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Camp Gan Izzy Camper Forms

Add Before/After Care

Before Care and After Care Form
Available hours for Extended Care
Before Care: 8:00 – 9:00 am
After Care: 3:00 – 6:00 pm

Before Care: $10.00 per day (per child)
After Care: $30.00 per day (per child)

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Extended care can be added at any time by paying on this form a week in advance.
Cancellations less than one week in advance will not be reimbursed.
Camper #1
Camper #1 Name
First Name Last Name
Before Care $10/day

Session 1- AllSession 2- AllSession 3- AllSession 4- AllSession 1- Monday, June 16Session 1- Tuesday, June 17Session 1- Wednesday, June 18Session 1- Thursday, June 19Session 1- Friday, June 20Session 2- Monday, June 23Session 2- Tuesday, June 24Session 2- Wednesday, June 25Session 2- Thursday, June 26Session 2- Friday, June 27Session 2- Monday, June 30Session 2- Tuesday, July 1Session 2- Wednesday, July 2Session 2- Thursday, July 3Session 3- Monday, July 7Session 3- Tuesday, July 8Session 3- Wednesday, July 9Session 3- Thursday, July 10Session 3- Friday, July 11Session 3- Monday, July 14Session 3- Tuesday, July 15Session 3- Wednesday, July 16Session 3- Thursday, July 17Session 3- Friday, July 18Session 4- Monday, July 21Session 4- Tuesday, July 22Session 4- Wednesday, July 23Session 4- Thursday, July 24Session 4- Friday, July 25Session 4- Monday, July 28Session 4- Tuesday, July 29Session 4- Wednesday, July 30Session 4- Thursday, July 31Session 4- Friday, August 1
After Care $30/day

Session 1- AllSession 2- AllSession 3- AllSession 4- AllSession 1- Monday, June 16Session 1- Tuesday, June 17Session 1- Wednesday, June 18Session 1- Thursday, June 19Session 1- Friday, June 20Session 2- Monday, June 23Session 2- Tuesday, June 24Session 2- Wednesday, June 25Session 2- Thursday, June 26Session 2- Friday, June 27Session 2- Monday, June 30Session 2- Tuesday, July 1Session 2- Wednesday, July 2Session 2- Thursday, July 3Session 3- Monday, July 7Session 3- Tuesday, July 8Session 3- Wednesday, July 9Session 3- Thursday, July 10Session 3- Friday, July 11Session 3- Monday, July 14Session 3- Tuesday, July 15Session 3- Wednesday, July 16Session 3- Thursday, July 17Session 3- Friday, July 18Session 4- Monday, July 21Session 4- Tuesday, July 22Session 4- Wednesday, July 23Session 4- Thursday, July 24Session 4- Friday, July 25Session 4- Monday, July 28Session 4- Tuesday, July 29Session 4- Wednesday, July 30Session 4- Thursday, July 31Session 4- Friday, August 1
Before Care List Dates (#1)
Total Amount of days you need Before care (#1)
please click on the correct number
After Care List Dates (#1)
Total Amount of days you need After Care (#1)
please click on the correct number
Camper #2
Camper #2 Name
First Name Last Name
Before Care $10/day

Session 1- AllSession 2- AllSession 3- AllSession 4- AllSession 1- Monday, June 16Session 1- Tuesday, June 17Session 1- Wednesday, June 18Session 1- Thursday, June 19Session 1- Friday, June 20Session 2- Monday, June 23Session 2- Tuesday, June 24Session 2- Wednesday, June 25Session 2- Thursday, June 26Session 2- Friday, June 27Session 2- Monday, June 30Session 2- Tuesday, July 1Session 2- Wednesday, July 2Session 2- Thursday, July 3Session 3- Monday, July 7Session 3- Tuesday, July 8Session 3- Wednesday, July 9Session 3- Thursday, July 10Session 3- Friday, July 11Session 3- Monday, July 14Session 3- Tuesday, July 15Session 3- Wednesday, July 16Session 3- Thursday, July 17Session 3- Friday, July 18Session 4- Monday, July 21Session 4- Tuesday, July 22Session 4- Wednesday, July 23Session 4- Thursday, July 24Session 4- Friday, July 25Session 4- Monday, July 28Session 4- Tuesday, July 29Session 4- Wednesday, July 30Session 4- Thursday, July 31Session 4- Friday, August 1
After Care $30/day

Session 1- AllSession 2- AllSession 3- AllSession 4- AllSession 1- Monday, June 16Session 1- Tuesday, June 17Session 1- Wednesday, June 18Session 1- Thursday, June 19Session 1- Friday, June 20Session 2- Monday, June 23Session 2- Tuesday, June 24Session 2- Wednesday, June 25Session 2- Thursday, June 26Session 2- Friday, June 27Session 2- Monday, June 30Session 2- Tuesday, July 1Session 2- Wednesday, July 2Session 2- Thursday, July 3Session 3- Monday, July 7Session 3- Tuesday, July 8Session 3- Wednesday, July 9Session 3- Thursday, July 10Session 3- Friday, July 11Session 3- Monday, July 14Session 3- Tuesday, July 15Session 3- Wednesday, July 16Session 3- Thursday, July 17Session 3- Friday, July 18Session 4- Monday, July 21Session 4- Tuesday, July 22Session 4- Wednesday, July 23Session 4- Thursday, July 24Session 4- Friday, July 25Session 4- Monday, July 28Session 4- Tuesday, July 29Session 4- Wednesday, July 30Session 4- Thursday, July 31Session 4- Friday, August 1
Before Care List Dates (#2)
Total Amount of days you need Before care (#1)
please click on the correct number
After Care List Dates (#2)
Total Amount of days you need After Care (#2)
please click on the correct number
Processing information
Parents Name
First Name Last Name
Phone Number

Area Code Phone Number
E-mail
Total Amount you will be charged today

$0.00 USD

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
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Name on Card
Expiration Month	Expiration Year

Billing Address

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If you are having any difficulty processing your online payment,
please contact the office at 440 498 9533 or email: [email protected]
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