Camp Gan Israel Registration 2024

Camp is for children who are 2 by June 17 thru entering Kindergarten

Sessions:
4 weeks: June 17-July 12
3 weeks: July 15-August 2

Hours:
9am-3:00pm
EC2 & EC3 Option: 9am-12:30pm
(no camp July 4th)

Priority Registration & Early Bird Rate
through January 31 for Torah Tots Students

Full Day
Four week session: $ 1,280
Three week session: $ 960
Full Summer: $ 2,240

EC2 and EC3 9am-12:30pm Option
Four week session: $ 1120
Three week session: $ 840
Full Summer $ 1960

Registrations received beginning February 1st
Full Day
Four week session: $ 1,320
Three week session: $ 990
Full Summer: $2,310

EC2 and EC3 9am-12:30pm Option
Four week session: $1,160
Three week session: $ 870
Full Summer: $ 2,030

Security Fee per child
Four week session: $ 120
Three week session: $ 90
Full Summer: $210

Due at time of Registration per child
$75 Registration Fee (non-refundable)
$75 Deposit applied to camp fees (non-refundable)

For registration information please contact:
Pam Turk 561-997-7616 [email protected]

#1 Child*

First Name Last Name

#1 Is this child currently enrolled in Torah Tots during the 2023-2024 school year?*

YesNo

#1 Hebrew Name

#1 Birth Date*

Month Day Year

#1 Session(s) registering for:*

3 week session4 week sessionFull Summer

#1 Please indicate camp group* This will be the class they will be entering in August 2024

EC2 9am-12:30pm (children must be 2 by June 17)EC2 (children must be 2 by June 17)EC3 9am-12:30pm (children who are 3 by September 1)EC3 (children who are 3 by September 1)EC4 (children who are 4 by September 1 and full potty trained)Kindergarten (children who are 5 by September 1)

#1 If your child has attended a preschool, please indicate which one

#1 Any special situation or characteristic concerning your child that is important for the camp to be aware of? (intellectual, emotion, physical?)

#1 List regular medications

#1 Allergies to food or meds?

#1 Need for an Epi-Pen?

#1 Is there anything that is different than the information we have on file for Torah Tots for your child/ren, specifically allergies or medications?

#2 Child

First Name Last Name

#2 Is this child currently enrolled in Torah Tots for the 2023-2024 school year?

YesNo

#2 Hebrew Name

#2 Birth Date

Month Day Year

#2 Session(s) registering for:

3 week session4 week sessionFull Summer

#2 Please indicate camp group:

EC2 9am-12:30pm (children must be 2 by June 17)EC2 (children must be 2 by June 17)EC3 9am-12:30pm (children who are 3 by September 1)EC3 (children who are 3 by September 1)EC4 (children who are 4 by September 1 and fully potty trained)Kindergarten (children who are 5 by September 1)

#2 If your child has attended a preschool, please indicate which one

#2 Any special situation or characteristic concerning your child that is important for the camp to be aware of? (intellectual, emotion, physical?)

#2 List regular medications

#2 Allergies to food or meds?

#2 Need for an Epi-pen?

#2 Is there anything that is different than the information we have on file for Torah Tots for your child/ren, specifically allergies or medications?

#3 Child

First Name Last Name

#3 Is this child currently enrolled in Torah Tots for the 2023-2024 school year?

YesNo

#3 Hebrew Name

#3 Birth Date

Month Day Year

#3 Session(s) registering for:

3 week session4 week sessionFull Summer

#3 Please indicate camp group

EC2 9am-12:30pm (children must be 2 by June 17)EC2 (children must be 2 by June 17)EC3 9am-12:30pm (children who are 3 by September 1)EC3 (children who are 3 by September 1)EC4 (children who are 4 by September 1 and fully potty trained)Kindergarten (children who are 5 by September 1)

#3 If your child has attended a preschool, please indicate which one

#3 Any special situation or characteristic concerning your child that is important for the camp to be aware of? (intellectual, emotion, physical?)

#3 List regular medications

#3 Allergies to food or meds?

#3 Need for an Epi-pen?

#3 Is there anything that is different than the information we have on file for Torah Tots for your child/ren, specifically medications or allergies?

If my child is going into EC4 camp, I understand he/she must be fully potty trained*

Yes

Father's Name*

First Name Last Name

Father's E-mail*

Mother's Name*

First Name Last Name

Mother's E-mail*

Address*

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

Home

Area Code Phone Number

Father's Cell*

Area Code Phone Number

Mother's Cell*

Area Code Phone Number

We give permission for the use of photographs of our child(ren) in print materials, on our website and/or emails. Last names of children are never listed.*

YesNo

Comments:

I authorize the director or the director's designee to seek appropriate medical care for my child if necessary.

In case of emergency, when neither parents can be reached, give name of person who will take responsibility for your child:

Emergency Contact: Full Name*

First Name Last Name

Address*

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

Home Phone

Area Code Phone Number

Cell Phone*

Area Code Phone Number

Relationship to camper(s)*

If parents cannot be reached and emergency medical advice is needed, permission is given to the camp to phone my child's doctor:

Doctor's Name*

Address*

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

Phone Number*

Area Code Phone Number

Names of those authorized to pick up

TERMS AND CONDITIONS
1. (I/We) understand that (my/our) child(ren) will be unable to attend Camp Gan Izzy unless and until the state required good health and immunization certification is received from a physician.

2. (I/We) understand that (my/our) child(ren) are enrolled for camp sessions indicated. The camp cannot issue refunds or credits for illness, holidays or family vacations.

3. In the event that the camp is closed due to or resulting from a weather emergency or other unforeseen circumstance, there will be no make-up days, refunds or credits for days that school is not in session.

Payment Information:
Payments may be made by ACH, credit card or checks.
(Deposit must be made by ACH or credit card)
All credit card charges will be assessed a 3% non-cash adjustment fee by the processor.
Monthly payments are due February 15, 2024 - May 15, 2024
If paying by checks, post-dated checks are due in the office by February 1, 2024..

Withdrawal:
Prior to March 1, any payments will be refunded except for the $150 deposit.

To complete the registration process please follow these steps:

Please indicate below how the recurring monthly payments will be made and provide the pertinent information. Your card is not charged at this time.

To pay the registration and deposit:

After submitting this registration form, you will receive an email with the PAYMENT Link for the registration fee and deposit. Click the MAKE PAYMENT button and pay $150 per child, non refundable by either ACH or credit card. Your child(ren) are not registered for camp until this payment is made. All credit card charges will be assessed a 3% non-cash adjustment fee by the processor. ACH/Debit Card payments do not incur a fee.

You may also pay via Zelle - [email protected]

Payment for monthly camp payments*

Credit Card eCheck

Postal / Zip Code

Country

My option is credit card payments*

YesNo

Payment by Credit Card: I understand that by choosing to pay by credit card, a non-cash adjustment fee of 3% will be assessed by the processor*

Yes

Indicate credit card CVV*

By submitting Camp Registration I understand that the $75 per children Registration Fee and $75 deposit per child are non-refundable and agree to the Terms and Conditions stated above. I agree to pay according to the selection above. If your payment is unable to be processed or declined,, your camp account may be charged $25 for each transaction that could not be processed.

We agree to the Terms and Conditions*

YesNo

Name of Parent to contact regarding financial matters*

Email of parent to contact regarding financial matters*

Name of Parent submitting form*

Email of parent submitting the form:*

Total

$0.00

CHECK BACK IN JANUARY FOR INFORMATION FOR SUMMER 2025

1st Child's Information

2nd Child's Information

3rd Child's Information

Parent Information

Medical Emergencies

Pick Up Authorization other than Parents

Payment