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Winter Camp Registration

Winter Camp Registration

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Winter Camp Registration Form

Camper Information

Male Female





Schedules and Fees:

Wednesday, December 28: $25

 Thursday, December 29: $25

 Wednesday and Thursday, December 28-29: $45

 

Method of Payment:

I will mail in a check for the full amount. Please make check payable to Chabad Youth.
 

Emergency Contact:


Health History and Special Instructions:

Please describe any medical conditions or behavioral issues that would be beneficial to know in caring for your child.

Please list any known allergies that your child has:

Parental Consent:

I hereby permit Camp Gan Israel to transport my child(ren) on camp provided transportation, and to obtain emergency medical care as the situation mandates. I agree that Camp Gan Israel, its administration and staff, will not be liable for any injury or health impairment that may occur. My child has permission to participate in any field trip or activity done with Camp Gan Israel.

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