Register

1. Child/ren’s Information
Child 1*
First NameMiddle NameLast Name
Birth Date*
MonthDayYear
Gender*
MaleFemale
School Attending
Entering Grade
T-shirt Size*
If you are only registering one child you may scroll down to the Fees Section.
Child 2
First NameMiddle NameLast Name
Birth Date
MonthDayYear
Gender
MaleFemale
School Attending
Entering Grade
Session 1: June 28 - July 2Session 2: July 5 - July 9All Sessions
T-shirt Size
Child 3
First NameMiddle NameLast Name
Birth Date
MonthDayYear
Gender
MaleFemale
Entering Grade
School Attending
Session 1: June 28 - July 9Session 2: July 5 - July 9All Sessions
T-shirt Size
Child 4
First NameMiddle NameLast Name
Birth Date
MonthDayYear
Gender
MaleFemale
Entering Grade
School Attending
T-shirt Size
Session 1: June 28 - July 2Session 2: July 5 - July 9All Sessions
Fees
1 Session- $180
2 Sessions- $360
Sibling Discount - 5%
Cost includes registration fee, camp T-shirt, all camp activities and trips
Need a campership? Call Rabbi Mendel or Dini 904-701-4422
*
Session 1: June 28 - July 2Session 2: July 5 - July 9All Sessions
2. Parent information
Phone Number*
Area CodePhone Number

Address*

Payment

Credit Card Other

Agreement*
I give permission for my child's picture to be used in Camp Gan Izzy's marketing material and website.I give my child permission to attend all activities including all off-site trips and activities, and receive medical care in the case of emergency.
General comments
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1. Child/ren’s Information