Registration Form 2023

Register your child today for a summer experience of a lifetime!

Camp Gan Israel of Ottawa 2023

Ages: 18 months - 9 yrs old (boys) or 12 yrs old (girls)

Monday, July 3 - Friday, July 28, 2023

(Thursday July 27 will be a half day from 8:30 - 12:00)

(4 weeks)

MINI CAMP
FOR TODDLERS AND PRESCHOOLERS

Ages: 18 months - 6 Years

Mini camp from Monday, July 31 - Friday, August 25, 2023

(4 weeks)

Camp Hours: 8:30 a.m. - 3:30 p.m.

Aftercare is available from 3:30 - 4:30 p.m. at an additional cost.
Camper

First Name Last Name
Camper

Boy Girl

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Birth Date

Month Day Year
School
Entering Grade
Home Phone

Area Code Phone Number
Parents Email
Mother's Name
Mother's Cell Phone
Mother's Work Phone

Area Code Phone Number
Father's Name
Father's Cell Phone
Father's Work Phone

Area Code Phone Number
Emergency Contact other than parent
Emergency Phone
Emergency Relationship
Doctor's Name
Phone Number

Area Code Phone Number
Doctor's Address
Child can be released to
Allergies Medications
Medication Notes
July 3, Week 1 - 5 Days

$450 No
July 10, Week 2 - 5 Days

$450 No
July 17, Week 3 - 5 Days

$450 No
July 24, Week 4 - 4 Days + 1 Half Day

$450 No
Toddlers and Preschoolers - Mini Camp - July 31, Week 1 - 5 Days

$450 No
Toddlers and Preschoolers - Mini Camp - August 7, Week 2 - 5 Days

$450 No
Toddlers and Preschoolers - Mini Camp - August 14, Week 3 - 5 Days

$450 No
Toddlers and Preschoolers - Mini Camp - August 21, Week 4 - 5 Days

$450 No
Private Swim Lessons $250 per week (Please Note: NO Swim Lessons From Wednesday July 19 - Friday July 28) 5 - 30 minute Classes Per Week (Classes Times: 3:30 - 5:30 p.m.)

Week 1 - July 3 - 7 - Cost $250.00 Week 2 - July 10 - 14 - Cost $250.00 Week 3 - July 17 - 18 - Cost $100.00 Week 4 - No Lessons Mini Camp - Week 1 - July 31 - August 4 - Cost $250.00 Mini Camp - Week 2 - August 7 - 11 - Cost $250.00 Mini Camp - Week 3 - August 14 - 18 - Cost $250.00 Mini Camp - Week 4 - August 21 - 25 - Cost $250.00
Notes for Private Swim Lessons
Volunteer at CGI
Camper Age Group

18 months - 2 years 3-4 5 6-7 8-10 11-12
Camp Aftercare 3:30 pm until 4:30 pm ($50.00 per week )

Regular Camp - Week 1 - July 3 - 7 - Cost: $50.00 Regular Camp - Week 2 - July 10 - 14 - Cost: $50.00 Regular Camp - Week 3 - July 17 - 21 - Cost: $50.00 Regular Camp -Week 4 - July 24 - 28 (Half Day July 27 - No Aftercare)Cost: $40.00 Mini Camp - Week 1 - July 31 - August 4 - Cost: $50.00 Mini Camp - Week 2 - August 7 - 11 - Cost: $50.00 Mini Camp - Week 3 - August 14 - 18 -Cost: $50.00 Mini Camp - Week 4 - August 21 - 25 - Cost: $50.00
We will be using photos of our campers for our camp website newsletters and promotional materials.

Please notify us under comments if you have any questions.

Thanks!
Plus Camp T-Shirt, Cap and Water Bottle $50.00
T-Shirt Size
A registration fee will be applied to each camper's registration.

Registration fee: $50.00
Touch a heart .Change a life .Sponsor a Child!

Official Tax Receipt will be issued for full amount for every donation!
Sponsor A Child - Make a difference in a child's life!

$180 $336 $500 $770 $1000
Final Total to be submitted below!
Refund Policy: All fees are non-refundable once you have submitted your registration.

**100% Refundable if the government does not allow us to open our day camp in the summer, or if G-d forbid, your child has a medical issue, that does not permit him/her to participate in camp activities.
Please include all amounts in the below section: Aftercare, Private Swim Lessons, August Mini Camp, Registration Fee, Sponsoring a Child. Note: T-shirt is an additional $50.00
CGI FEES $
Aftercare $
Mini Camp $
Sponsoring a Child $
Plus Camp T-shirt and cap $50.00
Plus Registration Fee $50.00
TOTAL Camp Fees $

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Additional Notes
Should be Empty:

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Please include all amounts in the below section: Aftercare, Private Swim Lessons, August Mini Camp, Registration Fee, Sponsoring a Child. Note: T-shirt is an additional $50.00

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