CAMP GAN ISRAEL
REGISTRATION - SCHOOL AGE CHILDREN
for children entering 1st - 5th grade

Camper Information
Child's Full Name   Child's Hebrew Name

Date of Birth

   M/F

Grade Completed

   Age
Home Address   City
State   Zip

Father's Name               

  

Father's Cell & Email              

Mother's Name                     

  

Mother's Cell & Email             
 

Payment Details
Camp is from Monday - Friday, 9:00am - 3:00pm,

4 weeks July 2 - July 27, 2017 
No Camp July 4th- Independence Day 
(weekly option available, contact office@chabad11211.com for details)
Early Bird Special - Register by May 1: $1,520
After April 1: $1,600

After Care from 3:00pm-4:00pm Monday-Thursday: $300

$200 deposit due upon registration. Balance due by June 1, 2017
$ (address above should match card billing address)
Card Type   Exp. Date
Card Number   CVV Code
You may send checks to Chabad of North Brooklyn
132 North 5th St #2c, | Brooklyn, NY 11249
Comments
         

Click Here for Registration for Preschool Age Children