Waitlist Camp 2023

Camp Gan Israel Waitlist 2023
Please note Camp Gan Israel is currently FULL for Summer 2023!

Please fill out this form to be added to the waitlist - we will contact you if a spot opens!
Number of Children putting on the waitlist for Summer 2023*
All children must be 2 by June 28,2023

Child Name

First NameLast Name
Childs Current School
Childs School for 2022
Childs Birthdate

MonthDayYear
Child #2 Information
Child Name

First NameLast Name
Childs Current School
Childs School for 2022
Childs Birthdate

MonthDayYear
Date
Child #3 Info
Name

First NameLast Name
Childs Current School
Childs School for 2022
Childs Birthdate

MonthDayYear
Date

Parent Information
Mother (or Guardian) Name

First NameLast Name
Cell Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Father (or Guardian) Name*

First NameLast Name
Hebrew Name*
Cell Phone Number*
Please enter a valid phone number.
Email
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty: