Registration & Information Form

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Camp Gan Israel registration form 2026
Father/Guardian Information
Name:*
First Name Last Name
E-mail:*
Cell phone:*

Area Code Phone Number

Home address:*

Street Address
Subdivision
City	State / Province
Postal / Zip Code	Country

Mother/Guardian Information
Name:*
First Name Last Name
E-mail:*
Cell phone:*

Area Code Phone Number

Home address: (if different)

Street Address
Subdivision
City	State / Province
Postal / Zip Code	Country

Family Information
Jewish Status:*
Any adoptions or conversions in the family:*

Yes (please explain below)No
If yes, please explain:
Emergency Contact Information
In case of emergency, if parent or guardian cannot be reached, please contact:
Contact 1 (name, phone & relationship):*
Contact 2 (name, phone & relationship):
Other than parents and emergency contacts, list any people authorized to pick-up students. (name and phone):
Child #1 Information
Name:*
First Name Last Name
Hebrew name:
Birth date:*

Month Day Year
Select t-shirt size (Children's Sizes)*
Lives with:*
Entering grade:*
Knowledge of basic Judaism is:*
Any food, medical or insect allergies? If yes, please specify.*
Any physical or learning limitations we should be aware of? If yes, please explain.*
Please list any other information of importance:
Child #2 Information
Name:
First Name Last Name
Hebrew name:
Birth date:

Month Day Year
Select t-shirt size (Children's Sizes)
Lives with:

MotherFatherBoth
Entering grade:
Knowledge of basic Judaism is:
Any food, medical or insect allergies? If yes, please specify.
Any physical or learning limitations we should be aware of? If yes, please explain.
Please list any other information of importance:
Child #3 Information
Name:
First Name Last Name
Hebrew name:
Birth date:

Month Day Year
Select t-shirt size (Children's Sizes)

Small (6-8)Medium (10-12)Large (14-16)Extra LargeAdult SmallAdult Medium
Lives with:

MotherFatherBoth
Entering grade:
Knowledge of basic Judaism is:
Any food, medical or insect allergies? If yes, please specify.
Any physical or learning limitations we should be aware of? If yes, please explain.
Please list any other information of importance:
Other information:
Agreement:*

I give my child(ren) permission to attend all trips and receive medical care in the case of emergency, G-d forbid. I give Gan Israel permission to photograph and videotape my children and use the photos and videos (without their names) for whatever the camp sees fit.
Volunteer::

I'd like to help as a driver/chaperone on camp trips. Please add my name and contact to share more details closer to camp. By checking this box we will contact you within two weeks of camp to share dates and times when volunteers may be needed and you can let us know then if you'd be available to help.
Weeks Attending:*

Week 1: June 22 - June 26Week 2: June 29 - July 3Week 3: July 6 - July 10
Cost per child:

Registration Fee: $50

Tuition: $300 per week.
(EARLY BIRD SAVINGS BEFORE BY MARCH 8TH - $25 OFF PER WEEK)

Please click below the amount you would like to pay today.
Registration fee is required.
Registration fee:*

$50
Registration fee: (for 2 Children)*

$100
Registration fee: (for 3 Children)*

$150
Week 1:

$300
Week 2:

$300
Week 3:

$300
Week 1: (for 2 children)

$600
Week 2: (for 2 Children)

$600
Week 3: (for 2 Children)

$600
Week 1: (for 3 Children)

$900
Week 2: (for 3 Children)

$900
Week 3: (for 3 Children)

$900
I would like to set up a payment plan
Total

$0.00

Payment

Credit Card Paypal

Postal / Zip Code

Country

Thank you for registering your child(ren)! We're excited for them to join us at camp!

To complete your registration, please fill out the Medical Information Form as soon as possible: www.jewishfolsom.org/6234487

This information allows us to provide the best possible care for your child while they're in our care.

If you would like to apply for a scholarship, please do so here: www.jewishfolsom.org/5982431

If you have any questions or need assistance, please don't hesitate to contact us at 916-510-7770 or [email protected].

We're looking forward to a fun and memorable summer with your child!
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Camp Gan Israel registration form 2026

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