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Camp Registration 2025

Camper's Information
Child's name
Last Name First Name
Gender

MaleFemale
Birth date

Month Day Year
Grade entering Fall 2025
School 2025-26
Parents' Information
Mother's name
First Name Last Name
Mother's e-mail
Mother's cell number
Father's name
First Name Last Name
Father's e-mail
Father's cell 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 16 - June 20Session 2 - June 23 - July 3Session 3 - July 7 - July 18Session 4 - July 21 - August 1
Extras can be added at a later date

Lunches- $89 per session ($45 mini session)Before Care - $10 per dayAfter Care - $30 per day
Please list approximate days of the week that Before/After 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 non-refundable Registration Fee will be charged today. 50% of the camp fees will be charged February 5th and the remainder will be charged May 5th.
Charge today (non-refundable)*

$50 USD

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

City

State / Province

Postal / Zip Code

Country

Total

$50.00 USD
Should be Empty:

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