips. My child has a Camp Tshirt Small (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 Tshirt Small (6-8) Medium (10-12) Large (14-16) Extra Large LUNCHES, SNACKS & DAILY TRIPS are included in Registration price! Family Discount! 5% for each additional sibling. Refer A Friend Program! You and your friend receive $5 off each day that you register for! _____________________________________________________________________ Next Section: Add A Third Child Skip to Consent and Payment Child Three Full Name* First Name Last Name Child Three Hebrew Name* Child Three Birth Date* 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Year Child Three Gender* Male Female Child Three Alberta Health #* Child Three School Attending* Child Three Grade* December 26 - December 30 Mon-Thur: 9am - 3:30pm .... Fri: 9am - 3pm ... Full week ($59/day = $295/week) Monday, Jan. 2: $64 Tuesday, Jan. 3: $64 Wednesday, Jan. 4: $64 Thursday, Jan. 5: $64 Friday, Jan. 6: $64 (camp ends at 3:00) January 2 - January 6 Mon-Thur: 9am - 3:30pm .... Fri: 9am - 3pm ... Full week ($59/day = $295/week) Monday, Dec. 26: $64 Tuesday, Dec. 27: $64 Wednesday, Dec. 28: $64 Thursday, Dec. 29: $64 Friday, Dec. 30: $64 (camp ends at 3:00) Extended Care Options No After care on Friday due to an early start to Shabbat I don't need extended care Early Care and After Care Early Care Only After Care Only Early Care 8:00am-9:00am Monday, Dec. 26: $9 Tuesday, Dec. 27: $9 Wednesday, Dec. 28: $9 Thursday, Dec. 29: $9 Friday, Dec. 30: $9 Monday, Jan. 2: $9 Tuesday, Jan 3: $9 Wednesday, Jan. 4: $9 Thursday, Jan. 5: $9 Friday, Jan. 6: $9 After Care 3:30pm-5:00pm Monday, Dec. 26: $9 Tuesday, Dec. 27: $9 Wednesday, Dec. 28: $9 Thursday, Dec. 29: $9 Monday, Jan. 2: $9 Tuesday, Jan 3: $9 Wednesday, Jan. 4: $9 Thursday, Jan. 5: $9 Camp Tshirt $15.Camp Tshirts must be worn on all field trips. My child has a Camp Tshirt Small (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 Tshirt Small (6-8) Medium (10-12) Large (14-16) Extra Large LUNCHES, SNACKS & DAILY TRIPS are included in Registration price! Family Discount! 5% for each additional sibling. Refer A Friend Program! You and your friend receive $5 off each day that you register for! _____________________________________________________________________ Next Section: Add A Fourth Child Skip to Consent and Payment Child Four Full Name* First Name Last Name Child Four Hebrew Name* Child Four Birth Date* 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Year Child Four Gender* Male Female Child Four Alberta Health #* Child Four School Attending* Child Four Grade* December 26 - December 30 Mon-Thur: 9am - 3:30pm .... Fri: 9am - 3pm ... Full week ($59/day = $295/week) Monday, Dec. 26: $64 Tuesday, Dec. 27: $64 Wednesday, Dec. 28: $64 Thursday, Dec. 29: $64 Friday, Dec. 30: $64 (camp ends at 3:00) January 2 - January 6 Mon-Thur: 9am - 3:30pm .... Fri: 9am - 3pm ... Full week ($59/day = $295/week) Monday, Jan. 2: $64 Tuesday, Jan. 3: $64 Wednesday, Jan. 4: $64 Thursday, Jan. 5: $64 Friday, Jan. 6: $64 (camp ends at 3:00) Extended Care Options No After care on Friday due to an early start to Shabbat I don't need extended care Early Care and After Care Early Care Only After Care Only Early Care 8:00am-9:00am Monday, Dec. 26: $9 Tuesday, Dec. 27: $9 Wednesday, Dec. 28: $9 Thursday, Dec. 29: $9 Friday, Dec. 30: $9 Monday, Jan. 2: $9 Tuesday, Jan 3: $9 Wednesday, Jan. 4: $9 Thursday, Jan. 5: $9 Friday, Jan. 6: $9 After Care 3:30pm-5:00pm Monday, Dec. 26: $9 Tuesday, Dec. 27: $9 Wednesday, Dec. 28: $9 Thursday, Dec. 29: $9 Monday, Jan. 2: $9 Tuesday, Jan 3: $9 Wednesday, Jan. 4: $9 Thursday, Jan. 5: $9 Camp Tshirt $15.Camp Tshirts must be worn on all field trips. My child has a Camp Tshirt Small (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 Tshirt Small (6-8) Medium (10-12) Large (14-16) Extra Large LUNCHES, SNACKS & DAILY TRIPS are included in Registration price! Family Discount! 5% for each additional sibling. Refer A Friend Program! You and your friend receive $5 off each day that you register for! _____________________________________________________________________ Next Section: Add A Fifth Child Skip to Consent and Payment Child Five Full Name* First Name Last Name Child Five Hebrew Name* Child Five Birth Date* 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Year Child Five Gender* Male Female Child Five Alberta Health #* Child Five School Attending* Child Five Grade* December 26 - December 30 Mon-Thur: 9am - 3:30pm .... Fri: 9am - 3pm ... Full week ($59/day = $295/week) Monday, Dec. 26: $64 Tuesday, Dec. 27: $64 Wednesday, Dec. 28: $64 Thursday, Dec. 29: $64 Friday, Dec. 30: $64 (camp ends at 3:00) January 2 - January 6 Mon-Thur: 9am - 3:30pm .... Fri: 9am - 3pm ... Full week ($59/day = $295/week) Monday, Jan. 2: $64 Tuesday, Jan. 3: $64 Wednesday, Jan. 4: $64 Thursday, Jan. 5: $64 Friday, Jan. 6: $64 (camp ends at 3:00) Extended Care Options No After care on Friday due to an early start to Shabbat I don't need extended care Early Care and After Care Early Care Only After Care Only Early Care 8:00am-9:00am Monday, Dec. 26: $9 Tuesday, Dec. 27: $9 Wednesday, Dec. 28: $9 Thursday, Dec. 29: $9 Friday, Dec. 30: $9 Monday, Jan. 2: $9 Tuesday, Jan 3: $9 Wednesday, Jan. 4: $9 Thursday, Jan. 5: $9 Friday, Jan. 6: $9 After Care 3:30pm-5:00pm Monday, Dec. 26: $9 Tuesday, Dec. 27: $9 Wednesday, Dec. 28: $9 Thursday, Dec. 29: $9 Monday, Jan. 2: $9 Tuesday, Jan 3: $9 Wednesday, Jan. 4: $9 Thursday, Jan. 5: $9 Camp Tshirt $15.Camp Tshirts must be worn on all field trips. My child has a Camp Tshirt Small (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 Tshirt Small (6-8) Medium (10-12) Large (14-16) Extra Large LUNCHES, SNACKS & DAILY TRIPS are included in Registration price! Family Discount! 5% for each additional sibling. Refer A Friend Program! You and your friend receive $5 off each day that you register for! _____________________________________________________________________ Next Section: Add A Sixth Child Skip to Consent and Payment Child Six Full Name* First Name Last Name Child Six Hebrew Name* Child Six Birth Date* 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Year Child Six Gender* Male Female Child Six Alberta Health #* Child Six School Attending* Child Six Grade* December 26 - December 30 Mon-Thur: 9am - 3:30pm .... Fri: 9am - 3pm ... Full week ($59/day = $295/week) Monday, Dec. 26: $64 Tuesday, Dec. 27: $64 Wednesday, Dec. 28: $64 Thursday, Dec. 29: $64 Friday, Dec. 30: $64 (camp ends at 3:00) January 2 - January 6 Mon-Thur: 9am - 3:30pm .... Fri: 9am - 3pm ... Full week ($59/day = $295/week) Monday, Jan. 2: $64 Tuesday, Jan. 3: $64 Wednesday, Jan. 4: $64 Thursday, Jan. 5: $64 Friday, Jan. 6: $64 (camp ends at 3:00) Extended Care Options No After care on Friday due to an early start to Shabbat I don't need extended care Early Care and After Care Early Care Only After Care Only Early Care 8:00am-9:00am Monday, Dec. 26: $9 Tuesday, Dec. 27: $9 Wednesday, Dec. 28: $9 Thursday, Dec. 29: $9 Friday, Dec. 30: $9 Monday, Jan. 2: $9 Tuesday, Jan 3: $9 Wednesday, Jan. 4: $9 Thursday, Jan. 5: $9 Friday, Jan. 6: $9 After Care 3:30pm-5:00pm Monday, Dec. 26: $9 Tuesday, Dec. 27: $9 Wednesday, Dec. 28: $9 Thursday, Dec. 29: $9 Monday, Jan. 2: $9 Tuesday, Jan 3: $9 Wednesday, Jan. 4: $9 Thursday, Jan. 5: $9 Camp Tshirt $15.Camp Tshirts must be worn on all field trips. My child has a Camp Tshirt Small (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 Tshirt Small (6-8) Medium (10-12) Large (14-16) Extra Large LUNCHES, SNACKS & DAILY TRIPS are included in Registration price! Family Discount! 5% for each additional sibling. Refer A Friend Program! You and your friend receive $5 off each day that you register for! _____________________________________________________________________ Next Section: Consent and Payment Section 3: Consent and Payment Medical Emergency Treatment 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. Emergency Medical Consent* Yes No In the event we cannot be reached, please 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 Photo Release I do hereby permit the use of pictures and videos that may have my child in them for Chabad and Camp Gan Israel's website, social media, and publications. Photo Release Consent* Yes No Parent or Legal Guardian* Payment Information Payments are manually processed. Any sibling discounts (ie 5% off additional sibling registrations) and/or Refer A Friend Program discounts (ie $5 off/ a day) will be adjusted for before the payment is processed. Price INCLUDES daily lunches and snacks! and daily trips! Total $0.00 CAD Payment Credit Card Cheque, Cash or Etransfer Credit Card Visa MasterCard American Express Credit Card Type Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 Expiration Year Cheques are to be made payable to Chabad Lubavitch of Alberta Etransfer to [email protected] Billing Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Please Select United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile People's Republic of China Republic of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other 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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