Register Online! | Camp Gan Israel

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CHECK OUT THE CAMP PHOTOS

Camp Dates: June 28 - July 23

Online Registration

Camper Information
First Name	Family Name
Birth Date	Gender	Boy Girl
Present Age	Present Grade
School	Hebrew School
Friends to be Grouped With

Please select which week(s) your child will be attending
All 4 weeks June 28 - July 23
Week 1 June 28 - July 3
Week 2 July 5 -July 9
Week 3 July 12 - July 16
Week 4 July 19 - July 23

General Information
Address
City		Zip
Phone (H)		Email
Father's Information:		Mother's Information:
Name		Name
Phone (C)		Phone (C)
Phone (W)		Phone (W)
Occupation		Occupation
Company		Company

Medical and Emergency Information
Allergies :
Medical Conditions:
Family Doctor Phone
Is the camper up to date with immunization?Yes No*
*If no, explain:
Emergency Contacts
Name: Phone:
Name: Phone:

By checking this box I give permission to Camp Gan Israel of the North Peninsula to use photos taken of my child during camp for promotional purposes.

Camp Gan Israel • 499 Boothbay Avenue • Foster City, CA 94404-3558 • 650-341-4510
A branch of the world's largest Jewish Camping network, Camp Gan Israel International