Welcome to our online registration page! Camp address: 620 20th Ave S, Seattle, WA 98144. Dates: June 30th- August 8th.- No Camp on July 4th. Ages: 5-12. If you are enrolling your daughter for th CIT - Counselor in training program. Please make sure to only choose the weeks under CIT program. Early Bird Special available until March 1st or for the first 35% of registrants, whichever comes first. Scholarships are available. Please call the office as soon as possible. How did you hear about us? Returning camperFlyerYard signSocial MediaFriend If you chose "friend" above, please write their name. Camper information Full Name First Name Last Name Birth Date* Month Day Year Gender* MaleFemale In Fall of 2025 my child will enter:* k1st2nd3rd4th5th6th School attending* T-shirt size XsSML Health information Pediatrician* First Name Last Name Phone Number Area Code Phone Number Insurance* Is your child allergic to any medications? If yes, please explain* Does your child have any allergies?* YesNo Please add any allergy information that would be helpful in caring for your child Does your child have a medical, developmental or emotional condition that camp should be aware of? If yes, please explain* Does your child take any daily medications? If yes please explain.* Are there any social or other challenges we should be aware of?* I authorize camp to apply sunscreen if it has not been applied at home.* YesNo In the event my child is stung by an insect, i authorize camp to administer:* Oral BenadrylCream Benadryl My child is permitted to be given Children's Tylenol, Motrin or similar should the need arise* YesNo Swimming checklist Please answer as accurately as possible - My child is:* Beginner - Not comfortable in water deeper than 3 ft.Intermediate - Comfortable in water deeper than 3 ft.Advanced - An excellent swimmer. 2. Parents Information Parent #1 information Full Name* Phone Number* Area Code Phone Number Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe 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LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country E-mail* Primary email Marital Status* MarriedSingleDivorced Born Jewish?* Jewish by birthJewish by conversionNot Jewish Parent #2 information Full Name* Phone Number* Area Code Phone Number Address Leave blank if same as above Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country E-mail* Primary email Marital Status* MarriedSingleDivorced Born Jewish?* Jewish by birthJewish by conversionNot Jewish Pickup Child may be picked up from camp by:* Name and Relationship I would like to receive news and updates by email 3. Emergency Information Emergency Contact* First Name Last Name Phone Number* Area Code Phone Number Relationship I hereby grant permission for my child to participate in all camp activities. In addition I grant Camp Gan Israel permission to:* Transport my child in connection with all camp activities and trips.Administer necessary first aid or arrange medical care if needed.Use photographs and videos of my child in printed material, websites associated with camp. I hereby give consent to the administration of Camp Gan Israel to take whatever medical measures they deem necessary, at my expense, for my child in the event of a medical emergency. I understand that, when possible, every effort will be made to contact parent/guardian or emergency contact before Camp Gan Israel will undertake such a decision. Signature of Parent or Guardian* Date & Time Month Day Year at 123456789101112 Hour001020304050 MinutesAMPM Camp Rates Camp fees: $395 per week $375 per week – Early Bird Special available until March 1st or for the first 35% of registrants, whichever comes first. CIT program for girls ages 11-13 - $ 300 a week. Our current rate does not fully cover the actual operating costs of running the summer camp. This discounted rate is provided to make the Jewish camp experience more accessible for a greater number of children. If you are able to contribute to our scholarship fund, we encourage you to consider doing so. Your generosity helps us extend our limited scholarship funds, enabling more children to benefit from the transformative power of the camp experience. Please indicate below if you would like to receive an email about donating toward our scholarship fund. If you would like to apply for a scholarship, please click here. Donate towards our scholarship fund? Would you like to donate towards the scholarship fund? YesNo Camp weeks Camp weeks attending Week 1 - June 30thWeek 2 - July 7thWeek 3- July 14thWeek 4 - July 21stWeek 5 - July 28thWeek 6 August 4th We are excited to offer early care and after-care options for your family! Early care begins at 8:00 AM - $70 per week After-care ends at 4:30 PM - $70 - Per week If you're interested in these options, please click below, and we will follow up with an email. Please select one. Early careAfter careBoth Our CIT program will run if we reach a minimum number of girls registered. Please contact the office before applying CIT Program Week 1 - June 24thWeek 2 - July 7thWeek 3- July 14thWeek 4 - July 21stWeek 5 - July 28thWeek 6 - August 4th Bus Transportation from NE Seattle, North Ballard, Greenwood and Queen Anne Please note that transportation will only be available if a minimum number of children sign up for this option. If we are unable to proceed with the transportation service, we will adjust your total accordingly. NE Seattle 6250 43rd Ave NE, Seattle, WA 98115 - Congregation Shaarei Teffilah. NW Seattle: 1320 NW 80th st, Seattle Wa 98117 115 N 85th st,Seattle Wa 98103 1825 Queen Anne Ave NSeattle, WA 98109You may sign up below for your child to receive bus transportation to and from this location at the beginning (8:15 AM) and end of the camp day (3:45 PM) for $75/week. Indicate which weeks you would like transportation. Week 1 - June 24thWeek 2 - July 7thWeek 3 - July 14thWeek 4 - July 21stWeek 5 - July 28thWeek 6 - August 4th Please check which location you want. Please note that there will be two seperate vans, one van from NE Seattle and One from NW Seattle and Queen Anne. Drop off/ pickup location NE SeattleNorth BallardGreenwoodQueene Anne 4. Payment InformationA $70 non-refundable registration fee per child applies as part of this registration. Registration fees. Includes T-shirt & security fees* $70 Total includes a 2.7% credit card processing fee. Total $0.00 I would like to pay today:Full amount$200.00 minimum$ Payment Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration YearBilling Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country If you have opted not to pay in full today, how would you like to settle the remaining balance?* CC on file Please read very carefully! If you If you have selected the minimum required amount mentioned above, the remaining balance must be paid in full by June 5th. Monthly payments will begin on the 15th of every month following your enrollment date. The number of installments depends on your enrollment date. Your registration is not completed until you have set up a payment method for the remaining balance. You will receive an email to create a bright wheel account and set up your payment method. I have read and agree to the above statement!* Yes General comments Please read the Camp Gan Israel term and conditions carefully. Click on link below. Camp Gan Israel Term and conditions. I have read and agree to Camps terms and conditions.* Yes Should be Empty: Submit This page uses TLS encryption to keep your data secure.
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