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Camp Gan Israel of

Brooklyn Heights

מחנה גן ישראל

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Registration

Summer
Application Form

Child's First Name

Child's Last Name

Email

Phone

Pick a Session

Early Promo Code

Child's Hebrew Name

Child's Birthday

Child's Age

Gender

Male

Female

Which school did your child attend this last year?

Mother's Name

Mother's Address

Mother's Cell and Email

Father's Name

Father's Address

Father's Cell and Address

In case of emergency, who is the best person to contact? Please enter name, number and relationship.

Does your child have an IEP?

Yes

No

Other

I give my child, permission to receive emergency treatment. I understand that every attempt will be made to contact me, or the emergency contact named below, before taking this action.

Mother is Jewish

By Birth

By Choice

Other

Father is Jewish

By Birth

By Choice

Other

I understand and give consent that pictures/videos of my child will be used for publicity, promotional and/or educational purposes.

Select an item ($)

Registration Fee - $100

One Session (2 Weeks) - $1200

Two Sessions (4 Weeks) - $2300

Full Summer (6 Weeks) - $3200

Thanks for registering!

Camp Gan Israel of

Brooklyn Heights

TEL: 718-596-4840 EXT. 25

Info@cgibrooklyn.com

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Registration

Summer Application Form

Summer
Application Form