Registration

Parents Information
Mothers Name*

First Name Last Name
Mothers Number*

Area Code Phone Number
Mothers E-mail*
Fathers Name*

First Name Last Name
Fathers Number*

Area Code Phone Number
Fathers E-mail*
Campers Information

Please Call for the Sibling Discount
How many campers are you registering?*

A $50 Registration fee will be applied to every registrant.
Camper #1 Information
Camper 1 Name*

First Name Last Name
Camper 1 DOB*

Month Day Year
Camper 1 School*
Camper 1 Hebrew School
Camper 1 Entering Grade*
Which Session is Camper 1 Joining?*

Full Session Jun 27 - Jul 15 $690 Week 1 Jun 27 - Jul 1 $250 Week 2 Jul 4 - Jul 8 $250 Week 3 Jul 11 - Jul 15 $250
Does camper 1 have any alergies and/or is taking any medications?*

No Yes
If Yes, Please give us the details:

If medication needs to be administered please fill out the Authorization to Administer Medication Form - Downloadable Link can be found below
Camper #2 Information
Camper 2 Name

First Name Last Name
Camper 2 DOB

Month Day Year
Camper 2 School
Camper 2 Hebrew School
Camper 2 Entering Grade
How many weeks will Camper 2 be joinging?
Which Session is Camper 2 Joining?

Full Session Jun 27 - Jul 15 $690 Week 1 Jun 27 - Jul 1 $250 Week 2 Jul 4 - Jul 8 $250 Week 3 Jul 11 - Jul 15 $250
Does camper 2 have any alergies and/or is taking any medications?

No Yes
If Yes, Please give us the details:

If medication needs to be administered please fill out the Authorization to Administer Medication Form - Downloadable Link can be found below
Camper #3 Information
Camper 3 Name

First Name Last Name
Camper 3 DOB

Month Day Year
Camper 3 School
Camper 3 Hebrew School
Camper 3 Entering Grade
How many weeks will Camper 2 be joinging?
Which Session is Camper 2 Joining?

Full Session Jun 27 - Jul 15 $690 Week 1 Jun 27 - Jul 1 $250 Week 2 Jul 4 - Jul 8 $250 Week 3 Jul 11 - Jul 15 $250
Does camper 3 have any alergies and/or is taking any medications?

No Yes
If Yes, Please give us the details:

If medication needs to be administered please fill out the Authorization to Administer Medication Form - Downloadable Link can be found below
Payment Information
Limited scholarships are available, please call our office at (978)815-1768

Click here to download the Authorization to Administer Medication Form
How do you want to pay?*

Tuition payments will be processed after tuition plan is made.
Total

$0.00

Payment*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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Gan Israel Winter Adventures December 2014

Camp Updates

Registration

Registration is now open for summer camp 2022. Click here to register.

Upcoming Events

There are no events posted at this time. Please contact us for more info about our events.

Parents Information

Campers Information

Camper #1 Information

Camper #2 Information

Camper #3 Information

Payment Information