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Online CGI Subsidy and Registration Application: Summer 2018

*Please fill out a separate Subsidy and Registration Application per Child.*

The deadline for submission of Subsidy Applications is Wednesday, February 8, 2018 at midnight.
Please Note: We will not accept any subsidy forms after Wednesday, February 7, 2018 at midnight.

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

A private, confidential committee will review the information provided on this form and will get back to you in regards to what subsidy we can provide. The amount of subsidies has been severely reduced this year, therefore we cannot guarantee that you will be able to receive a subsidy. We receive many subsidy applications every year and filling out an application does not guarantee your child(ren) a subsidized spot this year, but we will try our very best to help families in need.

You will hear back regarding your subsidy application and the amount of your subsidy by Tuesday, February 13, 2018 or before.

If a subsidy is granted, you will be required to agree to the subsidy payment schedule.

Subsidy Payment Schedule
50% Tuesday, February 13 th
50% Tuesday, March 13 th

 I agree to follow the above outlined Subsidy Payment Schedule if my application is selected to receive a subsidy.
(please initial in the box provided)

All subsidized families should check off one of the following volunteer jobs (per family):

Make dinner(s) for Camp Counselors. How many dinners will you make?

Host the Camp Counselors for Shabbos.

Pick up and Drop Off of Camp Counselors from airport, bus station or train station.

Purchase and package Shabbat Treats for Shabbat Party in Camp on Fridays.

Make Challah Dough (two recipes) for challah baking in camp.

Give a Weekly Class to the Counselors

Other Volunteer Jobs

 I agree to do my selected volunteer job(s) from the above list. I understand that if I do not complete my selected volunteer job, my family will not be eligible for a subsidy for the following year.
(please initial in the box provided)

Parent Information
Father's Name
  First
Middle Last  
Mother's Name
  First
Middle
Last  
Address
  Street
City Prov.
Postal Code
Home Phone
  Phone Number      
Father's Info.
  Occupation
Work Phone Cell Phone Email
Mother's Info.
  Occupation Work Phone Cell Phone  Email
Yearly Household Income:
(total for both parents - this information will be kept confidential)
$20,000 - $35,000 $35,000 - $50,000 $50,000 - $75,000
Income verification may be required upon request.
$75,000 - $90,000 $90,000 and above  
       
           
Camper's Information
Child's Name
  First
Middle Last  

Child's Date of Birth

   

School

  School
Hebrew School Entering Grade:
 
Emergency Contact
  Name
Phone Relationship * Please Note: An Emergency Contact is someone other than the parents.
Pediatrician
  Name
Phone Address
 

 

 

 

 

 

 

 

 

 

 

Child Can Be Released To:

Medications / Allergies:

Medication Notes:

T-Shirt Size (small, med, large, x-large):

Child's Swim Level:

Subsidies will not be provided for Private Swimming Lessons.

Yes, I would like Private Swimming Lessons for my child:

Please select which weeks you would like your child to attend swimming lessons.

Swimming Lessons during camp are available for the following weeks and prices:

Week 1 - 4 days - Price: $140
(Tue, Jul 4 - Fri, Jul 7)

Week 2 - 5 days - Price: $175 
(Mon, Jul 10 - Fri, Jul 14)

Week 3 - 5 days - Price: $175 
(Mon, Jul 17 - Fri, Jul 21)

Week 4 - 5 days - Price: $175 
(Mon, Jul 24 - Fri, Jul 28)

Week 5 - 4 days - Price: $140 
(Mon, July 31 - Thurs, Aug 3)


Lessons are 30 minutes each and run:

- before camp from 8:00 am - 9:00 am
- after camp from 3:30 pm - 5:30 pm

Please choose a time preference:

1st Choice:

2nd Choice:

Notes:

We will try our best to accommodate you, however we cannot make any guarantees. Time preferences will be processed in order of registration.

 

AUGUST
SWIMMING
LESSONS*

There may be additional swimming lessons available from Monday, Aug 8, 2016 to Friday, Aug 26, 2016.

More information will be available closer to August.

$150 per week
(5 lessons)

*The August swim lessons are subject to change/cancellation due to possible renovations to the JYL during that time.

           
Select Child's Age Group
New! 18 months -2 years
Ages 6-7  
Ages 2-3
Ages 8-10  
Ages 3-5 Ages 11-13
Please indicate the sessions you would like your child to attend camp:
 

1. Tuesday, July 3, 2018- Friday, July 6, 2018

2. Monday, July 9, 2018 - Friday, July 13, 2018

3. Monday, July 16, 2018 - Friday, July 20, 2018

4. Monday, July 23, 2018 - Friday, July 27, 2018

5. Monday, July 30, 2018 - Thursday, August 2 , 2018

Please Note: Week 1 of CGI begins on a Tuesday and Week 5 of CGI ends on a Thursday.

Please Note: Each week will offer a specialized activity such as karate, sailing, theatre and dance, in addition to group swimming lessons and all other fun activities.

The following rates are for informational purposes only. However we ask that your select one, so we will know whether you want your child to attend full days or half days.

CAMP GAN ISRAEL REGULAR RATES:
$325 per week* Week 1 and Week 5: $260

JUNIOR GAN IZZY HALF DAY OPTION, 9:00 am - 11:30 pm:
Available for campers ages 4 and under

$270 per week * Week 1 and Week 5: $216

*There is an additional mandatory $36.00 fee per camper for the camp t-shirt and cap.

Early Drop Off + After Camp Care are available for an additional charge.
For further details please call the office at 613-729-7712 or e-mail office.jewishyouthlibrary@gmail.com.

Please specify if you will require Early Drop off or After Camp Care for your child.
Early Drop Off (at 8:00am) After Camp Care (3:30 - 5:30pm)

Please provide any additional information you would like the committee to know for this application:

Camp Refund Policy
(applies to Subsidized Families as well)

A/ If the camper is ill prior to going to camp, then a doctor’s certificate attesting to such illness must be sent to the Camp Registrar with a request for a refund of camp fees. The maximum amount refundable under this clause shall not exceed two-thirds of all camp fees paid.

B/ No refund shall be given in the instance where a camper starts later than the specified date of the start of the camp.

C/ No refund shall be made in the instance where a camper terminated attendance earlier than the specified termination date of the camp, unless it is in the Camp Director’s judgment that such earlier termination is necessary due to illness or other causes. In such an event, a refund may be made not exceeding 50% of the unused balance of the camp fees paid.

D/ In the event that a camper voluntarily terminates attendance prior to the date of termination of the camp, no refund shall be made.

Payment Information
  Please Note: We are unable to accept Debit-Credit Cards.
  Please Note: Your card will not be charged until you have been accepted for a subsidy and agree to the payment schedule.
   
  Name on Card:
  Credit Card Number: Exp. Date:
  Security Code:
Information Consent

I have read the application form above and agree to the terms stated. I understand that additional information may be requested from Camp Gan Israel of Ottawa and the Jewish Youth Library to determine the eligibility of my subsidy application.

I have read the application form above and agree to the terms stated. I give my child permission to attend all trips, and receive medical care in the case of emergency. I give permission for my child's picture to be used for publicity and other purposes, for Camp Gan Israel of Ottawa and for the Jewish Youth Library.

I have read the application form above and agree to the terms stated in regards to Camp Volunteer Jobs. I understand that if I do not complete the volunteer job I agreed to do above. My family will not be eligible for a subsidy next year.
 

Additional Notes:

  Date of Subsidy Application:

 

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Camp Gan Israel 192 Switzer Avenue Ottawa, ON K1Z 7H9 Canada 613-729-7712
A branch of the world's largest Jewish Camping network, Camp Gan Israel International

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