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Winter Camp

Winter Camp

 

Winter Camp 2017 web (1).jpg 

Register Now for Winter Camp!    

At Gan Israel, boys and girls ages 5 through 13 can have their mid-winter break transformed into a fun and exciting Jewish camp experience. Parents trust our dynamic, committed staff who love and nurture every child. They know that Gan Israel campers have lots of fun and bolster their Jewish pride in a safe and caring environment.

Our Activities Include: Daily field trips, sports, arts & crafts, songs, games, fun Jewish learning, and more. Enroll now for a winter experience that will last a lifetime…

Dates and Times: Monday, December 18 - Friday, December 22, 9:00 a.m. - 3:30 p.m. (Friday, till 2:00pm)

Ages: Children ages 5 through 13

Cost: $225 for the week, $50 per day

For more information please contact our Camp Director, Rabbi Yitz at 818 989 9539 x116 or email rabbiyitz@valleyhebrewschool.com.

Register Online

Please fill out the form and submit                                          

Camper 1

Camper 2

Camper 3

Campers Full Name

Campers Full Name

Campers Full Name

Hebrew Name

Hebrew Name

Hebrew Name

Date of Birth

Date of Birth

Date of Birth

Gender

Gender

Gender

School Attending

School Attending

School Attending

Fees

Full Week of Camp! December 18 - December 22  (9:00am - 3:30 pm) • $225

Individual Days • $50 each  

Monday

Tuesday

Wednesday

Thursday

Friday

Parent's Information

 

Home phone

Home Address

City

State

Zip

Father's full name

work phone

cell phone

email

Mother's full name

work phone

cell phone

email

Comments

 

 

 

 

 

Emergency Contact Information

Contact 1

Phone

Relationship to child

 

Contact 2

Phone

Relationship to child

 


Medical Questionnaire

Has your child had any recent surgery or illness?

Does your child have allergies? (food or medication)

Does your child take medication regularly? If yes, what kind?

Is your child current on his/her immunizations?

May we give your child Tylenol or Benadryl if needed?

Family Physician

Phone

Medical Insurance Carrier

Policy Number

Are there any medical concerns that your child's counselor should be aware of?

Permission

I hereby give permission for my child to participate in all camp activities. In addition I give Camp Gan Israel permission (a) To transport campers in connection with all camp activities; (b) To render necessary first aid or to arrange care by medical personnel, if deemed necessary; (c) To use photographs and videos and names of campers in printed material and websites associated with Camp Gan Israel; (d) I indemnify and hold harmless Camp Gan Israel from any liability or claim for any loss, injury, damage, or expense resulting or arising from my child’s participation in camp activities; and (e) The camp administration reserves the right to reconsider the enrollment of any camper if we feel the child’s needs or level of functioning or behavior cannot be accommodated, or if the child’s conduct limits his or her ability to participate in, or to benefit fully from, the programs and activities at Camp Gan Israel.

Parent/Guardian Date


Payment Details

Last Name

 

Total charge amount

First Name

 

Card Type

Address

 

Card Number

City

 

Exp. Date

State

 

CVV code
3 digits on back of card

Zip

 

Comments

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