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Camp Gan Izzy Camp Home Page

Camp Registration 2024

Camper's Information
Child's name

Last Name First Name
Gender

MaleFemale
Birth date

Month Day Year
Grade entering 2024-25
School 2024-25
Parents' Information
Mother's name

First Name Last Name
Mother's e-mail
Mother's cell number

Area Code Phone Number
Father's name

First Name Last Name
Father's e-mail
Father's cell number

Area Code Phone Number

Home address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Are parents divorced?

NoYes
If yes, explain custody arrangement:
Camp Options
Class Option*

Grades K - 3Grades 4 - 7
Sessions*

Session 1 (mini) - June 12 - June 16Session 2 - June 19 - June 30Session 3 - July 3 - July 14Session 4 - July 17 - July 28
Extras

Lunches- $69 per session ($35 mini session)Before Care - $8 per dayAfter Care - $20 per day
Please list the days of the week that Extended Care will be needed
Are you a first time camper at Camp Gan Izzy?

YesNo
If yes, whom can we thank for referring you?
Notes:
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Please open this link in a new tab to fill out the Emergency Form for your child.

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Payment Information
A $50 Registration Fee will be charged now, as well as 50% of the camp fees. The remainder will be automatically charged in ten days.
Charge today

$50

Credit Card Info*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Total

$0.00
Should be Empty:

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