Camp Registration

Camp Dates: Monday, July 10 - Friday, July 21
Times: 9:30 AM-4:00 PM
Location: Beth Jacob Synagogue, 161 Stirling Avenue South, Kitchener.
Cost: Introductory price of only $150 per week, per child - thanks to a generous donor!
Not ready to register just yet? Email [email protected] with "camp info" in the subject line, and we will keep you posted when the schedule is ready.
1. Child/ren’s Information
Child 1*

First Name Last Name
Birth Date* Children ages 5-12 are welcome to apply

Month Day Year
Which week(s)?*

Week 1 - July 10-14 Week 2 - July 17-21
Gender*

Male Female
Child 2

First Name Last Name
Birth Date Children ages 5-12 are welcome to apply

Month Day Year
Gender

Male Female
Which week(s)?*

Week 1 - July 10-14 Week 2 - July 17-21
Child 3

First Name Last Name
Birth Date Children ages 5-12 are welcome to apply

Month Day Year
Gender

Male Female
Which week(s)?*

Week 1 - July 10-14 Week 2 - July 17-21
If you have additional children please contact us.
2. Parents information
Phone Number*

Area Code Phone Number

Address*

Mother's Name

First Name Last Name
Jewish status

Born Jewish Converted Not Jewish
Cell Phone

Area Code Phone Number
E-mail Primary email
Father's Name

First Name Last Name
Cell Phone

Area Code Phone Number
E-mail Primary email
Jewish status

Born Jewish Converted Not Jewish
How did you hear of us?
3. Emergency Information
Emergency Contact*

First Name Last Name
Phone Number*

Area Code Phone Number
Relationship*
Pediatrician

First Name Last Name
Phone Number

Area Code Phone Number
4. Payment Information

A $50 non-refundable registration fee per child applies as part of this registration, pending your child's acceptance into camp. This will be applied to your tuition total.
Please select one, based on how many children you are registering

$50 CAD $100 CAD $150 CAD

Payment Payment for tuition will only be processed after your application is accepted. Select e-transfer to pay in installments

Credit Card E-transfer

Postal / Zip Code

Country

Total

$0.00 CAD

Yes, I'd like to donate the cost of processing this transaction by adding 3%
Agreement*

I am signing up my child for camp. I give my child permission to attend all trips and receive medical care in the case of emergency, G-d forbid. I give Gan Israel permission to photograph and videotape my children and use the photos and videos (without their names) for whatever the camp sees fit.
Comments
I would like to receive news and updates by email
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Programs

Camp Dates: Monday, July 10 - Friday, July 21