Camp Registration - TheChabadnik.org

Camp Gan Israel Registration:

SUMMER SEASON 2025
July 7th- August 8th

9 am- 3:30 pm

For Boys & Girls ages 5-11

NEW! Tiered Pricing!

Knowing that families have differing abilities to pay, Camp Gan Israel Simcha Monica has instituted a voluntary 3-tier pricing program. You may choose the tier that is most suitable for your family. It is really an honor system; you tell us what is affordable to you. Please take a moment to look at the following tier descriptions and choose the tier that is most suitable for your family. All children will have the same Camp L’man Achai experience no matter what you pay. The tier selected by a family will be kept confidential. Note that prices of all industries have gone up significantly the past few years and although we would like to keep camp affordable for all families, the cost of running our (non-profit) camp has gone up significantly.

TIER 1= Normal Cost for Camp
TIER 2 = Partially Subsidized
TIER 3 = Greater Subsidized
Any amount lower than these three tiers is considered "scholarship pricing". Call for more details.

Camper Profile 1

Full Name*

First Name Last Name

Hebrew Name

Gender*

Birth Date*

Month Day Year

School*

Grade 2024-2025 School Year*

Does your child have any allergies or medical conditions?*

Will be attending*

Tier Pricing (please click how many weeks your child will be attending and which tier you will be paying.*

Camper Profile 2

Full Name

First Name Last Name

Hebrew Name

Gender

Birth Date

Month Day Year

School

Grade in 2024-2025 School year

Does your child have any allergies or medical conditions?

Will be attending*

Tier Pricing (please click how many weeks your child will be attending and which tier you will be paying.*

Camper Profile 3

Full Name

First Name Last Name

Hebrew Name

Gender

Birth Date

Month Day Year

School

Grade in 2024-25 School year

Does your child have any allergies or medical conditions?

Will be attending*

Tier Pricing (please click how many weeks your child will be attending and which tier you will be paying.*

PARENT INFORMATION

Mother's Name*

First Name Last Name

Father's Name*

First Name Last Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone

Area Code Phone Number

Mother's Cell Phone

Area Code Phone Number

Father's Cell Phone

Area Code Phone Number

Additional Phone

Area Code Phone Number

Additional Phone Label ie Mom's work, Dad's home, etc

Primary E-mail*

Secondary Email

EMERGENCY CONTACT

Full Name*

First Name Last Name

Relationship*

Phone Number*

Area Code Phone Number

Additional info for Emergency Contact:

Any additional comments or concerns:

PAYMENT

* All registrations must be accompanied with a $400 deposit. REGISTRATION FOR WINTER CAMP MUST BE PAID IN FULL AT TIME OF REGISTRATION.

Payment

Credit Card Check or Cash

Postal / Zip Code

Country

Total

$0.00

I would like to pay today:Full amount$400.00 minimum$