Full Name* First Name Last Name Phone Number* Area Code Phone Number E-mail* Number of children for which a scholarship is being requested:* Of the $175/child, per week camp tuition, how much are you capable of paying per week (may be paid in monthly installments)?* Please briefly describe what you hope your child/ren will gain from Camp Gan Israel.* Are there any special circumstances that may make you eligible for a scholarship?* Are you willing/able to help with Camp in any way? If yes, how? (Ex. helping with lunch, clean/setup activities, etc)* Do you have any other needs or concerns? Submit Should be Empty: This page uses TLS encryption to keep your data secure.