Register Online! | Camp Gan Israel of the Santa Clarita Valley

	About Our Camp
	Camp Facility
	Our Staff
	Mission Statement
	2010 Camp Schedule
	Register Online!
	Contact Us
	Staff Member Application
	Lunch Menu 2010
	Pioneer Camp!

Friday's Pictures uploaded! Click to View

Goodbye CGI till Next Year

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

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