Registration Form - Camp Gan Israel Summer 2024

For dates and rates click here
Welcome to Camp Gan Israel Registration
CGI 2024 Summer Camp Hosts Diane & Ben OBM Docktor
EARLY BIRD ACTIVE
Register before April 10th

LUNCH, SNACKS & TRIPS
at no extra cost.

FAMILY DISCOUNT
5% off for all additional siblings

REFER-A-FRIEND PROGRAM
You will both 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 Code	Country

Home Phone Number

Area Code Phone Number
Marital Status*

MarriedDivorced
Is Either Parent Jewish?*
Have there been any conversions or adoptions in the family?*
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
Hebrew Name*
Birth Date*

Month Day Year
Jewish Birthday Calculator*
Time of Birth helps determine the exact date of the Jewish birthday
Gender*

MaleFemale
School Attending*
Grade graduating in 2024*
Medical Info
Alberta Health*
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 there any other medical info or concenrs we should know about your child?*

NoYes
Please specify:
To provide your child the best camp experience, please share any other info we should know?*
Examples: Tips or tools that work best for your child, possible challenges; behavioral, emotional or physical. We're here to help
Camp Sessions
Select age group*
Select Pricing Tier*
Select Sessions

Week 1. July 2-5 / $170 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $212Week 3. July 15-19 / $212Week 4. July 22-26 / $212Week 5. July 29-Aug 2 / $212Week 6. Aug 6-9 / $170 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $139 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $174Week 3. July 15-19 / $174Week 4. July 22-26 / $174Week 5. July 29-Aug 2 / $174Week 6. Aug 6-9 / $139 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $288 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $360Week 3. July 15-19 / $360Week 4. July 22-26 / $360Week 5. July 29-Aug 2 / $360Week 6. Aug 6-9 / $288 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $236 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $295Week 3. July 15-19 / $295Week 4. July 22-26 / $295Week 5. July 29-Aug 2 / $295Week 6. Aug 6-9 / $236 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $288 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $360Week 3. July 15-19 / $360Week 4. July 22-26 / $360Week 5. July 29-Aug 2 / $360Week 6. Aug 6-9 / $288 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $236 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $295Week 3. July 15-19 / $295Week 4. July 22-26 / $295Week 5. July 29-Aug 2 / $295Week 6. Aug 6-9 / $236 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $304 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $380Week 3. July 15-19 / $380Week 4. July 22-26 / $380Week 5. July 29-Aug 2 / $380Week 6. Aug 6-9 / $304 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $252 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $315Week 3. July 15-19 / $315Week 4. July 22-26 / $315Week 5. July 29-Aug 2 / $315Week 6. Aug 6-9 / $252 (Tues - Fri. No camp on Aug 5 Heritage Day)
After Early Bird Price Adjustment* $15 added per week
Select the amount of weeks your child is registering
Extended Care
Extended Care AM 8:00am-9:00am

Week 1: $22Week 2: $22Week 3: $22Week 4: $22Week 5: $22Week 6: $18
Extended Care PM 4:00pm-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 4:00pm-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.
Second Camp Tshirt $15.Camp Tshirts must be worn on all field trips.
EARLY BIRD ACTIVE After April 10 add $15/week

LUNCH, SNACKS & TRIPS at no extra cost.

FAMILY DISCOUNT 5% off for all additional siblings

REFER-A-FRIEND PROGRAM You will both receive a $50 tuition credit. GanIsrael.ca/refer
_____________________________________________________________________
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*

Month Day Year
Jewish Birthday Calculator*
Time of Birth helps determine the exact date of the Jewish birthday
Child Two Gender*

MaleFemale
Child Two School Attending*
Grade graduating in 2024*
Medical Info
Child Two Alberta Health*
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 there any other medical info or concenrs we should know about your child?*

NoYes
Please specify:
To provide your child the best camp experience, please share any other info we should know?*
Examples: Tips or tools that work best for your child, possible challenges; behavioral, emotional or physical. We're here to help
Camp Sessions
Select Age Group*
Select Pricing Tier*
Select Sessions

Week 1. July 2-5 / $170 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $212Week 3. July 15-19 / $212Week 4. July 22-26 / $212Week 5. July 29-Aug 2 / $212Week 6. Aug 6-9 / $170 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $139 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $174Week 3. July 15-19 / $174Week 4. July 22-26 / $174Week 5. July 29-Aug 2 / $174Week 6. Aug 6-9 / $139 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $288 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $360Week 3. July 15-19 / $360Week 4. July 22-26 / $360Week 5. July 29-Aug 2 / $360Week 6. Aug 6-9 / $288 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $236 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $295Week 3. July 15-19 / $295Week 4. July 22-26 / $295Week 5. July 29-Aug 2 / $295Week 6. Aug 6-9 / $236 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $288 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $360Week 3. July 15-19 / $360Week 4. July 22-26 / $360Week 5. July 29-Aug 2 / $360Week 6. Aug 6-9 / $288 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $236 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $295Week 3. July 15-19 / $295Week 4. July 22-26 / $295Week 5. July 29-Aug 2 / $295Week 6. Aug 6-9 / $236 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $304 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $380Week 3. July 15-19 / $380Week 4. July 22-26 / $380Week 5. July 29-Aug 2 / $380Week 6. Aug 6-9 / $304 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $252 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $315Week 3. July 15-19 / $315Week 4. July 22-26 / $315Week 5. July 29-Aug 2 / $315Week 6. Aug 6-9 / $252 (Tues - Fri. No camp on Aug 5 Heritage Day)
After Early Bird Price Adjustment* $15 added per week
Select the amount of weeks your child is registering
Extended Care
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 4:00pm-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 4:00pm-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.
Second Camp Tshirt $15.Camp Tshirts must be worn on all field trips.
EARLY BIRD ACTIVE After April 10 add $15/week

LUNCH, SNACKS & TRIPS at no extra cost.

FAMILY DISCOUNT 5% off for all additional siblings

REFER-A-FRIEND PROGRAM You will both receive a $50 tuition credit. GanIsrael.ca/refer
_____________________________________________________________________
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*

Month Day Year
Jewish Birthday Calculator*
Time of Birth helps determine the exact date of the Jewish birthday
Child Three Gender*

MaleFemale
Child Three School Attending*
Grade graduating in 2024*
Medical Info
Child Three Alberta Health*
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 there any other medical info or concenrs we should know about your child?*

NoYes
Please specify:
To provide your child the best camp experience, please share any other info we should know?*
Examples: Tips or tools that work best for your child, possible challenges; behavioral, emotional or physical. We're here to help
Camp Sessions
Select Age Group*
Select Pricing Tier*
Select Sessions

Week 1. July 2-5 / $170 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $212Week 3. July 15-19 / $212Week 4. July 22-26 / $212Week 5. July 29-Aug 2 / $212Week 6. Aug 6-9 / $170 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $139 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $174Week 3. July 15-19 / $174Week 4. July 22-26 / $174Week 5. July 29-Aug 2 / $174Week 6. Aug 6-9 / $139 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $288 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $360Week 3. July 15-19 / $360Week 4. July 22-26 / $360Week 5. July 29-Aug 2 / $360Week 6. Aug 6-9 / $288 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $236 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $295Week 3. July 15-19 / $295Week 4. July 22-26 / $295Week 5. July 29-Aug 2 / $295Week 6. Aug 6-9 / $236 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $288 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $360Week 3. July 15-19 / $360Week 4. July 22-26 / $360Week 5. July 29-Aug 2 / $360Week 6. Aug 6-9 / $288 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $236 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $295Week 3. July 15-19 / $295Week 4. July 22-26 / $295Week 5. July 29-Aug 2 / $295Week 6. Aug 6-9 / $236 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $304 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $380Week 3. July 15-19 / $380Week 4. July 22-26 / $380Week 5. July 29-Aug 2 / $380Week 6. Aug 6-9 / $304 (Tues - Fri. No camp on Aug 5 Heritage Day)
Select Sessions

Week 1. July 2-5 / $252 (Tues - Fri. No camp on Jul 1 Canada Day)Week 2. July 8-12 / $315Week 3. July 15-19 / $315Week 4. July 22-26 / $315Week 5. July 29-Aug 2 / $315Week 6. Aug 6-9 / $252 (Tues - Fri. No camp on Aug 5 Heritage Day)
After Early Bird Price Adjustment* $15 added per week
Select the amount of weeks your child is registering
Extended Care
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 4:00pm-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 4:00pm-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.
Second Camp Tshirt $15.Camp Tshirts must be worn on all field trips.
EARLY BIRD ACTIVE After April 10 add $15/week

LUNCH, SNACKS & TRIPS at no extra cost.

FAMILY DISCOUNT 5% off for all additional siblings

REFER-A-FRIEND PROGRAM You will both receive a $50 tuition credit. GanIsrael.ca/refer
_____________________________________________________________________
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*

Month Day Year
4 Jewish Birthday Calculator*
Time of Birth helps determine the exact date of the Jewish birthday
Child Four Gender*

MaleFemale
Child Four School Attending*
4 Grade graduating in 2024*
Medical Info
Child Four Alberta Health*
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*
Camp Sessions
Age Group Selection
After Early Bird Price Adjustment $15 added per week
Select the amount of weeks your child is registering
Extended Care
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 4:00pm-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 4:00pm-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.
Second Camp Tshirt $15.Camp Tshirts must be worn on all field trips.
EARLY BIRD ACTIVE After April 10 add $15/week

LUNCH, SNACKS & TRIPS at no extra cost.

FAMILY DISCOUNT 5% off for all additional siblings

REFER-A-FRIEND PROGRAM You will both receive a $50 tuition credit. GanIsrael.ca/refer
_____________________________________________________________________
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*

Month Day Year
Jewish Birthday Calculator*
Time of Birth helps determine the exact date of the Jewish birthday
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*
Camp Sessions
Age Group Selection*
After Early Bird Price Adjustment $15 added per week
Select the amount of weeks your child is registering
Extended Care
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 4:00pm-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 4:00pm-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.
Second Camp Tshirt $15.Camp Tshirts must be worn on all field trips.
EARLY BIRD ACTIVE After April 10 add $15/week

LUNCH, SNACKS & TRIPS at no extra cost.

FAMILY DISCOUNT 5% off for all additional siblings

REFER-A-FRIEND PROGRAM You will both receive a $50 tuition credit. GanIsrael.ca/refer
_____________________________________________________________________
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 Hour Minutes
Comments
Payment Information
Payments 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
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

For payment plans, alternative payment methods, or other payment inquiries, please reach out within 24 hours. After 24 hours payments will be processed. We’re here to assist.
Joining Camp Gan Israel is not an acknowledgment of Halachic Jewish Status
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Welcome to Camp Gan Israel Registration

Section 1. Family Information

_____________________________________________________________________

Section 2. Camper Information

Child Info

Medical Info

Camp Sessions

_____________________________________________________________________

Child Two Info

Medical Info

Camp Sessions

_____________________________________________________________________

Child Three Info

Medical Info

Camp Sessions

_____________________________________________________________________

Child Four Info

Medical Info

Camp Sessions

_____________________________________________________________________

Child Five Info

Medical Info

Camp Sessions

_____________________________________________________________________

Section 3. Consent and Payment

Emergency Medical Info

CGI Summer Day Camp Waiver

Payment Information

For payment plans, alternative payment methods, or other payment inquiries, please reach out within 24 hours. After 24 hours payments will be processed. We’re here to assist.