Registration - JewishNaperville.com
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Registration

  • Please fill out this form   COMPLETELY  and SIGN so that we can register your child(ren).

    You will be charged a $75 down payment per child upon submission of this form. The remaining tuition balance will be charged to the card on file according to the payment option you choose. 

  • PARENT INFORMATION

  • Parent 1:
  • Parent 2:
  • CAMPER INFORMATION

  • MEDICAL HISTORY
    Please note:
     you must  also  fill out a  Medical History and Emergency Care  form for  each  child

  • **If you are only registering one camper, please skip to "Emergency Contact Information"**

  • MEDICAL HISTORY
    Please note:
     you must  also  fill out a  Medical History and Emergency Care  form for  each  child

  • MEDICAL HISTORY
    Please note:
     you must  also  fill out a  Medical History and Emergency Care  form for  each  child

  • EMERGENCY CONTACT INFORMATION
    Please list at least one emergency contact other than the child's parents.

  • PHYSICIAN CONTACT INFORMATION

  • PAYMENT INFORMATION

    DATES & RATES:

    $275  per week, per child.

    Additional 10% off early bird discount until Feb 6.


    WEEK 1: June 26 - 30
    WEEK 2: July 3 - July 7

    WEEK 3: July 10 - 14 

    Registration is confirmed with a $75 down payment per child charged immediately upon submission of this form. Please indicate below when you would like us to charge the remaining tuition balance. It will be automatically charged to the card on file according to the payment option you choose. 

    Payment is needed in full before June 1. No tuition will be refunded due to absences. 


  • $0.00
  • Credit Card
    Billing Address
  • REGISTRATION POLICIES AND PARENTAL CONSENT

    I hereby permit Camp Gan Israel to transport my child(ren) on camp provided transportation and to obtain emergency medical care as the situation mandates.

    It is my responsibility to apply sunscreen on my child(ren) every morning before camp and to send along a labeled bottle for reapplication. However, in case of emergency, sunscreen is provided.

    I am giving my permission for my child(ren) to participate in any pontoon/speed boating, horseback riding, ropes course, field trips, overnight trips and any other activity that is scheduled on the CGI calendar for his or her age group.

    I allow Camp Gan Israel to photograph and/or videotape my child(ren) and to use these images for all promotional purposes.

    The parent who signs this registration form represents that he/she has full authority to do so and will be responsible for payment of the camp fees.

    By typing my name and the date below, I certify that the information on this application is true and correct and that I have read, and approve, the policies listed above.

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