CGI OD REGISTRATION 2025

CGI Older Division

Registration 2025
Click here for dates, rates and discounts.

Note: Please use a separate form for each child.
I have read the Dates and Rates page.*

Yes
Camper Information
Camper's Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Date
Gender*
Hebrew Name*
Home Phone Number*
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current School*
Current Grade*
Does your child currently get support in school? (ie. shadow or ABA)*

YesNo
Did your child attend CGI last Summer*

YesNo
Child's Mother: Is the child's biological mother Jewish? If not, please email the conversion certificate to rabbi@chabadlubavitch.org.*

YesNo

Parent Information
Parent's Marital Status*

MDW
Primary E-mail to be Used for All Correspondence*
example@example.com
Parent #1 Information
Parent #1 Full Name*

First NameLast Name
Parent #1 E-mail*
example@example.com
Parent #1 Cell Number*
Please enter a valid phone number.
If the parent's address is the same as the child's, this section does not need to be completed.
Parent #1 Address if different than the home address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent #2 Information
Parent #2 Full Name*

First NameLast Name
Parent #2 E-mail*
example@example.com
Parent #2 Cell Number*
Please enter a valid phone number.
If the parent's address is the same as the child's, this section does not need to be completed.
Parent #2 Address if different than the home address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upcoming School Year Information (September 2025)
What School will your child be attending in the Fall 2025*
Upcoming Grade (Sept. 2025) - Your child's camp group will be based on this answer. Please double check your response. Any switches that will be required will only be based on availability.*

Special Rates
Early Bird Special:

All applications received before November 26th will receive a $200 discount for a full summer session or $25 discount weekly with a minimum of 4 weeks.

Payment in full is due by Wednesday, December 31st.
I am applying for the early bird special

Yes
Group Discount:

Group discounts are available for groups of 5–15 new campers ONLY: receive $50 off per camper attending 4 weeks or more, or $100 off per camper attending the full summer.

Payment in full must be received within 4 weeks of submitting this application to receive the group discount.
Name of Group Leader

First NameLast Name
Check one or more of the following options when requesting a special rate

Group (New Campers only)Sibling

Registration and Payment Info
Camp Dates: Indicate when your child will be attending camp*

Week 7: Aug 4 - Aug 8
I agree to pay the deposit of $500. The deposit will be applied towards the total price of Camp. Full payment due upon receipt.*

Yes

My Products*

Registration Deposit

$500.00 Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

CGI Older Division