CGI TEEN BOYS DIVISION REGISTRATION 2025

CGI Teen Boys 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.
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.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current School
Age by October 15, 2025
Does your teen currently get support in school? (ie. shadow or ABA)
Did your teen attend CGI last Summer
Child's Mother: Is the teen's biological mother Jewish? If not, please email the conversion certificate to rabbi@chabadlubavitch.org.

Parent Information
Parent's Marital Status
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.Format: (000) 000-0000.
If the parent's address is the same as the teen'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.Format: (000) 000-0000.
If the parent's address is the same as the teen'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

Special Rates
Early Bird Special:

All applications received before November 15th 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 Monday, December 16.
I am applying for the early bird special
Payment in full must be received upon within 4 weeks of submitting this application to receive the group discount.
Check one or more of the following options when requesting a special rate
Name of Group Leader

First NameLast Name

CGI Teen Boys Division