Camp Gan Israel Registration 2023

Camp Gan Israel Registration 2023
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 something, please contact us instantly by going to your chat at the right of the page, or call/text us at 512-765-5345.

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

First NameLast Name
Birth Date*

MonthDayYear
Date
School and Grade Level 2023-2024 School Year (School Name, Grade)
Gender*

MaleFemale
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 26-June 30 $325 (Early Bird $299)Week 2: July 3-July 7 $325 (Early Bird $299)Week 3: July 10-July 14 $325 (Early Bird $299)Week 4: July 17-July 21 $325 (Early Bird $299)Week 5: July 24-July 28 $325 (Early Bird $299)Week 6: July 31-Aug 4 $325 (Early Bird $299)Week 7: August 7-August 11 $325 (Early Bird $299)Week 8: August 14-August 18 $325 (Early Bird $299)Full Session: $2,349 (Early Bird $2,149)

Registration Camp Gan Israel (5 - 12 years old)

Week 1: June 26-June 30 $349 (Early Bird $315)Week 2: July 3-July 7 $349 (Early Bird $315)Week 3: July 10-July 14 $349 (Early Bird $315)Week 4: July 17-July 21 $349 (Early Bird $315)Full Session: June 26-July 21 $1,299 (Early Bird $1,169)

Registration Camp Gan Israel (5 - 12 years old)

Week 1: June 26-June 30 $349 (Early Bird $315)Week 2: July 3-July 7 $349 (Early Bird $315)Week 3: July 10-July 14 $349 (Early Bird $315)Week 4: July 17-July 21 $349 (Early Bird $315)Full Session: June 26-July 21 $1,299 (Early Bird $1,169)

Registration Camp Gan Israel (5 - 12 years old)

Week 1: June 26-June 30 $349 (Early Bird $315)Week 2: July 3-July 7 $349 (Early Bird $315)Week 3: July 10-July 14 $349 (Early Bird $315)Week 4: July 17-July 21 $349 (Early Bird $315)Full Session: June 26-July 21 $1,299 (Early Bird $1,169)

Child(ren)'s Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian 1 Name*

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

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

First NameLast 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
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Camp Gan Israel Registration 2023

Emergency Information

Registration Fee: $60 per child