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Register Online

Register Online

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Camp Gan Israel - Chabad of Pinellas County
Online Registration

Note: Please use a separate form for each child.

Camper/Parent Information
Name
  First
Middle
Last
Age
Address
  Street
City
State
Zip
Date of Birth
   
Contact Info
  Phone
Email
 
Schools
  School
Hebrew School
Entering Grade:
Child's Mother
  Mother's Name
Hebrew Name
Work Phone
Cell
Child's Father
  Father's Name
Hebrew Name
Work Phone
Cell
Emergency Contact Info
  Name
Phone
Relationship
 
Pediatrician
  Name
Phone
   

Comments

 
           
Select Child's Age Group
Camp Gan Israel - Ages 5-11  
Kiddie Camp - Ages 2-4  
 
 
Please indicate number of weeks your child will attend camp:
Week 1 (June 26 - June 30)

Week 2 (July 3 - July 7)

Week 3 (July 10 - 14)    

Week 4 (July 17 - 21)    
       

Entire Summer (June 26 - July 21)    
       

 

     

Rates:

Main Camp $160 Per Week • $600 for entire summer. 9:00am - 3:30pm
Early Bird Discount (Register before May 2nd):
$150 Per Week • $560 for entire summer

• Early and extended care available (8:30am - 5:00pm ). If you are interested please put it in the comment's above. 

Scholarships are available  

       
IMPORTANT
Upon receipt of this form, we will send you a packet of important camp information and forms.
All forms must be completed and submitted before your child begins camp.
There is a $50 non-refundable registration fee which must accompany this form.
(For current Preschool/Grow children the fee is waived)
I will pay this fee by: Credit Card (Fill in information below).
Check (Please send to 3696 Fisher Rd. Palm Harbor, FL 34683 ATTN: CGI)
 
 
Credit Card Information:

First Name on card:

Last Name on card:

Billing Address:

City:

State:

Zip:

   
Amount to be charged Please indicate whether you will be paying for full summer or only registration fee

Card Type

Card Number

Expiration Date

CVV Security Code

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All fields required.

 

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