CGI REGISTRATION 2026

AGES 3 - 11 ONLY (No Exceptions)

Kid's have to be Potty Trained

We are a NUT FREE Camp

Week 5 & 6 SOLD OUT FOR 3 YEAR OLDS

Week 5 & 6 SOLD OUT FOR 4 YEAR OLDS

--> Please request to be added to our Waitlist

First Child's Name*

First Name Last Name

Age as of July 1st*

Birth Date*

Month Day Year

Grade Entering*

Does Your Child Attend Preschool of the Arts

YesNo

Does Your Child Attend Chabad JCC Hebrew School

YesNo

ADD Second Child

Yes

Second Child's Name

First Name Last Name

Age as of July 1st

Birth Date

Month Day Year

Grade Entering

ADD Third Child

Yes

Third Child's Name

First Name Last Name

Age as of July 1st

Birth Date

Month Day Year

Grade Entering

ADD Fourth Child

Yes

Fourth Child's Name

First Name Last Name

Age as of July 1st

Birth Date

Month Day Year

Grade Entering

ADD Fifth Child

Yes

Fifth Child's Name

First Name Last Name

Age as of July 1st

Birth Date

Month Day Year

Grade Entering

Address*

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

Mother's Name*

First Name Last Name

Cell Phone Number*

E-mail*

Father's Name*

First Name Last Name

Cell Phone Number*

E-mail*

Emergency Contact Name*

First Name Last Name

Relationship to Child*

Cell Phone Number*

Children's Primary Physician's Name*

Physicians Phone #*

Children's Dentist Name*

Dentist Phone #*

Health Insurance Provider:*

Insurance ID:*

Additional People Authorized to Pick Up:*

Which Activities Does Your Child Enjoy?

Briefly Describe Your Childs Personality:

Is There Anything Special That We Should Know About Your Child (Allergies, etc)?

Comments

Select the Weeks Your FIRST Child Will Be Attending: $ 600 / Week

Week 1 (June 29 - July 3)Week 2 (July 6 - July 10)Week 3 (July 13 - July 17)Week 4 (July 20 - July 24)Week 5 (July 27 - July 31) - Don't Register if your Child is 3 or 4Week 6 (August 3 - August 7) - Don't Register if your Child is 3 or 4

Select the Weeks Your SECOND Child Will Be Attending: $ 600 / Week

Week 1 (June 29 - July 3)Week 2 (July 6 - July 10)Week 3 (July 13 - July 17)Week 4 (July 20 - July 24)Week 5 (July 27 - July 31) - Don't Register if your Child is 3 or 4Week 6 (August 3 - August 7) - Don't Register if your Child is 3 or 4

Select the Weeks Your THIRD Child Will Be Attending: $ 600 / Week

Week 1 (June 29 - July 3)Week 2 (July 6 - July 10)Week 3 (July 13 - July 17)Week 4 (July 20 - July 24)Week 5 (July 27 - July 31) - Don't Register if your Child is 3 or 4Week 6 (August 3 - August 7) - Don't Register if your Child is 3 or 4

Select the Weeks Your FOURTH Child Will Be Attending: $ 600 / Week

Week 1 (June 29 - July 3)Week 2 (July 6 - July 10)Week 3 (July 13 - July 17)Week 4 (July 20 - July 24)Week 5 (July 27 - July 31) - Don't Register if your Child is 3 or 4Week 6 (August 3 - August 7) - Don't Register if your Child is 3 or 4

Select the Weeks Your FIFTH Child Will Be Attending: $ 600 / Week

Week 1 (June 29 - July 3)Week 2 (July 6 - July 10)Week 3 (July 13 - July 17)Week 4 (July 20 - July 24)Week 5 (July 27 - July 31) - Don't Register if your Child is 3Week 6 (August 3 - August 7) - Don't Register if your Child is 3

Additional Days - Only if Preapproved $130 / Day

Total

$0.00

For Scholarship Request

Click Here

Informed Consent & Acknowledgement:*

As the parent(s) or legal guardian(s) of the child/ren noted above, I give permission for my child to participate in all camp activities, both on-site and off-site. I understand that normal camp activities involve some risk, and I agree that Camp Gan Israel, the Chabad JCC, its staff, and volunteers are not responsible for ordinary accidents or injuries that may occur. I give permission for my child to travel on field trips using RFTA public buses and camp-rented passenger vans driven by approved staff or contractors. I understand that transportation carries some risk and that staff follow all required safety procedures. In the event of illness or injury, I authorize camp staff to provide basic first aid, contact emergency services, and allow my child to be transported for medical care if needed. I agree to be responsible for any related medical expenses. I also give permission for my child to be photographed or filmed during camp activities and for these images to be used in camp newsletters, updates, and promotional materials used by Chabad JCC. Names will not be used without additional consent.

Confirmation*

By acknowledging and signing below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.

Print Name*

First Name Last Name

Please download the Health & Immunization Form and email a pediatrician signed form to: Inga@jccaspen.com by June 1st, 2026 - We require these for any children under the age of 4.

Health & Immunization Form

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Cancelation policy:

3% non-refundable deposit at time of booking to cover our credit card fees.

50% of tuition non-refundable if canceled after June 1.

100% is non-refundable within 7 days of booked camp start dates.

Camp Gan Israel: June 29 - August 7, 2026

1. Camper Information

2. Parent Information:

3. Emergency Contact Information

4. Additional Camper Information:

5. Camp Tuition: $ 600 / Week (No Single Days Available)