Apply

Please fill out the application form below. The camp director will be in touch with you within 7 days to confirm your application.
Child #1 Information
Full Name
First NameLast NameAge
Birth Date
MonthDayYear
Grade Entering in September
Hebrew Name
Does your child have any allergies?
Child #2 Information
Full Name
First NameLast NameAge
Birth Date
MonthDayYear
Grade Entering in September
Hebrew Name
Does your child have any allergies?
Child #3 Information
Full Name
First NameLast NameAge
Birth Date
MonthDayYear
Grade Entering in September
Hebrew Name
Does your child have any allergies?
Parents' Information
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

Emergency Information
Doctor
First NameLast Name
Phone Number
Area CodePhone Number
Emergency Contact
First NameLast NameRelation to child
Phone Number
Area CodePhone Number
More Information
Permissions*
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
Child XSChild SChild MChild LChild XLAdult SAdult MAdult L
What is your main reason for choosing to send your child/ren to Camp Gan Izzy of the Foothills this summer?
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?
Payment Information
Early Bird Pricing Ended April 30th, 2019
Let other families know about Camp Gan Izzy - $25 Amazon Gift Card for every new family who signs up with your referral.
TuitionPrice includes camp t-shirt, kosher hot lunches and all trips and activities.
1 Child Ages 3-5 ($180)1 Child Ages 6+ ($240)2 Children Ages 3-5 ($360)2 Children Ages 6+ ($480
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 chyena@JewishGV.com
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

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Child #1 Information

Child #2 Information

Child #3 Information

Parents' Information

Emergency Information

More Information

Payment Information