camp registration 2017

 

Registration for 2017 is now open.

Registration can only be considered complete once your sessions

have been chosen and the $100 deposit per child has been paid.

 


 

Weekly rate - $230 

$795 for all four weeks

Camper Information

Please insert information for the first child attending camp.

First and Last Name*
Hebrew Name
Birthday (mm/dd/yyyy)*
Gender
  • Boy
  • Girl
School Attended in Spring '17
School Attending in Fall '17
Grade Entering*
Age*
What extracurricular activities does your child enjoy?
T-Shirt Size
  • Small
  • Medium
  • Large
  • X-Large

 

 

Please enter information for an additional child to attend camp.

First and Last Name
Gender
  • Girl
  • Boy
School Attended Spring '17
School Attending Fall '17
Grade Entering
Age
What extracurricular activities does your child enjoy?
T Shirt Size
  • Small
  • Medium
  • Large
  • X-Large
Is there anything special we should know about your child/children to make their camp experience more enjoyable?
 
 
 
Sessions - Week of:
  • June 26th
  • July 3rd
  • July 11th
  • July 17th
  • All 4 Weeks

Parent Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*
Please indicate relationship to child if guardian is other than Mother or Father
Will you be using pre-care and/or after-care?*
  • Yes
  • No
If yes, please indicate your preference.
  • Pre-Care
  • After-Care
  • Both
Will your child/children be using camp transportation?*
  • Yes
  • No
If yes, please indicate location
  • Bexley/Berwick
  • North West Col.
I hereby give permission for my child/children to participate in field trips during operation hours. Details will be given to me in advance.*
  • Yes
  • No
I hereby give consent for emergency medical treatment, to be used only if I cannot be reached immediately. *
  • Yes
  • No
I hereby give my consent for my child/children to receive prescribed medications during camp hours when regular attendance at camp would be impossible without the medication, signing below will indicate that I have released all persons affiliated with Camp Gan Israel from all liability from damages resulting directly or indirectly from this authorization, (paper format prescription medications section of the application must be filled out and a physician's statement must accompany the medication).*
  • Yes
  • No

Please download and fill out the medical form for your child by clicking the link below.

2017 Medical Form - Click here to download

 

Please mail to:

 

ATTN: Camp Gan Israel

6220 E. Dublin Granville Rd.

New Albany, OH 43054

 

 

Electronic Signature*

Registration

 

 

If you would like to apply for a scholarship, please email camp@cgicolumbus.com for scholarship assistance.

 

A $100 deposit MUST be made ONLY when applying for a Scholarship or Monthly Payments.

 

 

Quantity
Price
Total
Week of 6/26
X
$
230.00=
$
0

Week of 7/3
X
$
230.00=
$
0

Week of 7/10
X
$
230.00=
$
0

Week of 7/17
X
$
230.00=
$
0

All 4 Weeks
X
$
795.00=
$
0

If you are applying for a scholarship, a $100 deposit is required

$100 deposit must be made if NOT paying in full. The deposit will go toward the tuition cost. If a scholarship is not awarded, the $100 is refundable.

X
$
100.00=
$
0

Will you be needing transportation to and from CGI?

Camp transportation is $10/week PER CHILD. Please indicate how many weeks you will be needing transportation for your child. If you have more than one child, please multiply the number of weeks by number of children needing transportation and enter that in the quantity box.

X
$
10.00=
$
0

Camp T-shirt & Hat

All campers must wear our 2017 Camp Gan Israel t-shirt and hat on all camp trips.

X
$
20.00=
$
0

Final Total:
$
0

If you would like to set up monthly payment installments, a $100 deposit is required. Please apply deposit payment above.

Please Set Up Payment Installments
  • Monthly
  • Quarterly

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code

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