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 As of June 25 registration is closed. To be put on a waiting list please call 661-644-5735.

Please fill out the form below carefully. When you press submit, this form will be sent to our administration office. 

Note: Please use a separate form for each child.

  Camper/Parent Information
Name
  First
Middle Last  
Address
  Street
City State
Zip
Date of Birth
   
Contact Info
  Phone
Email
 
Schools
  School
Hebrew School Entering Grade:
Child's Mother
  Mother's Name
Hebrew Name Work Phone Cell
Child's Father
  Father's Name
Hebrew Name Work Phone Cell
Emergency Contact Info
  Name
Phone Relationship  
Pediatrician
  Name
Phone    

Email

     

 

        
Select Child's Age Group        Hours                            Fees
 
 
 

 

 

                 
Ages
  5-11
 9am - 3pm $200 a week
Teen Camp
12-13

9am - 3pm

$200 a week

Discounts
 
 
 
Scholarship:

Recruit a new child for 5 weeks and you get a week free!

Sign up before April 15 and your take 10% off your bill

Click here if you need a scholarship form. Please fill it out and send it to 23120 Lyons ave. #19 Newhall, CA 91321 ATT: Frumi

Please indicate the weeks your child will attend camp:
 

1st Week (June 28 - July 2)
2nd Week (July 5 - 9)
3rd Week (July 12 - 16)
4th Week  (July 19 - 23)
5th Week (July 26 - 30)
 All 5 Weeks

 

   

IMPORTANT

All forms must be completed and submitted before your child begins camp.

I will be paying by: Check Mastercard Visa Amex

I have read the camp brochure and application form and agree to the terms stated. I give my child permission to attend all trips, and receive medical care in the case of emergency.
   To Secure a space for your child, please send a non-refundable deposit of $50 per child to: Camp Gan Israel 23120 Lyons Ave. #19 Newhall, CA 91321
  Date of Application:

To Pay online please go to campganisraelscv.com/payment

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Camp Gan Israel of the Santa Clarita Valley 23120 W. Lyons Avenue #19 Newhall, CA 91321 661-254-3434
A branch of the world's largest Jewish Camping network, Camp Gan Israel International

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