Camp Gan Israel 2022 Registration

We are so excited to be announcing the opening of Camp Gan Israel's 2022 Session. We have a jam packed schedule of fun and exciting activities for your child. Safety is always our priority and we have reviewed the CDC and ACA guidelines to create our camp protocols.

We are excited to announce that we will be having weekly trips this summer in addition to on site enrichment activities/specialties with local experts. This will give the children a wide variety of opportunities each day for a fun and engaging summer. All activities will be chosen with the health and safety of our campers and staff in mind.

By popular demand, this year we will extend camp to run for three weeks beginning June 27 - July 15. Camp is closed for July 4th. Camp runs 9:00 a.m. - 3:30 p.m. with optional before care 8:00-9:00 a.m. and aftercare from 3:30-5:30 p.m. .

We are fortunate to be able to offer a limited amount of scholarships with a grant from Jewish Nevada, so apply today! If you have any questions regarding camp, please do not hesitate to contact Rochel 775-283-8552 or Sarah 775-544-8456.

Child's First Name*

Child's Last Name*

Hebrew Name

Birth Date*Camp Gan Israel is currently taking children ages 4*-12. *Child must be entering Kindergarten.

MonthDayYear

Time of Birth

Home Address*

Mother's Name*

Mother's Address*

Address if Different

Mother's Cell Number*

Mother's Work Contact Information

Father's Name*

Father's Address*

Address if Different

Father's Cell Number*

Father's Work Contact Information

Emergency Contact Name*

Emergency Contact Phone Number*

Emergency Contact Relationship to child*

Contact Email*Please input the preferred email for CGI to be in contact with.

I allow my child to be picked up by:*Please list name, relationship to the child and phone number for each person.

Insurance Policy Information*Please list name and number of policy.

Does your child have any medical conditions?*

YesNo

If yes, list conditions here:Please include the protocol of how it should be dealt with if there is one.

Does your child have any allergies?*

YesNo

If yes, list protocol here:Please include the protocol of how it should be dealt with if there is one.

Has your child had any serious injuries, illnesses or surgeries within the past year?*

YesNo

If yes, list here:

Does your child have any Behavioral Concerns?If yes, please explain.

Is there anything else we need to know about your child?

Entire Session*June 27 - July 15

$650 Discounted Rate for Entire SessionWeekly Rates Listed Below

Weekly

Week 1 6/27-7/1 $250Week 2 7/5-7/8 $240Week 3 7/11-7/15 $250

Will you be applying for a scholarship?Scholarship application can be found at chabadnorthernnevada.com/scholarship

YesNo

Payment due May 25th. Click here to make a payment.

Supply Fee*Due at Registration

$25

Before your child's first day of camp a Camp Gan Israel Waiver will need to be signed. It will be provided to you along with the handbook, calendar, and optional lunch program menu. You can also sign up for extended care at that time.

Permissions*

In the event of an emergency, to seek medical help for my child, at my expense.Include my child in all photos taken for Camp Gan Israel and any publicity.Allow my child to be transported and participate in all trips if allowed by current regulations.

Sign and DateI, the undersigned, as parent/guardian of ___________________, for and inconsideration of the agreement with Aleph Academy and Chabad of Northern Nevada release, acquit, discharge and hold harmless Aleph Academy and Chabad of Northern Nevada and its agents, employees, representatives, successors and assigns, for all manners of claims, demands and damages of every kind and nature whatsoever, which the undersigned my now or in the future have against Aleph Academy/Chabad of Northern Nevada and its agents, employees, representatives, successors or assigns on account of any personal injuries, physical or mental condition, known or unknown, to the person and the treatment thereof, as successors or assigns, including but not limited to their negligence or gross negligence in executing the services above described or in any way incidental thereto. I, the undersigned, do hereby release, indemnify, and hold harmless Aleph Academy/Chabad of Northern Nevada and its affiliates, agents and subsidiaries from any and all actions or claims as a result of any injuries to my child or any other children while participating in Aleph Academy.

Total

$0.00

Payment

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Looking forward to an amazing summer!

Personal Information

Camp Information

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