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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 25 - July 20
Week 1             June 25 - June 29
Week 2             July 2 - July 6

Week 3              July 9 - July 13   

Week 4             July  16 - July 20

 

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.

 



 

 

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Camp Gan Israel of San Mateo 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

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