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Camp Gan Israel Registration Form

  • Please fill out this COMPLETELY and SIGN so that we can register your child(ren).

    Click here for print version. Emergency Form Parent Handbook

  • PARENT INFORMATION

  • CAMPER INFORMATION

  • MEDICAL HISTORY
    Please note:
     you must also fill out a Medical History and Emergency Care form for each child

  • **If you are only registering one camper, please skip to "Emergency Contact Information"**

  • MEDICAL HISTORY
    Please note:
     you must also fill out a Medical History and Emergency Care form for each child

  • MEDICAL HISTORY
    Please note:
     you must also fill out a Medical History and Emergency Care form for each child

  • EMERGENCY CONTACT INFORMATION
    Please list at least one emergency contact other than the child's parents.

  • PHYSICIAN CONTACT INFORMATION

  • PAYMENT INFORMATION

    DATES & RATES:

    $225per week
    WEEK 1: June 14-18
    WEEK 2: June 21-25

    $10 t-shirt fee

    $35 lunch fee per week

  • $0.00
  •   
    Credit Card

    Please mail check to:
    Chabad of Waukesha 1275 N. Barker Rd. Brookfield, WI 53045
    For scholarship fund please contact Contact [email protected]
    Billing Address
  • REGISTRATION POLICIES AND PARENTAL CONSENT

    I hereby permit Camp Gan Israel to transport my child(ren) on camp provided transportation and to obtain emergency medical care as the situation mandates.

    It is my responsibility to apply sunscreen on my child(ren) every morning before camp and to send along a labeled bottle for reapplication. However, in case of emergency, Rocky Mountain SPF 30 sunscreen is provided.

    I am giving my permission for my child(ren) to participate in any pontoon/speed boating, horseback riding, ropes course, field trips, overnight trips and any other activity that is scheduled on the CGI calendar for his or her age group.

    I allow Camp Gan Israel to photograph and/or videotape my child(ren) and to use these images for all promotional purposes.

    The parent who signs this registration form represents that he/she has full authority to do so and will be responsible for payment of the camp fees.

    By typing my name and the date below, I certify that the information on this application is true and correct and that I have read, and approve, the policies listed above.

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