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Camp Gan Izzy Zoom Camp 2020 Application
This year, we are bringing the amazing camp programming to your home via zoom. Please fill out the application form below. The camp director will be in touch with you within 3 days to confirm your application.

Dates:
Sunday, July 12 - Evening Meet & Greet, families will pick up their box of supplies for camp from Chabad.
Monday, July 13 - Friday July 17, campers will have 3 hours of zoom fun and interaction with fellow campers. Camp will run daily from 11 AM - 2 PM with a half hour lunch break.

Schedule:
The schedule is packed with hands on activities, games, baking, shows, science experiments and more! You will received a box with all the supplies you need except basic school supplies (scissor, pen, crayons) and basic food supplies (eggs, flour, sugar). Everything else is included!

Rates:
$100 for 1 child
$180 for family of 2
$250 for family of 3
These prices are until June 25, 2020
Free camp t-shirt for every child who registers by June 25.

Counselor / Rates:
Need a counselor to help your child with the activities (recommended if your child is very young and a parent is not available to help when needed)? We will be happy to match you up with a young teen in the community who can come and help your child get the most out of the zoom camp experience?

Or, do you want your child to do camp with other kids? Create your own "bubble" of 2-3 families, and we can match you up with a teen.

Fee for a teen counselor will be $75-$100, paid directly to the teen.

Full Name

First NameLast NameAge

Birth Date

MonthDayYear

Grade Entering in September

Hebrew Name

Does your child have any allergies?

Full Name

First NameLast NameAge

Birth Date

MonthDayYear

Grade Entering in September

Hebrew Name

Does your child have any allergies?

Full Name

First NameLast NameAge

Birth Date

MonthDayYear

Grade Entering in September

Hebrew Name

Does your child have any allergies?

Father

First NameLast Name

Was father born Jewish?

If no, please state if there are any conversions or adoptions

Father's Email

Father's Cell

Area CodePhone Number

Mother

First NameLast Name

Was mother born Jewish?

If no, please state if there were any conversions or adoptions.

Mother's Email

Mother's Cell

Area CodePhone Number

Address

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

Doctor

First NameLast Name

Phone Number

Area CodePhone Number

Emergency Contact

First NameLast NameRelation to child

Phone Number

Area CodePhone Number

Permissions - SKIP this year.

I hereby give permission for my child to participate in all Camp Gan Israel activities and tripsI also hereby consent to the administration of Camp Gan Israel to take whatever medical meaures they deem necessary for my child, in the event of a medical emergencyI also authorize Camp Gan Israel to have and use photographs, slides and videos of the person named on this application as needed for educational and public relations programs

T-shirt Sizes

What is your main reason for choosing to send your child/ren to Camp Gan Izzy of the Foothills this summer?

SKIP - Are you interested in more info about early & after care?

Are you interested in one-on-one Alef Bet tutoring after camp hours?

Where did you hear about Camp Gan Izzy?

Are you interested in having a teen counselor for your child/ren?

Yes, definitely!I'm not sure yet.No, thank you.

Early Bird Pricing Ends June 25, 2020. Free camp t-shirt for every child registered before the deadline.

Let other Jewish families know about Camp Gan Izzy - $25 Amazon Gift Card for every new family who signs up with your referral.

Fee to have a counselor come to your house will be between $75-$100 and can be arranged upon request. That will be paid directly to the teen.

TuitionPrice includes supplies for all activities except basic school supplies (scissors, crayons) and basic food supplies (flour, sugar etc.)

1 Child ages 3-12 ($100)2 Children Ages 3-12 ($180)3 Children Ages 3-12 ($250)

Camp Gan Izzy of the Foothills offers scholarships to families who are unable to pay the full or subsidized tuition. This fund is sponsored by generous people, like you, in our community. Please consider a donation to our Scholarship Fund. If you wish for your donation to go towards a specific child's camp tuition, please indicate that and we will reach out to them without disclosing your name. If you are in need of financial aid, please email [email protected]

I'd like to make a donation to the Camp Scholarship Fund for another child to be able to attend

$50$100$200

Notes:

Total

$0.00

Payment

Credit Card Paypal

Postal / Zip Code

Country

I would like to receive news and updates by email

Child #1 Information

Child #2 Information

Child #3 Information

Parents' Information

Emergency Information

More Information

Payment Information