Camp Gan Israel Neve Shamir
Welcome to the camp application form for parents registering children to Camp Gan Israel Neve Shamir for English speakers. Our camp welcomes boys and girls ages 4-6. Camp dates are Aug 2-20, 2026 and hours are Sunday-Thursday 9am-3pm and Friday 9am-12pm. Each week is ₪625. If you register for all three weeks, the cost is ₪1675 (saving ₪200). Early care and after care options are available from 8:15-9:00am and from 3:00-3:45pm for an extra fee. Reach out to Esther with any questions at 058.660.7554 or email Esther@chabadneveshamir.org.
FULL SESSION SPECIAL RATE! Register for Camp Gan Israel for all three weeks and save ₪200!
Child Information
How many children would you like to register?
Please Select
1
2
3
Child's Full Name
*
First Name
Middle Name
Last Name
Teudat Zehut
*
Hebrew Name
*
Gender
*
Please Select
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Hebrew Birth Month
*
Hebrew Birthday day
*
School
*
Grade Entering
*
Please Select
Gan Arba
Gan Chova
1st Grade
2nd Grade
Choose Your Camp Sessions
*
Only Week 1 (Aug 2-7)
Only Week 2 (Aug 9-14)
Only Week 3 (Aug 16-20)
Weeks 1-2 (Aug 2-14)
Weeks 2-3 (Aug 9-20)
Weeks 1-3 (Aug 2-20) SAVE ₪200!
I would like to sign up for Early Care
Please Select
Week 1
Week 2
Week 3
All 3 Weeks
I would like to sign up for After Care
Please Select
Week 1
Week 2
Week 3
All 3 Weeks
T-Shirt Size
*
Please Select
Size 6
Size 8
Size 10
All campers will get a complementary camp Tshirt! CAUTION!!! sizes in Israel run small. Recommendation is to order one size up.
Please list any medications your child is taking, at home or at camp. Will your child need to take any medication during the camp day?
*
Please list any allergies to foods, medications or other.
*
We want your child to have an outstanding experience at camp. Does your child have any behavioral challenges we should know about?
*
Does your child have any restrictions to activities? Explain.
Swimming Ability
*
Please Select
Non-swimmer
Beginner
Intermediate
Strong swimmer
Other
We will have water play and kiddie pools on camp grounds.
Upload a recent picture of your child
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is there anything else that you would like us to know about your child?
Child 2 Information
Child's Full Name
*
First Name
Middle Name
Last Name
Teudat Zehut
*
Hebrew Name
*
Gender
*
Please Select
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Hebrew Birth Month
*
Hebrew Birthday day
*
School
*
Grade Entering
*
Please Select
Gan Arba
Gan Chova
1st Grade
2nd Grade
Choose Your Camp Sessions
*
Only Week 1 (Aug 2-7)
Only Week 2 (Aug 9-14)
Only Week 3 (Aug 16-20)
Weeks 1-2 (Aug 2-14)
Weeks 2-3 (Aug 9-20)
Weeks 1-3 (Aug 2-20) SAVE ₪200!
I would like to sign up for Early Care
Please Select
Week 1
Week 2
Week 3
All 3 Weeks
I would like to sign up for After Care
Please Select
Week 1
Week 2
Weeks 3
All 3 Weeks
T-Shirt Size
*
Please Select
Size 6
Size 8
Size 10
All campers will get a complementary camp Tshirt! Please be aware that sizes in Israel run small. Recommendation is to order one size up.
Please list any medications your child is taking, at home or at camp. Will your child need to take any medication during the camp day?
*
Please list any allergies to foods, medications or other.
*
We want your child to have an outstanding experience at camp. Does your child have any behavioral challenges we should know about?
*
Does your child have any restrictions to activities? Explain.
Swimming Ability
*
Please Select
Non-swimmer
Beginner
Intermediate
Strong swimmer
Other
We will have water play and kiddie pools on camp grounds.
Upload a recent picture of your child
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Is there anything else that you would like us to know about your child?
Child 3 Information
Child's Full Name
*
First Name
Middle Name
Last Name
Teudat Zehut
*
Hebrew Name
*
Gender
*
Please Select
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Hebrew Birth Month
*
Hebrew Birthday day
*
School
*
Grade Entering
*
Please Select
Gan Arba
Gan Chova
1st Grade
2nd Grade
Choose Your Camp Sessions
*
Only Week 1 (Aug 2-7)
Only Week 2 (Aug 9-14)
Only Week 3 (Aug 16-20)
Weeks 1-2 (Aug 2-14)
Weeks 2-3 (Aug 9-20)
Weeks 1-3 (Aug 2-20) SAVE ₪200!
I would like to sign up for Early Care
Please Select
Week 1
Week 2
Week 3
All 3 Weeks
I would like to sign up for After Care
Please Select
Week 1
Week 2
Week 3
All 3 Weeks
T-Shirt Size
*
Please Select
Size 6
Size 8
Size 10
All campers will get a complementary camp Tshirt! Please be aware that sizes in Israel run small. Recommendation is to order one size up.
Please list any medications your child is taking, at home or at camp. Will your child need to take any medication during the camp day?
*
Please list any allergies to foods, medications or other.
*
We want your child to have an outstanding experience at camp. Does your child have any behavioral challenges we should know about?
*
Does your child have any restrictions to activities? Explain.
Swimming Ability
*
Please Select
Non-swimmer
Beginner
Intermediate
Strong swimmer
Other
We will have water play and kiddie pools on camp grounds.
Upload a recent picture of your child
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Is there anything else that you would like us to know about your child?
Parent Information
Mother's Full Name
*
First Name
Last Name
Mother's Hebrew Name
Mother's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mother's Email Address
*
example@example.com
Mother's Teudat Zehut
*
Father's Full Name
*
First Name
Last Name
Father's Hebrew Name
Father's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Father's Email Address
*
example@example.com
Father's Teudat Zehut
*
Will the camper's father be in active duty (miluim) during camp?
*
Please Select
Yes
No
Unsure
Preferred Contact Method
*
Phone
Email
Text Message
Whatsapp
Other
Parent's Marital Status
*
Please Select
Married
Divorced
Separated
Widowed
Home Address
*
Street Address
Street Address Line 2
City
State
Zip Code
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Cyprus
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Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
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France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
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Laos
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Netherlands Antilles
New Caledonia
New Zealand
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Niger
Nigeria
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Northern Mariana
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Poland
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Rwanda
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Other
Country
Please list anyone who may pick up your child other than his/her parents:
Emergency Contact Information
Emergency Contact Name
*
First Name
Middle Name
Last Name
Relationship to Child
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Doctor and Medical Insurance Information
Name of Kupat Cholim
*
Permissions and Waivers
Permissions and acknowledgments
*
Consent to emergency medical treatment
Permission to participate all camp activities, including water activities
Permission for photo and video use in Chabad of Neve Shamir publicity
Confirm information provided is accurate
Would you like to be added to a whatsapp broadcast list that will remind you of trips, activities, and special dress-up days?
*
Yes
No
Payment
Payment Total
Payment Option
*
Credit Card
BIT (Send to Rabbi at 058-660-7553)
Payment Amount
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Credit Card Number
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