Camp Gan Israel Registration 2022

Camp Gan Israel Registration 2022
Location: 3500 Hyridge Dr, Austin Tx, 78759

Hours: 9:00am-3:00pm, Monday-Friday.

Early Care: 8:00am-9:00am | After Care: 3:00pm-5:00pm.

Registration for Mini-Gan, Camp, and Early/After Care is all on this form. If you cannot find an option, please contact us:

You can go to your chat at the right of the page, or message us instantly at Menucha@ChabadAustin.com or call/text at 512-765-5345.

Form is best filled out on the computer.
Child 1 *

First Name Last Name
Birth Date *

Month Day Year
Date
School and Grade Level 2022-2023 School Year (School Name, Grade)
Gender *

Male Female
T-Shirt Size *
I'd like to register this child for: *

Mini-Gan (18 months-4 years) Camp Gan Israel (5 yrs-12 yrs)
Registration: Mini Gan (18 months - 4 years)

Week 1: June 27-July 1 $300 Week 2: July 5-July 8 $300 Week 3: July 11-July 15 $300 Week 4: July 18-July 22 $300 Week 5: July 25-July 29 $300 Week 6: Aug 1-Aug 5 $300 Week 7: August 8-August 12 $300 Week 8: August 15-August 19 $300 Full Session: $2,200

Registration Camp Gan Israel (5 - 12 years old)

Week 1: June 27-July 1 $325 Week 2: July 5-July 8 $325 Week 3: July 11-July 15 $325 Week 4: July 18-July 22 $325 Full Session: June 27-July 22 $1,220

Registration Camp Gan Israel (5 - 12 years old)

Week 1: June 27-July 1 $325 Week 2: July 5-July 8 $325 Week 3: July 11-July 15 $325 Week 4: July 18-July 22 $325 Full Session: June 27-July 22 $1,220

Registration Camp Gan Israel (5 - 12 years old)

Week 1: June 27-July 1 $325 Week 2: July 5-July 8 $325 Week 3: July 11-July 15 $325 Week 4: July 18-July 22 $325 Full Session: June 27-July 22 $1,220

Child(ren)'s Address *

Street Address

Street Address Line 2

City State

Zip Code
Parent/Guardian 1 Name *

First Name Last Name
Parent/Guardian 1 Phone Number *
Please enter a valid phone number.
Parent/Guardian 1 Email *
example@example.com
Parent/Guardian 2 Name

First Name Last Name
Parent/Guardian 2 Phone Number
Please enter a valid phone number.
Parent/Guardian 2 Email
example@example.com
Is Parent/Guardian 1 Jewish? *
Is Parent/Guardian 2 Jewish? *
Are there any conversions in the family? *
Emergency Information

In case of emergency and we are unable to contact a parent, please write two individuals that can be contacted.
Emergency Contact 1 *

First Name Last Name
Relationship to Camper *
Emergency Contact Phone *
Please enter a valid phone number.
Emergency Contact 2 *

First Name Last Name
Relationship to Camper *
Emergency Contact Phone *
Please enter a valid phone number.
Name of child(ren)'s Primary Physician *
Physician's phone number *
Do any of your children attending have any allergies? If yes, please explain:
Do any of your children attending have any health issues that we need to know about? If yes, please explain:
Is there anything we should know about know about any of your children (home circumstances, a recent move, new baby, new job etc)?
Comments or Questions:
How did you hear about us?
Informed Consent and Acknowledgment

As the parent(s) or legal guardian(s) of the child/ren note above, I/we authorize any adult acting on behalf of Chabad of Austin Inc/Camp Gan Israel, to hospitalize or secure treatment for my child/ren. I further agree to pay for all charges for that care and/or treatment. It is understood that, if time and circumstances reasonably permit, the camp will try to communicate with me prior to such treatment. I/we hereby give permission for my child/ren to attend all field trips and outings sponsored by Chabad of Austin Inc/Camp Gan Israel and be transported to and from the field trips and outings. I also allow my child to be photographed while participating in camp activities. I/we understand that these photographs may be used for publicity purposes.
Confirmation

By acknowledging and signing below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.
Clear
Registration Fee: $60 per child

Registration fee is waived for current Aleph-Bet Preschool registrants, and this payment will go towards tuition.
Please choose how many children you are registering. *
Type a question
Total:

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Camp Gan Israel Registration 2022

Emergency Information

Registration Fee: $60 per child