REGISTRATION FOR 2024 is now open!!! Please fill out the application form below. The camp director will be in touch with you within a week to confirm your application. Click here for dates and rates. CAMP REGISTRATION CLOSES JUNE 1st, 2024 IF YOU ARE COMING TO THIS PAGE AFTER THIS DATE, PLEASE EMAIL [email protected] TO SEE IF YOUR CHILD CAN JOIN ON A LIMITED BASIS. THERE WILL BE AN ADDITIONAL COST TO COVER LAST MINUTE PLANNING INCONVENIENCES CAUSED BY LATE REGISTRATION. PLEASE EMAIL CHYENA TO SEE IF/HOW WE CAN ACCOMODATE YOU. Child's Information Full Name* First Name Last Name Age Hebrew Name* Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Grade Entering in September * Age of Child (when camp begins July 8, 2024)* 3456789101112 Camp Gan Izzy Fee: $590 Mini Gan Izzy Fee: $400 Mini Gan Izzy Fee: $475 School attending* Does your child have any allergies?* Select camp t-shirt size* Child XSChild SChild MChild LChild XSAdult SAdult MAdult L Register additional child Child #2 Full Name* First Name Last Name Age Hebrew Name* Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Grade Entering in September * Age of Child (when camp begins July 8, 2024)* 3456789101112 Camp Gan Izzy Fee: $590 Mini Gan Izzy Fee: $400 Mini Gan Izzy Fee: $475 School attending* Does your child have any allergies?* Select camp t-shirt size* Child XSChild SChild MChild LChild XSAdult SAdult MAdult L Parents' Information Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Father Name* First Name Last Name Was father born Jewish?* If no, please state if there are any conversions or adoptions Email* Cell* Area Code Phone Number Mother Name* First Name Last Name Was mother born Jewish?* If no, please state if there were any conversions or adoptions. Email* Cell* Area Code Phone Number Emergency Information Doctor's Name* First Name Last Name Phone Number* Area Code Phone Number Emergency Contact Name* First Name Last Name Relation to child Phone Number* Area Code Phone Number More Information Permissions* All of these must be selected. If you have a question or hesitation, email Chyena. I hereby give permission for my child to participate in all Camp Gan Izzy activities and tripsI also hereby consent to the administration of Camp Gan Izzy to take whatever medical meaures they deem necessary for my child, in the event of a medical EMERGENCY in which they can't reach meI also authorize Camp Gan Izzy to have and use photographs, slides and videos of the person named on this application as needed for educational and public relations programs What is your main reason for choosing to send your child/ren to Camp Gan Izzy of the Foothills this summer?* Where did you hear about Camp Gan Izzy?* Add-On Programs offered at Gan Izzy: Gan Izzy Overnight!! - July 22-23, for ages 8-12 Goodnight Gan Izzy - Your child's counselor will visit after camp, do some activities, and lovingly put your child to bed :) Early Care - before 9:30am After Care - after 3:00pm Please select the programs you are interested in: Gan Izzy Overnight, July 22-23Goodnight Gan IzzyEarly CareAfter Care Please give details: Would you be interested in registering for GAN IZZY OVERNIGHT!!! July 22-23. Would you like me to send you more information about it? For ages 8-12 Would you be interested in a visit from your child's counselor one night after camp as part of the program "Goodnight Gan Izzy" - counselor will visit, do some activities, and lovingly put your child to bed :) Yes! We'd love that.NoMaybe... let's talk closer to time Are you interested in more info about early care (before 9:30)? Please give details about your need. No Are you interested in more info about after care (after 3:00)? Please give details about your need. No Other comments: Payment Information Rates: Camp Gan Izzy fee: $590 for children ages 6-13 Mini Gan Izzy fee: $400 for children ages 3-4, $475 for children who are 5 years Registration fee: $75 includes camp tshirt. Fee is waived before April 1st. Additional admin charge for any registrations received after June 1st. Please note: Age goes by the age your child will be on July 8, 2024. Fee includes camp t-shirt, trip admissions, hot lunches, snacks, busses and all activities for two weeks. Does not include late night trip or Shabbaton for the oldest bunk. Discounts: New family discount, please email Chyena for more details Sibling discount: $50 off tuition for children 6-12 when registering two campers Registration fee* Includes camp shirt $75 Registration fee $0 Registration fee $0 Registration Fee New Family? Enter discount code here Email [email protected] for info Total $75.00 I would like to pay today:Full amount50% minimum: $0.00 $ $50 Sibling Discount for Child #1 APPLIED $50 Sibling Discount for Child #2 APPLIED Sibling discount for Child #1 Sibling discount for Child #2 Payment Plan* If I did not pay in full today, I agree for my card to be charged or to pay the rest in full by May 1st. Payment* Credit Card Paypal Other / SNCS / Cash / Venmo Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2024202520262027202820292030203120322033 Expiration YearPaypal has been selected. Payment will take place on the next page.JewishGV.com/venmoBilling Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country I would like to receive news and updates by email Should be Empty: Submit This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
