Camp dates: 16-27 January 20231. Child/ren’s InformationEnter the message as it's shown*Child 1*First NameMiddle NameLast NameGender*MaleFemaleGoing into Year/Class*KIndyPrepYear 1Year 2Year 3Year 4Year 5Year 6$40 per day includes lunch*16 monday17 tuesday18 wednesday19 thursday20 friday23 monday24 tuesday25 wednesday27 fridayentire 2 weeks $350Child 2First NameMiddle NameLast NameGenderMaleFemaleGoing into Year/ClassKIndyPrepYear 1Year 2Year 3Year 4Year 5Year 6Child 3First NameMiddle NameLast NameGenderMaleFemaleGoing into Year/ClassKIndyPrepYear 1Year 2Year 3Year 4Year 5Year 6Child 4First NameMiddle NameLast NameGenderMaleFemaleGoing into Year/ClassKIndyPrepYear 1Year 2Year 3Year 4Year 5Year 6If you have additional children please contact us.2. Parent informationPhone Number*Area CodePhone Number3. Emergency InformationEmergency Contact*First NameLast NamePhone Number*Area CodePhone NumberRelationship*4. Payment InformationTo complete payment:1) Bank Transfer: BSB 126563 Acc 21844174 (leave REF name &CGI)2) By credit card call 04269631253) Pay on the day when you drop the kids off Payment$40$80$120$160$200$240$280$320$350Agreement*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 allergiesShould be Empty: Submit This page uses TLS encryption to keep your data secure.