Register Online! | Camp Gan Israel Guatemala

Recuerden traer calzonetas los Lunes, Miercoles y viernes

Recuerden de traer las playeras del camp los Martes y Jueves

Online Registration!

Please fill out the form below carefully. When you press submit, this form will be sent to our administration office.

Note: Please use a separate form for each child.

Camper/Parent Information
Name		First	Hebrew Name	Last
Address		Street	City	Zone
Date of Birth
Contact Info		Phone	Parent Email
Schools		School		Entering Grade:
Child's Mother		Mother's Name	Hebrew Name	Work Phone	Cell
Child's Father		Father's Name	Hebrew Name	Work Phone	Cell
Emergency Contact Info		Name	Phone	Relationship
Pediatrician		Name	Phone
Email
Comments			Allergies
Select Child's Age Group
	Ages 10-13			Ages 5-6
	Ages 7-9			Ages 2-4

Please indicate number of sessions your child will attend camp:
	June 29-July 3 July 6-10 July 13-17 July 20-24 July 27-31

IMPORTANT
	All forms must be completed and submitted before your child begins camp. All children must wear the camp t-shirt on trip days.
•	I will be paying by: Check Cash Please make checks payable to Chabad
	I have read the camp brochure and application form and agree to the terms stated. I give my child permission to attend all trips, and receive medical care in the case of emergency.

	Date of Application:

Camp Gan Israel Guatemala • • ,
A branch of the world's largest Jewish Camping network, Camp Gan Israel International