CGI REGISTRATION 2025

Camp Gan Israel: June 30 - August 8, 2025

1. Camper Information
AGES 3 - 11 ONLY (No Exceptions)

Kid's have to be Potty Trained

We are a NUT FREE Camp

WEEK 3 (July 14 - 18): REGISTRATION CLOSED

WEEK 4 (July 21 - 25) - Do Not Sign Up If Your Child Is 3 Years Old - We are at Capacity with a Waitlist

WEEK 5 (July 28 - Aug. 1): SOLD OUT, NO WAITLIST AVAILABLE
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

2. Parent Information:
Mother's Name*
First Name Last Name
Cell Phone Number*

Area Code Phone Number
E-mail*
Father's Name*
First Name Last Name
Cell Phone Number*

Area Code Phone Number
E-mail*
3. Emergency Contact Information
Emergency Contact Name*
First Name Last Name
Relationship to Child*
Cell Phone Number*

Area Code Phone Number
Children's Primary Physician's Name*
Physicians Phone #*

Area Code Phone Number
Children's Dentist Name*
Dentist Phone #*

Area Code Phone Number
Health Insurance Provider:*
Insurance ID:*
4. Additional Camper Information:
School Child is Now Attending
Additional People Authorized to Pick Up:*
Previous Camps Attended:
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
5. Camp Tuition: $ 575 / Week (No Single Days Available)
Select the Weeks Your FIRST Child Will Be Attending: $ 575 / Week

Week 4 (July 21 - July 25) - DO NOT SIGN UP IF YOUR CHILD IS 3
Select the Weeks Your SECOND Child Will Be Attending: $ 575 / Week

Week 4 (July 21 - July 25) - DO NOT SIGN UP IF YOUR CHILD IS 3
Select the Weeks Your THIRD Child Will Be Attending: $ 575 / Week

Week 4 (July 21 - July 25) - DO NOT SIGN UP IF YOUR CHILD IS 3
Select the Weeks Your FOURTH Child Will Be Attending: $ 575 / Week

Week 4 (July 21 - July 25)
Select the Weeks Your FIFTH Child Will Be Attending: $ 575 / Week

Week 4 (July 21 - July 25)
Additional Days - Only if Preapproved $125 / Day
Total

$0.00
For Scholarship Request

Click Here
Informed Consent & Acknowledgement:*

As the parent(s) or legal guardian(s) of the child/ren note above, I/we authorize any adult acting on behalf of Chabad of Aspen / Camp Gan Israel, to hospitalize or secure treatment for my child/ren. I further agree to pay for all charges for that care and/or treatment. It is understood that, if time and circumstances reasonably permit, the camp will try to communicate with me prior to such treatment. I/we hereby give permission for my child/ren to attend all field trips and outings sponsored by Chabad of Aspen/Camp Gan Israel and be transported to and from the field trips and outings. I also allow my child to be photographed while participating in camp activities. I/we understand that these photographs may be used for publicity purposes.
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

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.
Should be Empty:

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1. Camper Information

2. Parent Information:

3. Emergency Contact Information

4. Additional Camper Information:

5. Camp Tuition: $ 575 / Week (No Single Days Available)