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. Personal InformationChild's First Name*Child's Last Name*Hebrew NameBirth Date*Camp Gan Israel is currently taking children ages 4*-12. *Child must be entering Kindergarten.1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberMonth12345678910111213141516171819202122232425262728293031Day2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920YearTime of BirthHome Address*Mother's Name*Mother's Address*Same as childDifferent from childAddress if DifferentMother's Cell Number*Mother's Work Contact InformationFather's Name*Father's Address*Same as childDifferent from childAddress if DifferentFather's Cell Number*Father's Work Contact InformationEmergency 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?*YesNoIf 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?*YesNoIf 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?*YesNoIf 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?Camp InformationEntire Session*June 27 - July 15$650 Discounted Rate for Entire SessionWeekly Rates Listed BelowWeeklyWeek 1 6/27-7/1 $250Week 2 7/5-7/8 $240Week 3 7/11-7/15 $250Will you be applying for a scholarship?Scholarship application can be found at chabadnorthernnevada.com/scholarshipYesNoPayment due May 25th. Click here to make a payment. Supply Fee*Due at Registration$25Before 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$0.00PaymentCredit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2022202320242025202620272028202920302031Expiration YearBilling AddressStreet AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountryLooking forward to an amazing summer!SubmitShould be Empty: This page uses TLS encryption to keep your data secure.