RETURNING CAMPER Use this registration form if your child has attended Camp Gan Israel in the last 2 years AND your information (address, phones, emails, emergency contact, medical info) has not changed. IF NOT: Click here for the full registration form Note: For the safety of your child it is important that this information be up to date. Returning Campers Information Family Name:* Campers Name:* Grade Before Summer: Best contact phone: E-mail Slight change in Information / Special memo for this year Program Information Sessions Attending: Full Camp (July 4- July 28) $700 First Session (July 4- July 14) $400 Second Session (July 17 - July 28) $400 Other - see comment below Extra Care Not Needed A.M. (8:30-9:30) > add $25/week P.M. (4:00-5:00) > add $25/week Both a.m. & p.m. > add $50/week Camp T-Shirt size Mandatory for trip days Already have Youth Extra Small (size 2/4) Youth Small (size 6/8) Youth Medium (size10/12) Youth Large(size 14/16) Adult Small Adult Medium Adult Large Adult Extra Large sizes are approximate T-Shirt Quantity $15 each Already own 1 2 3 4 Payment Schedule Pay the total fee now $150 application deposit. balance to be paid by july 4th other, please see comment below Subsidy I am able to pay the regular price I will pay the subsidized price (20% less) Other (please use comment box below) Payment Type Credit Card I Will Send A Cheque Credit Card We accept Visa, MasterCard, Discover 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 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 Expiration Year Please enter any comments you have here: Submit Clear Form Should be Empty: This page uses TLS encryption to keep your data secure.