Camp Registration

Camp Dates: Tuesday, July 5 - Thursday, July 21.
Times: 9:30 AM-4:00 PM
Location: Beth Jacob Synagogue, 161 Stirling Avenue South, Kitchener.
Cost: Introductory price of only $100 per week, per child - thanks to a generous donor!
1. Child/ren’s Information
To see a general overview of the camp schedule, please click here . Some details may change.
Child 1*
First NameLast Name
Birth Date*Children ages 6-12 are welcome to apply
MonthDayYear
Which week(s)?*
Week 1 - July 5-8Week 2 - July 11-15Week 3 - July 18-21
Gender*
MaleFemale
Child 2
First NameLast Name
Birth Date
MonthDayYear
Gender
MaleFemale
Which week(s)?*
Week 1 - July 5-8Week 2 - July 11-15Week 3 - July 18-21
Child 3
First NameLast Name
Birth Date
MonthDayYear
Gender
MaleFemale
Which week(s)?*
Week 1 - July 5-8Week 2 - July 11-15Week 3 - July 18-21
If you have additional children please contact us.
2. Parents information
Phone Number*
Area CodePhone Number

Address*

Mother's Name
First NameLast Name
Jewish status
Born JewishConvertedNot Jewish
Cell Phone
Area CodePhone Number
E-mailPrimary email
Father's Name
First NameLast Name
Cell Phone
Area CodePhone Number
E-mailPrimary email
Jewish status
Born JewishConvertedNot Jewish
How did you hear of us?
3. Emergency Information
Emergency Contact*
First NameLast Name
Phone Number*
Area CodePhone Number
Relationship*
Pediatrician
First NameLast Name
Phone Number
Area CodePhone 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
$50 CAD$100 CAD$150 CAD

PaymentPayment 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
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Programs

Camp Dates: Tuesday, July 5 - Thursday, July 21.