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Camp Gan Israel

fun forever!

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Adding on weeks to CGI

This form is for parents who are adding additional weeks of camp to their original registration.

We are delighted that your child had a fantastic time and would like to return for additional week(s).

Please complete this short form.
Parent contact
Full Name*
First Name Last Name
Mobile Number

Area Code Phone Number
Personal Email*

Permanent Address*

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

Camper
Camper Info
Camers full Name
First Name Last Name
Add the following weeks to our original registration.

Week 2: July 1stWeek 3: July 8thWeek 4: July 15thWeek 5: July 22nd
Total

$0.00

I would like to pay today:Full amount$250.00 minimum$

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

City

State / Province

Postal / Zip Code

Country

I hereby confirm that all information and signatures provided in my original registration will be applied to the additional weeks I am now adding to our registration.
Plase click yes in order to proceed.*

Yes
Should be Empty:

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