Camp dates: 13- 24 January 2025 1. Child/ren’s Information Enter the message as it's shown* Child 1* First Name Middle Name Last Name Gender* MaleFemale Going into Year/Class* KIndyPrepYear 1Year 2Year 3Year 4Year 5Year 6Year 7 Child 2 First Name Middle Name Last Name Gender MaleFemale Going into Year/Class KIndyPrepYear 1Year 2Year 3Year 4Year 5Year 6Year 7 Child 3 First Name Middle Name Last Name Gender MaleFemale Going into Year/Class KIndyPrepYear 1Year 2Year 3Year 4Year 5Year 6Year7 Child 4 First Name Middle Name Last Name Gender MaleFemale Going into Year/Class KIndyPrepYear 1Year 2Year 3Year 4Year 5Year 6Year 7 If you have additional children please contact us. 2. Parent information - Please note 10% discount for siblings Full Name First Name Last Name E-mail Phone Number* Area Code Phone Number 3. Emergency Information Emergency Contact* First Name Last Name Phone Number* Area Code Phone Number Relationship* 4. Payment Information To complete payment and choose the days please use this link https://www.trybooking.com/CWXRZ Agreement* I am signing up my child for camp. I give my child permission to attend all trips and receive medical care in the case of emergency, G-d forbid. I give Gan Israel permission to photograph and videotape my children and use the photos and videos (without their names) for whatever the camp sees fit. General comments, important medical information and allergies Full Name First Name Last Name Should be Empty: Submit This page uses TLS encryption to keep your data secure.