ב"ה

Register

Camp Gan Israel is a camp dedicated to enriching the lives of children from diverse Jewish backgrounds and affiliations through a stimulating camping experience. CGI is part of the largest and fastest growing network of day camps, enjoying a reputation as a pioneer in Jewish camping, with innovative ideas and creative activities, to both provide enjoyment and inspire children to try new and exciting things!
1. Family Information
Mother's Name*

First Name Last Name
Mother's Cell Number*

Area Code Phone Number
Mother's E-mail* Primary email
Father's Name*

First Name Last Name
Father's Cell Number*

Area Code Phone Number
Father's E-mail* Primary email

Home Address* Address where child resides

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

Add Address

Address #2 List the 2nd address only if child resides at this location.

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

Child/ren may be picked up from camp by:

List names and relationship
Emergency Contact*

First Name Last Name
Emergency Contact's Phone Number*

Area Code Phone Number
Relationship to Emergency Contact*
2. Camper Information
Number of children being registered* $50 non-refundable registration fee per child
Child 1
Full Name*

First Name Last Name
Birth Date*

Month Day Year
Hebrew Birthday
Insurance*
Insurance ID#*
T-shirt size*

XSSMLXLS Adult
Child 2
Full Name*

First Name Last Name
Birth Date*

Month Day Year
Hebrew Birthday
Insurance*
Insurance ID#*
T-shirt size*

XSSMLXLS Adult
Child 3
Full Name*

First Name Last Name
Birth Date*

Month Day Year
Hebrew Birthday
Insurance*
Insurance ID#*
T-shirt size*

XSSMLXLS Adult
Child 4
Full Name*

First Name Last Name
Birth Date*

Month Day Year
Hebrew Birthday
Insurance*
Insurance ID#*
T-shirt size*

XSSMLXLS Adult
Child 5
Full Name*

First Name Last Name
Birth Date*

Month Day Year
Hebrew Birthday
Insurance*
Insurance ID#*
T-shirt size*

XSSMLXLS Adult
3. Medical Information
Pediatrician*

First Name Last Name
Pediatrician's Phone Number*

Area Code Phone Number
Are your child/ren allergic to any foods? If yes, please explain
Are your child/ren up to date on all immunizations?*

YesNo
Do your child/ren have a medical, developmental or emotional condition that camp should be aware of? If yes, please explain
Are there any social or other challenges we should be aware of?
I hereby give consent to the administration of Camp Gan Israel to take whatever medical measures they deem necessary, at my expense, for my child in the event of a medical emergency. I understand that, when possible, every effort will be made to contact parent/guardian or emergency contact before Camp Gan Israel will undertake such a decision.
Signature of Parent or Guardian*
Date & Time*

Month Day Year
at Hour Minutes
4. Session Choice
Camp starts at 9:00. Early drop-off (only for families who have pre-arranged with the Camp Director) is at 8:30. Camp ends at 3:30 Monday-Thursday. Friday dismissal is at 2pm.

Camp fees: $250 per camper per week. Early bird: $200 per camper per week (As registration opened late, early bird will run until June 15th).

CGI Albany invests considerable resources and cuts no corners to ensure a first-rate experience for its campers. In spite of continually rising costs in all areas, we have worked hard to offer an affordable tuition rate.

We are proud of the fact that we have kept our tuition well below the rate of other CGI's and comparable programs. We hope these efforts are appreciated.

For financial question, please reach out to [email protected]
Please select the weeks that you plan your child(ren) will be participating in camp*

Week 1: July 8 - 12Week 2: July 15 - 19Week 3: July 22 - 26Week 4: July 29 - August 2Week 5: August 5 - 9Week 6: August 12 - 16 (Note: there will be no camp on Tisha B'Av, August 13)
If different children will be attending for different weeks or you are not certain about some dates, please specify"
5. Payment Information

A $50 non-refundable registration fee per child applies as part of this registration.
Total

$0.00

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Signature of Parent or Guardian*
Date & Time

Month Day Year
at Hour Minutes
General comments
Should be Empty:

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Camp Address

404 Partridge Street
Albany, NY 12208
518-698-1836

518-698-1836

Camp Gan Israel

of Greater Albany

1. Family Information

2. Camper Information

Child 1

Child 2

Child 3

Child 4

Child 5

3. Medical Information

4. Session Choice

5. Payment Information

Camp Address