2025, Week 1: 7/2-7/8, Week 2: 7/9-7/15, Week 3: 7/16-7/22, Week 4: 7/23-7/29, Week 5: 7/30-8/5. Early Bird Special: Only $10 registration fee ($50 after March 11) and a FREE CAMP SHIRT for registrations received by March 11. 1. Child/ren’s Information Child 1* Given first Name Last Name How is he/she called Gender* MaleFemale Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day2021202020192018201720162015201420132012201120102009200820072006200520042003200220012000 Year Age & School* Age School Current Grade (for pre school indicate 3 or 4 year old class) Program* Mini Gan Izzy: Age 3.5-5.5Girls Division: Finishing K-4Boys Division: Finishing K-4Girls CIT 5-7Boys CIT 5-6 Potty trained* My child is potty trainedMy child is not potty trained yetMy child will be trained by the start of camp Weeks* Entire summerWeek 1Week 2Week 3Week 4Week 5 Specify exact dates Does your child take any medication* NoYes Will they be needing medication* During camp hoursAfter camp hoursWill not be taking any medication during the summer List medications* Any allergies* NoYes Epipen* NoYes List allergies* Shirt size* Boys XSBoys SBoys MBoys LBoys XLGirls SS XSGirls SS SGirls SS MGirls SS LGirls SS XLGirls LS XSGirls LS SGirls LS MGirls LS LGirls LS XLOther - specify in comments Child 2 Given first Name Last Name How is he/she called Gender MaleFemale Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day2021202020192018201720162015201420132012201120102009200820072006200520042003200220012000 Year Age & School Age School Current Grade (for pre school indicate 3 or 4 year old class) Program Mini Gan Izzy: Age 3.5-5.5Girls Division: Finishing K-4Boys Division: Finishing K-4Girls CIT 5-7Boys CIT 5-6 Potty trained* My child is potty trainedMy child is not potty trained yetMy child will be trained by the start of camp Weeks Entire summerWeek 1Week 2Week 3Week 4Week 5 Specify exact dates Does your child take any medication NoYes Will they be needing medication* During camp hoursAfter camp hoursWill not be taking any medication during the summer List medications* Any allergies NoYes Epipen* NoYes List allergies* Shirt size Boys XSBoys SBoys MBoys LBoys XLGirls SS XSGirls SS SGirls SS MGirls SS LGirls SS XLGirls LS XSGirls LS SGirls LS MGirls LS LGirls LS XLOther - specify in comments Child 3 Given first Name Last Name How is he/she called Gender MaleFemale Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day2021202020192018201720162015201420132012201120102009200820072006200520042003200220012000 Year Age & School Age School Current Grade (for pre school indicate 3 or 4 year old class) Program Mini Gan Izzy: Age 3.5-5.5Girls Division: Finishing K-4Boys Division: Finishing K-4Girls CIT 5-7Boys CIT 5-6 Potty trained* My child is potty trainedMy child is not potty trained yetMy child will be trained by the start of camp Weeks Entire summerWeek 1Week 2Week 3Week 4Week 5 Specify exact dates Does your child take any medication NoYes Will they be needing medication* During camp hoursAfter camp hoursWill not be taking any medication during the summer List medications* Any allergies NoYes Epipen* NoYes List allergies* Shirt size Boys XSBoys SBoys MBoys LBoys XLGirls SS XSGirls SS SGirls SS MGirls SS LGirls SS XLGirls LS XSGirls LS SGirls LS MGirls LS LGirls LS XLOther - specify in comments Child 4 Given first Name Last Name How is he/she called Gender MaleFemale Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day2021202020192018201720162015201420132012201120102009200820072006200520042003200220012000 Year Age & School Age School Current Grade (for pre school indicate 3 or 4 year old class) Program Mini Gan Izzy: Age 3.5-5.5Girls Division: Finishing K-4Boys Division: Finishing K-4Girls CIT 5-7Boys CIT 5-6 Potty trained* My child is potty trainedMy child is not potty trained yetMy child will be trained by the start of camp Weeks Entire summerWeek 1Week 2Week 3Week 4Week 5 Specify exact dates Does your child take any medication NoYes Will they be needing medication* During camp hoursAfter camp hoursWill not be taking any medication during the summer List medications* Any allergies NoYes Epipen* NoYes List allergies* Shirt size Boys XSBoys SBoys MBoys LBoys XLGirls SS XSGirls SS SGirls SS MGirls SS LGirls SS XLGirls LS XSGirls LS SGirls LS MGirls LS LGirls LS XLOther - specify in comments 2. Parent information If you registered last year, you may skip any information that is unchanged from last year. Address Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Home Phone Number Mother's info First Name Last Name Hebrew Name Mother's Cell Phone Mother's Work Phone Mother's E-mail Father's info First Name Last Name Hebrew Name Father's Cell Phone Father's Work Phone Father's E-mail 3. Emergency Information Emergency Contact First Name Last Name Phone Number Relationship Pediatrician First Name Last Name Name Phone Number 4. Payment Information A $50 ($10 before March 11) non-refundable per child registration fee applies as part of this registration. Please use credit card only, no debit cards. Total $0.00 Acknowledgement: I am signing up my child for camp. I give my child permission to attend all trips including swimming and receive medical care in the case of emergency, G-d forbid. I give Gan Israel permission to photograph and video my children and use the photos and videos (without their names).Special payment arrangements must be made before camp starts. If no special arrangement is made, the camp tuition will be charged to this credit card on a weekly basis. I agree to the above* Yes E-mail of parent registering* Payment: Please use credit card only, no debit cards.* Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration Year General comments I would like to receive news and updates by email Please check the above check box so that you are included in the camp email list. If you would like to add another email address to this list please click here. Should be Empty: Submit This page uses TLS encryption to keep your data secure.