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Camp Gan Israel

fun forever!

ב"ה

General Waiver

Please fill out one form for each camper enrolled
Camper's Name*

First Name Last Name
Date of Birth*

Month Day Year
Mother's Name

First Name Last Name
Mother's Phone Number

Area Code Phone Number
Father's Name

First Name Last Name
Father's Phone Number

Area Code Phone Number
Does camper take any medications? If yes, please list
Does camper have and allergies? If yes, please list
Emergency Contact (other than parent)*

First Name Last Name
Relationship to Child (grandparent, friend etc)*
Emergency Contact Phone Number*

Area Code Phone Number
Acknowledgement:
I am signing up my child for camp. I give my child permission to attend all trips including swimming 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 PR and advertising purposes.

I release liability to Camp Gan Israel and any private facility that is used for camp activities, including property owners and renters of our campus and swimming pool for any accidents that may occur within camp.
I agree to the above*

yes
Name of Parent or Guardian*

First Name Last Name
E-mail*
Should be Empty:

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In this Section

● General Waiver

Photo Gallery

Camp 2021 Week 5

Camp Updates

Upcoming Events

There are no events posted at this time. Please contact us for more info about our events.

We are only taking a select number of campers this year. Reserve your space before it is too late.